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Suggest Treatment When Diagnosed With Acute Pancreatitis And Fatty Liver
Question: A 28 Years male patient hospitalizaed with complaints of severe pain in abdomen with irregular Bowels since 2 days and diagnosed to have? Acute pancreatitis with Fatty Liver. As per Investigations – Serum Urea 20 mg/dl, Serum Bilirubin – 2.93 mg/dl, Serum Direct Bili – 1.02, Serum Indirect Bili – 1.91 mg/dl, SGPT 44 U/L, SGOT – 66 U/L, as per USG Pancreas is inflamed shows Acute Pancreatitis with Hepatomegaly with Fatty Changes. GB distended, no calculus seen. Walls are normal. Amylase / Lipase test not done.
Liver is enlarged and shows fatty changes.
Patient was treated with IV antibiotics, antacids, Tab Livadal 300, Cardace 10, Tab Ifapride, Dytor 5.
On discharge advice avoid Alcohol, spicy food.
Patient is having history of occasional alcoholism.
We request you to please opine the probable cause of pancreatitis, whether it is related to Alcohol or any pathological condition. If not becouse of Alcohol then what might be the other cause for pancreatitis in this case.
Liver is enlarged and shows fatty changes.
Patient was treated with IV antibiotics, antacids, Tab Livadal 300, Cardace 10, Tab Ifapride, Dytor 5.
On discharge advice avoid Alcohol, spicy food.
Patient is having history of occasional alcoholism.
We request you to please opine the probable cause of pancreatitis, whether it is related to Alcohol or any pathological condition. If not becouse of Alcohol then what might be the other cause for pancreatitis in this case.
Brief Answer:
yes alcohol is likely cause in this case
Detailed Answer:
Hello,
Thanks for writing to us.
The commonest cause for acute pancreatitis is alcohol with or without gall stones. Other common causes are drugs, trauma, endoscopy(endoscopic retrograde cholangiopancreatography - ERCP). Less common causes are infection, hereditary, hypercalcemiea and pancreas developmental abnormality.
History suggests that person is already suffering from alcohol related liver disease. In such cases pancreatitis is common. We just need to rule out any drug history for confirmation that alcohol is responsible for this problem.
For confirmation of diagnosis serum amylase and lipase are required investigations. Even they indicate recovery and prognosis. I recommend going for these investigations soon.
Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.
yes alcohol is likely cause in this case
Detailed Answer:
Hello,
Thanks for writing to us.
The commonest cause for acute pancreatitis is alcohol with or without gall stones. Other common causes are drugs, trauma, endoscopy(endoscopic retrograde cholangiopancreatography - ERCP). Less common causes are infection, hereditary, hypercalcemiea and pancreas developmental abnormality.
History suggests that person is already suffering from alcohol related liver disease. In such cases pancreatitis is common. We just need to rule out any drug history for confirmation that alcohol is responsible for this problem.
For confirmation of diagnosis serum amylase and lipase are required investigations. Even they indicate recovery and prognosis. I recommend going for these investigations soon.
Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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