Doctor insights on:
Chronic Pancreatitis Without Pain
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
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
Does constant back/side/upper abdomenal pain and a history of 5+ bouts of acute pancreatitis indicate I have 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 moreSee 1 more doctor answer
I am having severe URQ abdominal pain with severe chronic low back pain. No gallbladder/have chronic enlarged CBD. What could cause this?
See GI doc: See the GI consultation and get it evaluated. You could have developed a pseudocyst. ...Read more
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Unexplained chronic vomiting over one year; no psychogenic cause; mild gastroparesis; removed gallbladder; intermittent pelvic/lower abd. Pain; cause?
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
Severe kidney stone pain, Ibuprofen medication gives no relief. Any other medication suggestions. I'm exhausted from the constant pain.
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