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Abdominal pain, elevated enzymes. Removed gall bladder. Long-term weed smoker. Cause of pain?

My friend Jean has some serious chronic pain in his abdomin that is intensified when he is hungry. Its so aweful that he was been to the hospital numerous times with no help. All tests repeatedly come up negative-- they thought pancreatitus because of elevated enzymes but no. He had a necrotic gall bladder which was removed, but this did not stop his problem and only intensified it. He is a very long term(40 years) weed smoker. Would it be possible that this unknown incredible pain he has where his stomach turns badly is from chronic weed use? Withdrawal? I read about some new type of syndrome too?
Asked On : Sun, 14 Apr 2013
Answers:  2 Views:  42
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Internal Medicine Specialist 's  Response
Jan 2013
Thanks for posting your query.
Does he has acidic belching/ abdominal discomfort/ gargling sound in abdomen/ abdominal bloating after taking meals?
Does he have retrosternal burning pain causing difficulty in swallowing?
Does he has fever/ spasmodic abdominal pain?
Is he alcoholic also?
With the available describes symptoms, there could be possibility of peptic ulcer disease or fatty liver disease.
He should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up.
He should also go for complete blood count, Ultrasound imaging abdomen, thyroid profile, blood sugar, x ray abdomen and serum electrolytes.
Meanwhile, He should take proton pump inhibitors along with prokinetics for relief of your symptoms.
He should also take tramadol for relief of your symptoms.
He should also take plenty of water and perform increased physical activity.
Avoid oily and spicy food, tomatoes, citrus fruits, excessive tea & coffee, chocolates.
Take soft diet along with yogurt.
Take care,
Dr. Mayank Bhargava
Answered: Sun, 14 Apr 2013
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General Surgeon Dr. M Y Shareef's  Response
Hi ! It is not clear if the common bile duct of your friend contained stones or not and if it was investigated at the time of surgery. Pancreatitis is a definite possibility and because of the smoking history, he should consult a gastro enterologist for possibility of endoscopic evaluation of his stomach and duodenum.
Answered: Sun, 14 Apr 2013
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