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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have right abdominal cramps and weakness. Had found cyst in pancreas. Which specialist to see?

September 2011 I had a fall at work. January 2012 8mm cyst on pancreas found incidentally after MRI January 2013 started to have discomfort on right side. Saw physician who told me it was related to fall 2 years earlier. Told me to see my nerosurgeon as back & stomac pain are related to back nerves. March 2013 Started having fairly severe right sided discomfort and crampy pain abdomen right and generalized weakness. Why was it ok not to biopsy just because ithadn t grown in 1 year? Which specialist do I see?
Sat, 30 Mar 2013
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General Surgeon 's  Response
Hi
A cyst can occur in pancreas due to trauma.
No need to take biopsy for pancreatic cyst.
If the size of the cyst is more than 6cms,then surgery has to be done.
You should consult a Surgical Gastroenterologist.
Hope surgery is not needed.But,please consult him.
Wish you good health
Regards
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Internal Medicine Specialist Dr. Mayank Bhargava's  Response
Hi,
Thanks for posting your query.
Do you have watery diarrhea/ vomiting/ spasmodic abdominal pain/ acidic belching?
With the available described symptoms, there appears to be possibility of stomach pain and backache due to pancreatic cyst and pancreatitis.
You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up.
You should also go for complete blood count, blood sugar both fasting and postprandial, serum amylase and lipase, serum electrolytes and endoscopy & biopsy.
You should also go for endoscopic guided drainage of pancreatic cyst.
You should take tramadol. pancreatic enzyme preparations and low fat soft diet.
Take care,
Dr. Mayank Bhargava
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