What is the ?: Hereditary pancreatitis is a real problem. Related to the same genes as in cystic fibrosis. Ultimately structural changes in the pancreas lead to daily pain without enzyme rise. Avoid narcotics. See about celiac plexus block. If enzymes still go up, consider non-encapsulated pancreatic enzymes (high- dose) with every meal (and acid suppression) to minimize pain. Hope this helps.
Answered 5/9/2014
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