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Doctor insights on: Chronic Pancreatitis Without Pain

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Absence of fever, how to distinguish pancreas pain from peptic ulcer pain assuming presentation luq burning pain radiating to back?

Absence of fever, how to distinguish pancreas pain from peptic ulcer pain assuming presentation luq burning pain radiating to back?

RX PUD & AP as one: Source of abdominal pain can be very difficult to identify in the older adult. Due to the vague
nature of symptoms that often present with abdominal pain, misdiagnosis is common. A current study showed that the prevalence of PUD in patients with acute pancreatitis was relatively high (52.6%), and the cause may be gastric mucosal ischemia,stressful condition due to AC Pancreatitis. Needs w/u for dx ...Read more

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Dr. Tri Huynh
174 doctors shared insights

Chronic Pancreatitis (Definition)

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 ...Read more


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Can you develop chronic pancreatitis without ever having had acute pancreatitis?

Can you develop chronic pancreatitis without ever having had acute pancreatitis?

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

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Chronic pancreatitis what pain meds are prescribed for chronic pancreatitis when a person has daily pain from the illness?

Chronic pancreatitis

what pain meds are prescribed for chronic pancreatitis when a person has daily pain from the illness?

Varies.: If there's chronic pain that's severe, a doctor might prescribe daily opioid - a long acting agent and then a short acting one for breakthrough. With flare ups of the pain, i've seen people use Amitriptyline along with opioids or nsaids, coupled with a short hospital stay where the person doesn't eat (so they don't stimulate the pancreas). ...Read more

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Severe abdominal pain with chronic diarrhea, several mis-diagnosis'?

Severe abdominal pain with chronic diarrhea, several mis-diagnosis'?

See details: The causes are many including ibs, celiac disease, lactose intolerance and inflammatory bowel disease. The only reasonable advice is to speak with a gastroenterologist or seek a 2nd one if you have already seen one previously. ...Read more

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Gallbladder removed, history of C-Diff + Chronic Cholcystitis, bile ducts Symptoms continue, Upper Abdominal pain, bloating. what could it be?

Gallbladder removed, history of C-Diff + Chronic Cholcystitis, bile ducts  Symptoms continue, Upper Abdominal pain, bloating. what could it be?

Too complex: That situation is too complex to analyzing analyze in 400 characters. If you'd like, set up a consult on Healthtap concierge, and I will be happy to work through things for you, to see if I can help. Good luck. ...Read more

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Chronic gastritis, lymphocytic inflammation in esophagus. Body pain. Chronic vomiting. Stomach/pelvic pain. Going on over a year. What could this be?

Chronic gastritis, lymphocytic inflammation in esophagus. Body pain. Chronic vomiting. Stomach/pelvic pain. Going on over a year. What could this be?

See your doctor: I am concerned that you have been suffering with these pains for over a year. Your diagnosis could be the cause of your symptoms. But i encourage you to visit with your primary care doctor right away. If you have a GI specialist who had helped you in the past, please also give him/her a call right away to talk about your symptoms. Good luck with your health care... ...Read more

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Dr. James Lin Dr. Lin
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Chronic pain from orchalgia. What's next?

Dr. James Lin Dr. Lin
2 doctors agreed:

Here are some ...: Orchialgia denotes the pain in the testis, but in reality, it has been commonly used to encompass all the pain in or around scrotum without detailing, which may be caused by the problem in testis itself or epididymis, vas, hydrocele, injury, etc. , or by referring pain from nerve irritation by pinching or neuropathy along spinal nerves, leading to radiculopathy, notably ilioinguinal nerve. ...Read more

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Unexplained chronic vomiting over one year; no psychogenic cause; mild gastroparesis; removed gallbladder; intermittent pelvic/lower abd. Pain; cause?

Unexplained chronic vomiting over one year; no psychogenic cause; mild gastroparesis; removed gallbladder; intermittent pelvic/lower abd. Pain; cause?

Look for Appendix: There is a sac close to appendix it is called meckel diverticulum. It contains same inner lining as stomach. It is hard to diagnose. Ct scan should be done to see if there is some stool stuck in appendix called fecolith. ...Read more

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What's acute vs chronic back pain cause?

What's acute vs chronic back pain cause?

Acute vs Chronic: Acute back pain resolves within six weeks .After six weeks it is considered chronic back pain. ...Read more

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Can having 6 bouts of acute pancreatitis within 6 months mean u have chronic pancreatitis>?

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

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Severe kidney stone pain, Ibuprofen medication gives no relief. Any other medication suggestions. I'm exhausted from the constant pain.

Kidney stones: can be very painful and sometimes require narcotics such as morphine for pain control. Have your doctor prescribe stronger medication, and also make sure that you don't have an associated kidney infection. ...Read more

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Can chronic pain cause bipolar?

Can chronic pain cause bipolar?

No.: Chronic pain does not cause bipolar disorder. But severe or chronic pain may be a trigger to exacerbate sxs. ...Read more

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Dr. Ralph Layman
1,379 doctors shared insights

Pancreatitis (Definition)

Inflammation or infection of the pancreas (the organ positioned behind the lower ...Read more