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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Vein thrombosis, chronic pancreatitis, gall bladder sludge. Gall bladder removed. Oily stool. Should focus more on pancreas?

I had acute portal vein thrombosis (PVT) two years ago and was placed on Warfarin . Imaging at that time also confrimed chronic pancreatitis and gallbladder sludge . My gallbladder was removed in March of this year. Now my platelet count is low (since December of 2011 thrombocytopenia with 75,000), and I have chronic brown loose stools that float, and are oily. I have been off of the warfarin for about a year. My gastro doctor says he can do nothing about the stool problem and he will see me in another year. Bone marrow and liver biopsies show nothing (other than some fibrosis and scarring in the liver). Everyone has been so focused on the PVT, I am afraid that perhaps they should be focusing on possibilities of pancreatic cancer. Should I push for more imaging around the pancreas?
Tue, 7 Aug 2018
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Internal Medicine Specialist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

1. PVT on warfarin.
2. Chronic pancreatitis with post cholicystectomy status.
3. Thrombocytopenia.
4. Cirrhosis.

Dear thrombocytopenia may be due to portal vein thrombosis which may cause hypersplenism and thrombocytopenia which may cause bleeding. Oil in the stools may be due to chronic pancreatitis so you may need to take less oily food with intake of pancreatic lipase tablets. Alcohol is an risk to develop ca pancreas and ca liver. for that you need to confirm by CT abdomen with contrast study and ultrasound abdomen with serum markers for ca pancreas. So don't worry you have to consult your physician he will examine and treat you accordingly.

Hope I have answered your query. Let me know if I can assist you further.
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