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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Painful Abdomen, Chest Pain, Neck Pain, Bulky Pancreas. Done Scan And Ultrasound. What Does This Mean?

hi, my wife has just been discharge after about a week in hospital, she had pain upper abdo, chest area,, unable to eat properly, had ultra sound today, with a ct to be done, letter to our gp states,
possible undiagnosed GORD?
and the neck body and tail of pancreas are baulky,& heterogerous, and have noticed changes from her last ultrsound scan a year ago
what does all this mean please,
Mon, 27 May 2013
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General Surgeon,  's  Response
Hi ! The pain in the upper abdomen of your wife must have been severe enough for getting admitted in the hospital for a week. I would like to know her food habits. Does she take alcoholic beverages ? Did she suffer from any viral fever in the past ?
The ultrasound report shows some generalised swellling of the pancreas. This may point to inflammation of pancreas and not simply GORD. This is why she has been already advised for a CT scan of the abdomen. You doctor may also advise your wife to have a serum amylase and lipase test which usually are increased in inflammation of pancreas.
Till she gets other investigations done, she should completely avoid alcoholic beverages ( if she used to take ), go for bland diet without any spices and fat with a lot of roughage in it, and can go for some kind antacid and acid reducing agent like omeprazole,pantropazole, or rabeprzole after consulting her doctor. Also she should take a lot of liquids. Hope this helps her till all her investigations are done.
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Painful Abdomen, Chest Pain, Neck Pain, Bulky Pancreas. Done Scan And Ultrasound. What Does This Mean?

Hi ! The pain in the upper abdomen of your wife must have been severe enough for getting admitted in the hospital for a week. I would like to know her food habits. Does she take alcoholic beverages ? Did she suffer from any viral fever in the past ? The ultrasound report shows some generalised swellling of the pancreas. This may point to inflammation of pancreas and not simply GORD. This is why she has been already advised for a CT scan of the abdomen. You doctor may also advise your wife to have a serum amylase and lipase test which usually are increased in inflammation of pancreas. Till she gets other investigations done, she should completely avoid alcoholic beverages ( if she used to take ), go for bland diet without any spices and fat with a lot of roughage in it, and can go for some kind antacid and acid reducing agent like omeprazole,pantropazole, or rabeprzole after consulting her doctor. Also she should take a lot of liquids. Hope this helps her till all her investigations are done.