Doctor insights on:
S/p ecrp- pancreatitis after the stents were put in and again after stents were removed. Still get spasms and pain. Is this normal?
Bad Trouble!: Pancreatitis is known as one of the most painful conditions. The name refers to a state of inflammation of the pancreas. The common causes or viral infection, alcohol irritation, triglyceride irritation, and infrequently from a bile stone. Another common cause is simply "unknown" or idiopathic in medical jargon. Treatment is usually pain meds, antibiotics and IV fluids. Nothing by mouth. ...Read more
It Can Be: 90% of the time, pancreatitis is mild and self-limiting. If severe, people are at-risk at 3 different times: early on, factors are released into the body that can depress many organs' function--if chronically ill, this can be dangerous; middle phase problems arise from pancreatic necrosis, sometimes requiring surgery; late phase problems tend to be infectious in origin, often following surgery. ...Read more
It depend on which etiology we are dealing with.
If it is related to stone disease for instance this can dealt with ERCP and stone extraction, if it is related to chronic pancreatitis, this might require more time and effort, including investigation. You need to see a pancreas expert. ...Read more
Treat symptoms: For chronic pancreatitis there are a number of steps to take. First you must avoid things that exacerbate the condition. Alcohol, fatty foods, high serum lipids, certain medicines must all be avoided. If you have a history of gallstones your gallbladder should be removed. If you have large pseudo cysts you. An have them drained with surgery. There are other surgical procedures for more severe. ...Read more
Yes: Hida scan is a method to look at the ability of the liver to excrete a radioactive dye — a nuclear medicine study. It may tell if there is blockage of bile coming out of the liver or if the gallbladder is not working. Since it does not involve instrumentation of the pancreas, it does not worsen pancreatitis. It does have limitations, cannot be used if the bilirubin is elevated and not specific. ...Read more
Can: Any organs in the upper abdomen can refer pain to chest such as gall bladder, liver, stomach, and spleen. Gastroesophageal reflux, musculoskeletal changes, and of course cardiac etiologies also exist. Sometimes pancreatitis can get pleural fluid collecting particularly in the left chest. ...Read more
Conjecture: Nobody really knows but some suggest that hypercalcemia induces pancreatic injury via a secretory block, accumulation of secretory proteins, and possibly activation of enzymes that begin to digest the pancreas. ...Read more
Intestinal rest: Basically the principle is to rest the intestine, so that there is minimal pancreatic secretion. Pancreatic enzymes degrade protein, but with injury or malfunction of the pancreas it may autolize or damage nearby tissues. So parenteral feedings for acute bouts and appropriate narcotics to treat the pain and decrease stress. ...Read more