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Suggest Treatment For Symptoms Of Chronic Pancreatitis

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Posted on Mon, 17 Oct 2016
Question: 73 yrs old, good health. Severe intestine pains that goes into back. They come and go for hours and in most cases diarrhea cases them to go away for sometimes a day. Eating cases them to come back. Lost 35 lbs. take norco To indure pain. Had diarrhea for last month. Been to 4 docs including GI Doc. Had endoscopy with ultrasound all looks good. Had pancreatic surgery last Oct, 40%o tail removed. All looks good
doctor
Answered by Dr. Grzegorz Stanko (46 minutes later)
Brief Answer:
Chronic pancreatitis is the most probable reason.

Detailed Answer:
Hello!

Thank you for the query.

What was the reason of pancreas tail removal? Was it a chronic pancreatitis or tumor? If it was a tumor, was it malignant or benign?

Your symptoms are very characteristic for chronic pancreas inflammation. No doubt in that. To diagnose it, you should have abdominal CT rather than an ultrasound which can only poorly visualize pancreas.

Hope this helps.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Grzegorz Stanko (39 minutes later)
Yes it was a maglinent tumor on the pancreas. The spleen was also removed because the blood source ran through the tumor. I did have an ab ct scan and there was no mention of inflammation on the pancreas. The ultrasound was through the stomach wall during endoscopy. Only found cyst on pancreas that they took sample to biopsy. It looked ok..but have not got result back yet.
doctor
Answered by Dr. Grzegorz Stanko (3 minutes later)
Brief Answer:
Bile ducts obstruction should be ruled out as well.

Detailed Answer:
Have you had liver enzymes and pancreas enzymes checked? As another thing to be ruled out is bile ducts obstruction. In case of that issue ERCP should be done.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5769 Questions

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Suggest Treatment For Symptoms Of Chronic Pancreatitis

Brief Answer: Chronic pancreatitis is the most probable reason. Detailed Answer: Hello! Thank you for the query. What was the reason of pancreas tail removal? Was it a chronic pancreatitis or tumor? If it was a tumor, was it malignant or benign? Your symptoms are very characteristic for chronic pancreas inflammation. No doubt in that. To diagnose it, you should have abdominal CT rather than an ultrasound which can only poorly visualize pancreas. Hope this helps. Regards.