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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Acute Pancreatitis

My 21 yr old daughter is in the hospital with acute pancreatitis. The ultrasound was inconclusive. The next day they did a CT scan with dye. We were told that she had gall stones. The doctor thought that the pancreatitis episode was a passing of a gallstone and that she had more. The surgeon requested an MRI to confirm gallstones. The MRI came back clean. Her pancreatic enzymes have returned to normal. She has started to eat. We were told that the inflammation was gone. My daughter is still complaining of pain...She has been receiving 1ml of Dilaudid (IV) every 3-4 hours. I believe that when your baseline becomes euforia that anything less would be perceived as pain. The last thing that we heard was that she has Divisium Pancreas. From what I can gather from my own research, she has the common type of division. I will further complicate this with the fact that she was diagnosed with Cystic Fibrosis 2 years ago at the age of 18 when we went looking for a cause to her constant sinus infections. Please do not insult me by assuming that this is typical CF pancreatic problems. She has a very mild case of CF and it is in no way a situation with the pancreas. We have blessed her with additional *()_(&%$ genes.
Wed, 24 Jun 2015
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Gastroenterologist,  's  Response
Hi. I just agree with you and your doubt that this is a typical CF pancreatic problems. You have had the CF diagnosis of your daughter because of her constant sinus infections, but in many other cases are bouts of acute pancreatitis to diagnose a CF especially in young patients, as are recurrent acute pancreatitis a common health problem in CF patients. Anywhere I agree with my colleagues in "accusing" gallstones and looking for them with a CT and a MR of abdomen when the possibilities are. Of course wee should exclude the most common cause of acute pancreatitis. As for the pain it's the first to begin and the last to go so I'd suggest a bit patience, and you know the most important is a good following of the cause: Cystic Fibrosis.
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Suggest Treatment For Acute Pancreatitis

Hi. I just agree with you and your doubt that this is a typical CF pancreatic problems. You have had the CF diagnosis of your daughter because of her constant sinus infections, but in many other cases are bouts of acute pancreatitis to diagnose a CF especially in young patients, as are recurrent acute pancreatitis a common health problem in CF patients. Anywhere I agree with my colleagues in accusing gallstones and looking for them with a CT and a MR of abdomen when the possibilities are. Of course wee should exclude the most common cause of acute pancreatitis. As for the pain it s the first to begin and the last to go so I d suggest a bit patience, and you know the most important is a good following of the cause: Cystic Fibrosis.