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Doctor insights on: Chronic Pancreatitis

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Dr. Tri Huynh
170 Doctors shared insights

Chronic Pancreatitis (Overview)

Usually is described as a calcific pancreas in a patient w multiple prior acute episodes, pancreatic insufficiency, and frequently a history of alcoholism. Pain is usually a prominent symptom.


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Can acute pancreatits turn into chronic pancreatitis?

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 more

Dr. Tri Huynh
170 Doctors shared insights

Chronic Pancreatitis (Overview)

Usually is described as a calcific pancreas in a patient w multiple prior acute episodes, pancreatic insufficiency, and frequently a history of alcoholism. Pain is usually a prominent symptom.


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Chronic pancreatitis (Tip)

Removing your gallbladder can solve your pancreatitis. ...See more

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Treating Pancreatitis (Checklist)

Get evaluated for gallstones
Once
Get evaluated for lipid abnormalities
Once
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What symptoms of chronic pancreatitis are the most important?

What symptoms of chronic pancreatitis are the most important?

All: Pain can be severe, life-altering, requiring narcotics. Diabetes can be "brittle"-hard to control, with very high and very low levels of blood sugar in the same day, associated with various complications of diabetes. Maldigestion can cause malnutrition, weight loss, osteoporosis, fatty, greasy, foul-smelling stools. Rx is available for all; complex issue. ...Read more

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Do you agree with this, " only half of the patients with a diagnosis of chronic pancreatitis will survive seven years"?

No: Many with chronic pancreatitis have few to no symptoms. Some have chronic pain or diarrhea. Chronic pancreatitis may increase the risk of pancreatic cancer but the the 7 year survival is certainly much greater than 50%. ...Read more

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Chronic pancreatitis (Tip)

Drink water instead of alcohol and rest your bowel when you have acute pancreatitis. ...See more

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Managing Chronic Pelvic Pain (Checklist)

See your doctor for an evaluation
once
Have a pelvic exam
once
Have an ultrasound
once
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I was diagnosed with chronic pancreatitis and I'm always drained or in pain. I don't know what I should do.?

I was diagnosed with chronic pancreatitis and I'm always drained or in pain. I don't know what I should do.?

Pain Specialist: At this point I would recommend a pain specialist if you are not already seeing one. Pain from chronic pancreatitis is tough to treat. You may benefit from medication management with a sustained release opioid and some occasional immediate release meds for flares. A celiac plexus block may help with the chronic nature of the pain. Spinal cord stimulation can also be helpful. ...Read more

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Chronic pancreatitis (Tip)

Avoid alcohol and fatty foods. Both stimulate pancreas and can worsen pancreatitis. ...See more

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Living with Chronic Fatigue Syndrome (CFIDS) (Checklist)

Don't overdo it when you have more energy than usual
Once
Try slow and steady movement like qigong, tai chi, or yoga
Once
Consider natural medical alternatives such as dipsacus
Once
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I have chronic pancreatitis and iwould like to know about causes?

I have chronic pancreatitis and iwould like to know about causes?

Pancreatitis: Chronic pancreatitis most often due to alcoholism. Other causes are hypertriglyceredemia, certain medications, stone in common bile duct, etc, . ...Read more

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Can chronic pancreatitis cause rectal fistulas?

Can chronic pancreatitis cause rectal fistulas?

Perhaps: If one had significant pancreatic insufficiency and that they had chronic diarrhea, then perhaps one could develop rectal fistulas in the right scenario. This would be rare and an exception. Otherwise, the pancreas is far from the rectum and cannot be associated with this condition. I would defer to my GI and colo-rectal and general surgery colleagues for their opinions. ...Read more

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Chronic pancreatitis (Tip)

Avoid alcohol like your health depends on it because it dose. ...See more

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2months ago my pancreatict duct was 6mm and dilated now it is 2.6 does it mean my chronic pancreatitis is cured age is 19 I had creon after food daily?

2months ago my pancreatict duct was 6mm and dilated now it is 2.6 does it mean my chronic pancreatitis is cured age is 19 I had creon after food daily?

Wow...: Were you told the cause of your pancreatitis? If known, you should know. The shrinking duct is a good sign but not the only sign of healing, which could take a while. And a "chronic" (your word) condition is usually not cured (or it wouldn't be chronic) but usually managed. Be dutiful in managing this. The pancreas can be a nasty brute if you don't take good care of it! ...Read more

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Is there any way to treat chronic pancreatitis?

Is there any way to treat chronic pancreatitis?

Pancreatitis: Chronic pancreatitis most often due to alcoholism. Other causes are hypertriglyceredemia, certain medications, stone in common bile duct, etc, treatment of the cause. Quit alcohol, surgery for gall bladder stone or withdrawing offending medications, pain control, control of diabetes if any, digestive enzyme replacements if needed. ...Read more

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Chronic pancreatitis (Tip)

If you drink, quit. If you don't drink, look at triglycerides and medications. Eat a low-fat diet! ...See more

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Which specialist treats chronic pancreatitis?

Gastroenterologist: A gastroenterologist specializes in the pancreas.
If it is for pain management, then a pain specialist physician can help with this issue. ...Read more

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Is treating the chronic pancreatitis done mostly by fasting?

Is treating the chronic pancreatitis done mostly by fasting?

No: A lot of times acute pancreatitis is treated by pancreatic rest with fasting. Usually chronic pancreatitis is not treated this way. A low fat diet is recommended as is abstaining from alcohol (even if alcohol is not the reason for your pancreatitis). Treating the reason behind the pancreatitis and in select cases surgery or other procedures. ...Read more

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Chronic pancreatitis (Tip)

Don't drink alcohol; make sure your gallbladder's fine; clear liquids are good. ...See more

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Is there any treatment for chronic pancreatitis?

Is there any treatment for chronic pancreatitis?

Pancreatitis: Chronic pancreatitis most often due to alcoholism. Other causes are hypertriglyceredemia, certain medications, stone in common bile duct, etc, treatment of the cause. Quit alcohol, surgery for gall bladder stone or withdrawing offending medications, pain control, control of diabetes if any, digestive enzyme replacements if needed. ...Read more

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Best cure for idiopatic chronic pancreatitis.? My age is 19.will is it permanent to take tablets like creon.

Since the cause: Is not known and it is chronic it is hard to tell. You might need them. Possible for it to go away. No one knows ...Read more

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Chronic pancreatitis are there any known drugs that can stop the enzymes from destroying the pancreas? In trials?

Chronic pancreatitis are there any known drugs that can stop the enzymes from destroying the pancreas? In trials?

Haven't heard of...: Haven't heard of a successful treatment to block the secretion or damaging effect of the pancreatic enzymes (the G.I. Specialists have tried some meds to decrease secretion on enzymes). ...Read more

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Age 19 + idiopathic chronic pancreatitis & tablets are creon10000 & ursoidal from 30dys. Mrcp shows "ABRUPT cut in head with duct dilated" suggest.

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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What is chronic pancreatitis from?

What is chronic pancreatitis from?

Alcohol and: Pancreatic duct obstruction. Most cases of chronic pancreatitis are due to alcohol abuse. Next are cases due to gall stones and other obstructions of pancreatic duct. Other causes are cystic fibrosis and uncommon genetic defects. ...Read more

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I have chronic pancreatitis (idiopathic) with swollen spleen. Why is my spleen becoming involved? What can I do to prevent further complications?

Enlarged spleen: Can be caused by many different things, but in your case, it could be coming from splenic vein thrombosis. Idiopathic means unknown cause, so your doctors probably can't figure out why your get pancreatitis and what you can do to prevent recurrence or complications I assume you already had cholecystectomy. I would surely stay away from alcohol and certain meds that can cause pancreas problems. ...Read more

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Can chronic pancreatitis heal?

Can chronic pancreatitis heal?

No: It will not heal but can prevent worsening by avoiding certain toxins like alcohol, tobacco, and certain drugs. ...Read more

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Is chronic pancreatitis cureable?

Doubtful: It is a chronic condition...Which means it lingers on and on for many years. Yet people can live a normal life despite having this diagnosis. ...Read more

Dr. Ralph Layman
1,366 Doctors shared insights

Pancreatitis (Definition)

An inflammation or infection of the pancreas, causing abnormal secretions or leakage of the digestive enzymes ...Read more


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