Doctor insights on:
Can Acute Pancreatits Turn Into Chronic Pancreatitis
Depends: Acute pancreatitis from gallstones generally does not turn into chronic pancreatitis. Chronic pancreatitis, associated with diabetes, chronic pain after eating, maldigestion of fats can occur after bouts of alcohol-induced acute pancreatitis;high triglyceride (>1000) panc'itis can also. Got stones? Get gb out; high tg-diet and meds. Alcohol-don't drink. Preg related?: see md for individual rx. ...Read moreSee 1 more doctor answer
Unknown.: Idiopathic means that we don't know why it happens. If we don't know why it happens then we cannot make any logical assumption as to how to cure it. Further information could be helpful. Are you diabetic? Are you overweight? What kind of diet do you have? You drink alcohol ever? Is there anything that you eat that seems to make it worse? Do you have high cholesterol or high triglycerides? ...Read moreSee 1 more doctor answer
Pancreatitis : Acute pancreatitis has a discrete time of onset. It often can result in severe pain, sometimes ending up in the ICU, but usually resolves within a few weeks. Chronic pancreatitis is more long-term, usually has somewhat less severe pain, but can result in a long-term damage to the pancreas itself. Both of them are very serious illnesses. Hope this helps. ...Read more
Differences: Acute pancreatitis starts suddenly and lasts for a relatively short period of time. This does not mean that it isn't dangerous, as it can range from mild to deadly. Chronic pancreatitis is a long-lasting infflamation of the pancreas. It often develops after a bout of acute pancreatitis. ...Read more
Chronic IS Acute.: Chronic pancreatitis is actually a misnomer. It is repeated bouts of acute pancreatitis (acute pancreatitis episodes one after the other = chronic pancreatitis). If the first attack of pancreatitis provoked (alcohol, gallstone), & the cause is not addressed, then the 1st bout of acute pancreatitis can turn into chronic pancreatitis very quickly. ...Read more
Yes it may be that: Yes it may be chronic pacreatitis and you should find out what is causing it.You need absolute abstainance from drinking alcohol.And diet with low fat, beans, legumes, low fat meats and diary products.And pancreatic enzymes. You need pain meds for controlling pain common causes are alcohol abuse, gall stones, cystic fibrosis, hypercalcemia, calcific stones and others. ...Read more
How long (days, weeks, months) does lipase stay elevated from onset of acute or chronic pancreatitis? Is Lipase elevated at end stage of pancreatitis?
Lipase: The lipase level is usually elevated in acute pancreatitis, and usually not in chronic pancreatitis. It will usually remain elevated as long as the acute pancreatitis remains active, and usually decreases as the pancreatitis improves. This can take weeks, but usually does not. A lot depends on what is causing the pancreatitis, in addition. Good luck. ...Read more
No: Lactase, the enzyme missing from lactose intolerant people, is normally made and present in the absorptive cells lining the inside of the intestine.The pancreas makes enzymes that are transported to and added to the stuff you are digesting.About a 4th of adults are lactose intolerant. ...Read moreSee 1 more doctor answer
In the case of suspected active acute or chronic pancreatitis, do the doctors normally perform ERCP?
Absolutely: ERCP is a test that gives a picture of the "pancreatic duct", which is a tube that drains fluid from the pancreas into the intestines. Blockage of this duct often causes pancreatitis and the ERCP test is designed to show what is wrong. In some cases the ERCP can also relieve a blockage, leading to improvement in the pancreatitis. ...Read moreSee 1 more doctor answer
Never had acute pancreatitis, but drank heavily in my 20s. Now almost 34 and stopped drinking 3 years ago. Likelihood of chronic pancreatitis now?
Acute Pancreatitis: is "hard to miss" but milder attacks may be missed and ultimately result in chronic pancreatic insufficiency! If there are questions about this diagnosis a consultation with a Board Certified Gastroenterologist may be necessary! Hope this helps! Dr Z ...Read more
How does serum glucose normally fluctuate during activie phases of acute or chronic pancreatitis? Does glucose get elevated AFTER pancreatitis ends?
Would an Endoscopic ultrasound show an acute pancreatitis flare up? Or only damage/evidence of a chronic pancreatitis condition?
EUS for biopsy.: The EUS is used to find suspicious parts of the pancreas for biopsy, mainly to exclude pancreatic cancer. Acute pancreatitis is usually determined by symptoms & blood tests (amylase, lipase) but cannot distinguish if there is cancer under the inflammation. Repeated acute pancreatitis bouts lead to chronic pancreatitis, which is a risk factor (probably the main one) for pancreatic cancer. TTYD. ...Read more
Age 19 + idiopathic chronic pancreatitis & tablets are creon10000 & ursoidal from 30dys. mrcp shows "ABRUPT cut in head with duct dilated" suggest.
Complex solution: Not sure if this is truly idiopathic if on MRCP you have a distinct level of pancreatic obstruction with proximal dilation. See a GI specialist for ERCP with possible sphincterotomy or stent insertion. You may benefit from Whipple procedure if you improve with this and are not diabetic. This would be done by a general surgeon specializing in liver and pancreas surgery ...Read more
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