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Doctor insights on: Pancreatitis Pain Control

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Dr. Ralph Layman
1,369 doctors shared insights

Pancreatitis (Definition)

Inflammation or infection of the pancreas (the organ positioned behind the lower ...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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Moderate left arm pain started 2 days cause? No sob/chest pain history: htn pcos provera (medroxyprogesterone) lisinopril hctz severe spinal pain(ongoing)

Moderate left arm pain started 2 days cause? No sob/chest pain history: htn pcos provera (medroxyprogesterone) lisinopril hctz severe spinal pain(ongoing)

Not your heart: This is not a heart symptom. The pain likely is related to the muscles, tendons, ligaments, or joint of your left shoulder. Alternatively, it could be caused by nerve impingement of your upper (cervical) spine compressing the dorsal roots or of the peripheral nerves in your brachial plexus. ...Read more

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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?

Cannot without help: Your described symptoms of a burning luq pain can have many possibilities. You have only noted 2 possibilities of many, and likely picked the 2 worst case scenarios. Abdominal pain can have many causes and reasons, and pancreatitis or peptic ulcer would also be associated with severe pain, nausea and vomiting, inability to eat, etc. You yourself cannot tell what you may have; must see a doctor. ...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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I'm have epigastric pain LUQ and RUQ pain. Nausea and stool change. Symptoms worsen after eating. Loss of appetite. Fatigue. Pain radiates to back?

I'm have epigastric pain LUQ and RUQ pain. Nausea and stool change. Symptoms worsen after eating. Loss of appetite. Fatigue. Pain radiates to back?

Cholecystitis: Chronic cholecystitis or gallbladder stones/sludge associated with symptoms of pain, bloating, belching and nausea is a reason to see a surgeon for a surgical consult. Okay to ask your doc to send you to as surgeon. In the majority of cases, an outpatient laprascopic gallbladder removal will be helpful to the patient. Take a friend with you. Be well. ...Read more

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Do pain patches work better than narcotic pills to control chronic joint pain from ankylosing spondylitis?

Many options: Several pain medications are available as patches (fentanyl and buprenorphine). A better answer is that you may benefit from any long acting opioid (pill or patch) given the around the clock nature of your pain. ...Read more

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Been havin episodes of severe pain under breastbone, HIDA scan showed gallstones & 48% function but no acute cholecystitis, could still begallbladder?

Yes: Especially if it the lower part of the breast bone, and radiates to the back. May want to see a general surgeon for a consultation regarding removing the gallbladder. ...Read more

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Lower right back/butt/frontal pain...worsening. Ruled out diverticulitis, pancreatitis, appendix, kidney stones. Have fatty hernia is stable. Help?

Lower right back/butt/frontal pain...worsening.  Ruled out diverticulitis, pancreatitis, appendix, kidney stones.  Have fatty hernia is stable. Help?

R/O IBS: IBS is a diagnosis of exclusion. IUC/CROHNS DZ/IBD is inflammation usually DX by BX IBS SX can be managed .You need a full exam and blood work. Especially screen for H pylori . Also stool screen x 3 for occult blood /parasite/ &colonoscopy./EGD While you are getting these items checked out you should stick to a gluten free diet . Ie gutbliss.com and Wholeapproach.com The SX wax and wane. ...Read more

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Diet to reduce severe abdominal pain in periods?

Diet to reduce severe abdominal pain in periods?

Soup and light food: When you GI tract work hard your contraction get stronger.Light food and soup is easy on your GI tract. ...Read more

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What would cause lower right quadrant abdominal pain other than gallbladder stones?

What would cause lower right quadrant abdominal pain other than gallbladder stones?

Any number of: Conditions, such as appendicitis, kidney stones, ileitis, cecal diverticulitis, colon cancer, foreign body perforation, meckel's diverticulitis, ovarian cyst rupture, pelvic infection, ectopic pregnancy, ovarian cancer, lymphadenitis, etc. And these are just the most common conditions. You need a doctor to figure it out for you. ...Read more

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4 weeks post laproscopic gallbladder removal and having moderate pain in my abdomen. Left side upper deeper pain... Pancreatitis? Kidney stones?

Post operative pain: Any persistent post operative pain should be brought to your surgeon's attention. They should consider additional imaging to determine if there is any additional problem. ...Read more

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Several days of constipation taken laxatives. Pain around belly button radiating to right side and worsening. No gallbladder ?

Several days of constipation taken laxatives. Pain around belly button radiating to right side and worsening. No gallbladder ?

Get checked.: Constant abdominal pain for several days needs evaluation today. Crampy pain that comes and goes and is mild is less worrying. Call your doc or go to ER if constant, no bowel movment, fever, vomiting, etc. ...Read more

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What's an alternative to norco (hydrocodone and acetaminophen) for pancreatitis pain? Prefer something less harsh on liver, but pain control is a must as it is debilitating sometime

What's an alternative to norco (hydrocodone and acetaminophen) for pancreatitis pain? Prefer something less harsh on liver,  but pain control is a must as it is debilitating sometime

Tramadol: Tramadol may be helpful, however check with your other medications as it is know to have interactions with other meds. Otherwise, you could try nsaids, muscle relaxants or even meds like gabapentin/lyrica to help. ...Read more

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My wait for pain management is long, pcp wont prescribe any meds for chronic pancreatitis, or ra, would a new pcp possibly help? Or a specialist?

My wait for pain management is long, pcp wont prescribe any meds for chronic pancreatitis, or ra, would a new pcp possibly help?  Or a specialist?

Tough problem: Talk to your pcp about your frustration. There sounds like concerns about meds aggravating your other medical conditions. Local measures (heating pad, ice packs, patches) may be options. The pcp may be able to get you into pain management sooner since you have a special situation. ...Read more

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Do you have any tips on how to control pancreatitis? What do I do?

Modify diet: Do not drink alcohol, eat foods low in fat, take pancreatic enzyme supplements and any pain medications recommended by your physician ...Read more

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What is Chronic pancreatitis ? How to control on it? and what kind of treatment should take and what kind of doctor should check.

Summary: Here is a nice link from medline plus to read about it that answers your questions since I don't have much room here. http://www.nlm.nih.gov/medlineplus/ency/article/000221.htm If you are symptomatic you should see your PCP, and you may need referral to a Gastroenterologist. ...Read more

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Husband has pancreatitis about every 6 months. No gall bladder, no alcohol, cholesterol controlled with meds, had every test run.. all normal. Why would it keep occurring? We are so lost as to what to do. It requires a hospital visit every time.

Husband has pancreatitis about every 6 months. No gall bladder, no alcohol, cholesterol controlled with meds, had every test run.. all normal. Why would it keep occurring? We are so lost as to what to do. It requires a hospital visit every time.

Chronic pancreatitis: Other than alcohol, ductal obstruction, and high serum triglycerides (not total cholesterol), look into hereditary pancreatitis by asking family. Also, cigarette smoking (if he smokes). Beyond that, autoimmune causes are more rare. Underlying diseases such as lupus or hyperparathyroidism have obvious manifestations and do not typically start as pancreatitis. Key tests: ultrasound, ERCP. ...Read more

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Diffuse atrophic pancreas on MRI, 6wks ago MRI normal. No pancreatitis, Controlled DM1, no alcohol drugs, low fat diet,what could cause sudden change?

Diffuse atrophic pancreas on MRI, 6wks ago MRI normal. No pancreatitis, Controlled DM1, no alcohol drugs, low fat diet,what could cause sudden change?

Pancreas size: Most likely 2 different machines used? Otherwise may have not been read correctly first time (or second time). Discuss these issues with your Dr. ...Read more

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What is the best way to get pain under control chronic pancreatitis and degenerative disk with bone spurs in neck pain arm and lower back and legs?

What is the best way to get pain under control  chronic pancreatitis and degenerative disk with bone spurs in neck pain arm and lower back and legs?

Unstable neck and ba: The neck and back pain is from instability associated with bad ligaments in the neck and back. The pancreatitis could be the back itself giving the pain. You would greatly benefit from prolotherapy to the neck and back. Find a doctor and learn about prolotherapy fro www.Getprolo.Com or www.Aaomed.Org. Stop smoking! ...Read more

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How can I treat pancreatitis?

How can I treat pancreatitis?

Bowel Rest: Pancreatitis is usually treated by allowing nothing to be taken by mouth, adequate fluid administration and pain medication, usually given intravenously. Because it is diagnosed by way of blood tests and x-rays, i think it is safe to assume that most people cannot diagnose it on their own, but if you have any suspicion of having it, i'd say go straight to an emergency room. ...Read more

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Can pancreatitis be hereditary?

Hereditary Pancreatitis: Sure. The gene responsible is the trypsinogen gene on chromosome #7. ...Read more

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Is pancreatitis likely to reoccur ?

Is pancreatitis likely to reoccur 
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Maybe: It really depends on the cause. The two most common causes are biliary tract disease like gall stones and alcohol overuse. If the causes are addressed with surgery for gall stones or cessation/moderation of alcohol use, the chances are lower for recurrence. One third of all pancreatitis either has no known cause or is due to adverse reactions to drugs. Thanks for trusting HealthTap! ...Read more

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What do you recommend for pancreatitis?

What do you recommend for pancreatitis?

Many things: Rest your bowel until the pain is improved. Pain control. Maintain good hydration but most importantly find out the cause of the pancreatitis and treat it or avoid it. ...Read more

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Can reocurring pancreatitis be harmful?

Can reocurring pancreatitis be harmful?

Yes : Recurring pancreatitis damages te pancreas. If chronic pancreatitis sets in, it may be "burnt" out and not make digestive enzymes. In that case, you may need to take supplemental pancreatic enzyme tablets with every meal from then on. ...Read more

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How can you tell if it is pancreatitis?

How can you tell if it is pancreatitis?

Pancreatitis : The inflamed pancreas is liberating amylase and lipase in the blood flow. However you need to see a pancreas expert who will order more blood test and eventual imaging. ...Read more

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How do you know if you have pancreatitis?

Continued: Also the patient's history can help out. Is there a lot of alcohol intake, do they have gallstones, high cholesterol? What medicines do they take. ...Read more

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What does pancreatitis usually feel like?

Severe pain.: Pancreatitis usually has severe pain in the mid abdomen, radiating straight through to the back. It can get severe, with fevers, low blood pressure, and shock. If you fear you have pancreatitis, seek help early. ...Read more

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What are the signs of a pancreatitis flare up?

Pain going to back: Midepigastric pain that radiates to the back which may be associated with nausea/vomiting are hallmark symptoms of pancreatitis. ...Read more

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Is there a medication to alleviate pancreatitis pain?

Yes: Chronic pancreatitis pain my be helped with pancreatic enzyme suppliments. Acute pancreatitis pain generally requires narcotics for pain control. ...Read more

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Dr. Satvinder Dhesi
1,458 doctors shared insights

Pain Management (Definition)

Pain management is the control of pain through medication, ...Read more