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Suggest Remedy For Chronic Diarrhea And Pancreatitis Post Cholecystectomy
Hello. I had my gallbladder out in July of 2014. I have also had pancreatitis numerous times. Since all of this happened I have constant stomach pain that goes up through my chest, and I have diarrhea constant. I basically have to live on anit diarrhea meds. I have gone to the hospital more times than I can count. I have had upper GI s and lower GI s and they tell me that everything looks fine. I have had a very hard time living life normal. I have had to quit jobs due to not being able to make it to the bathroom. It is very embarrassing and it s very depressing feeling this way every single day. Do you have any suggestions what it could possibly be? I have read about a new condition out with all the symptoms I experience that has to do with the pancreas. I cannot remember what it is called. Can you help me?
Mon, 5 Jun 2017
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
It seems like you suffer from malabsorption due to long-term (chronic) pancreatitis and disorder in pancreatic enzyme secretion. This can be a consequence of acute pancreatitis or biliary pancreatitis.
In most cases, it can be regulated by medications which include insulin supplements and enzymes for digestion. Also, alcohol is forbidden in these cases and you should eat less fatty food, less sugar and more vegetables, and boiled food. Also, avoid cytotoxic medications.
If there is no improvement then surgical therapy may be considered and include drainage procedures or pancreas resection. This is the last option of course.
To evaluate it better, it would be good to do an MRI scan and endoscopic ultrasound of pancreatic head. This will reveal possible pseudocyst or pancreatic duct obstruction.
Kreon tablets may help to improve digestion as well as probiotics and anti-gas medications.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Ivan R. Rommstein
I have reviewed your query and here is my advice.
It seems like you suffer from malabsorption due to long-term (chronic) pancreatitis and disorder in pancreatic enzyme secretion. This can be a consequence of acute pancreatitis or biliary pancreatitis.
In most cases, it can be regulated by medications which include insulin supplements and enzymes for digestion. Also, alcohol is forbidden in these cases and you should eat less fatty food, less sugar and more vegetables, and boiled food. Also, avoid cytotoxic medications.
If there is no improvement then surgical therapy may be considered and include drainage procedures or pancreas resection. This is the last option of course.
To evaluate it better, it would be good to do an MRI scan and endoscopic ultrasound of pancreatic head. This will reveal possible pseudocyst or pancreatic duct obstruction.
Kreon tablets may help to improve digestion as well as probiotics and anti-gas medications.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Ivan R. Rommstein
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