Doctor insights on:
Overactive Thyroid And Chronic Pancreatitis
Hypothyroidism is a medical condition that lowers the level of thyroid hormone to a point where the patient has a marked decrease in overall health. Often the patient does not notice the loss of thyroid hormone for several weeks or more. Once diagnosed with low thyroid hormone levels, the patient will be prescribed with thyroid hormone to a point where the thyroid levels are normal and ...Read more
No symtpoms but had EUS due to lipase #'s. Doc said: "few features of chronic pancreatitis but overall very non-specific." Never had pancreatitis b4?
Tests lead to tests: Real question is why lipase ordered in 1st place if no symptoms. All tests have false positives. False positives go up if patient without typical symptoms of disease in question. If test results pursued without looking at big picture, doctors & patients can get on a road to nowhere. If no symptoms and very mild/nonspecific findings on advanced testing, risk is low. Check in w/ Dr every 2-3 months. ...Read moreSee 1 more doctor answer
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
It is a good test: There are several ways to make the diagnosis of chronic pancreatitis and one of them (a bit invasive) is endoscopic ultrasound (EUS). The study may reveal changes in the structure of the pancreas. Yet there are other simpler tests, like fat in the stool, diabetes and MRI of the pancreas (MRCP). For someone young who does not drink, the diagnosis of chronic pancreatitis is unlikely. ...Read more
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
GI or gen. surgeon: A chronically inflamed pancreas is a difficult problem. A gastroenterologist can help manage the problem , but eventually a general surgeon may be needed, for pancreatic drainage or even partial resection. Avoid alcohol and fatty foods to help try to minimize flare ups. Good luck. ...Read moreSee 1 more doctor answer
Atrophy/scar: the recurrent infections leads to scar that replaces viable tissue in the organ . It atrophies (shrinks) and becomes under active. The pt may actually have a bout of pancreatitis but the labs will be normal cause the organ cant even generate the usual rise in enzymes. Also know as a "burnt out " pancreas. Needless to say it is not good and indicates end stage disease. ...Read more
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