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Doctor insights on:
Strongest Pancreatitis
1
Chronic pancreatitis why is methotrexate bad for your pancreas?
Very strong drug: Methotrexate is a very strong medication and can have side effects on practically every part of the body. Pancreatic inflammation has been seen in patients using methotrexate; not sure of the exact mechanism of damage to the pancreas. ...Read more
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Pancreatitis (Definition)
Inflammation or infection of the pancreas (the organ positioned behind the lower ...Read more
2
Idiopathic recurring pancreatitis, no alcoholism, gallstones, pain, high triglycerides. Only elevated amylase and lipase. What is next step?
See your doctor soon: It is wise to see your doctor soon regarding this. Depending on how high your amylase and lipase are it could be acute or chronic pancreatitis, and considering that you're on medications and have a history of acute pancreatitis, it's even more important to see your doctor. Diet restrictions like low fat intake and fluid replacement and monitoring are needed to be done, so see dr. Asap. ...Read more
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3
Had 1 episode of idiopathic mild acute pancreatitis at age 29. No family history of pancreatitis. Chance of hereditary pancreatitis high?
Hereditary: You could get a genetic study to see if you have the gene present in people with hereditary pancreatitis. If you have family members with idiopathic pancreatitis flareups then you probably don't need to go through genetic testing and just continue to abstain from alcohol. ...Read more
4
Does acute pancreatitis cause pancreatic cancer?
Pancreatitis : Typically chronic pancreatitis does. Acute pancreatitis if well managed does not lead to cancer. ...Read more
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5
Ultrasound:Normal sized pancreas with non-parencymal disease. Elevated lipase level 111. Vomiting, abdominal pain. Is it pancreatitis?
Maybe: The fact that ultrasound didn't see anything does not mean you don't have pancreatitis . Laboratory data is needed to complete the work up for possible pancreatitis. Actually CT is better ...Read more
6
Does chronic pancreatitis lead to pancreatic cancer?
Usually not: Chronic pancreatitis by itself is a serious illness with a 50% mortality rate over 20-25 years. People with garden variety chronic pancreatitis do not have an appreciable increase in incidence of pancreatic cancer; however, the small number of people with hereditary pancreatitis have a 40% life time risk of cancer of pancreas. ...Read more
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7
What defines chronic pancreatitis?
Irreversible changes: Chronic pancreatitis is defined by irreversible changes in the pancrease (pancrelipase) such as fibrosis. This causes poor function and problems with digestion and blood sugar conrol. ...Read more
8
What % of chronic or acute pancreatitis shows elevated Lipase or Amylase?
Acute tests: A 1998 study found that 100% of patients with acute pancreatitis had an elevated lipase, and 95% had an elevated amylase directly upon admission to the hospital. As their hospitalization continued, those values dropped off and so the tests would be less useful for diagnosis. ...Read more
9
Is onglyza (saxagliptin) safe for long term treatment? Possible pancreatitis and thyroid cancer? How to avoid pancreatitis, lactic acidosis, & ketoacidosis?
Pancreatitis : No medication is safe. However you should consult with your endocrinologist if you are unsure about taking this medication. ...Read more
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10
What's the treatment for pancreatis? Do a gallbladder sludge cause pancreatis?
Pancreatitis: The treatment will be determined by the cause of the pancreatitis. If only sludge is found and there are on other potential causes then a cholecystectomy (removal of the gallbladder) would be the best definitive treatment. ...Read more
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11
Does Carafate (sucralfate) help heal ulcer from non-infectious ulcer (i.E. Prior pancreatitis damage) in stomach/upper intestine for non-alcohol drinker. ?
Yes: Carafate (sucralfate) heals ulcers no matter the cause. It coats the stomach where the ulcer is located and protects the stomach from the acid environment. You would be wise to add an h2 blocker such as ranitidine as well. ...Read more
12
Which one increase risk of gallbladder cancer: acalculus cholecystitis(no stone) or fistula in gallbladder and intestine? ?
Both conditions: By themselves probably do not increase chance of gallbladder cancer. If it does, it is still very very low. Even if you have gallstones, chances of developing gallbladder cancer is very low. Unfortunately, once you develop gallbladder cancer, chances of survival are quite low. ...Read more
13
Can chronic pancreatitis cause pancreatic cancer?
Increases risk: Chronic pancreatitis (inflammation for the pancreas) can lead to cellular changes which could potentially increase the risk of pancreatic cancer. ...Read more
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14
Severe l.u.q. abdominal pain. Multiple imaging studies show no abnormalities. Lipase normal. Amylase 124 (ref. range 28 to 100). Is this pancreatitis?
Nerve?: Left upper quadrant pain can be caused by gastritis, pancreaitits, splenic problems and may be associated with nerve problems such as zoster. Since imaging and blood work are normal, this is not pancreatitis. Followup with physician for evaluation for possible gastritis or zoster. If you develop a rash in the area, the diagnosis of zoster would be most likely. ...Read more
15
Which is better drug to treat cronic gastritis and functional dyspepsia? Pantaprazole or famotidine?
Functional dyspepsia: by definition is not a problem of stomach acid and so will not be treated by either pantoprazole or famotidine. The treatments are amitriptyline, mirtazipine, citalopram, etc. ...Read more
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16
Is PPI
good in ulcerative colitis
?
No role. . : PPIs work on the proton pumps in the stomach, so I don't think they'd have a role in UC. ...Read more
17
Chronic non-helicobactor, nsaid, drinker, h-pylori or bile gastritis for five years. Can foveolar hyperplasia lead to gastric cancer?
Unlikely: Yet chronic gastritis can lead to problems, so it must be treated medically and all irritants like alcohol and nsaids(aspirin and motrin) use minimized or avoided altogether if possible. You should use tylenol (acetaminophen) instead of nsaids. ...Read more
18
Is it possible that the doctor misdiagnosed me with acute pancreatitis?? Severe gastroentritis? Gastritis? Intestinal problems? Diarrhea 2x in 1 week
Pain's NOT normal...: ...but you have provided us none of your test results nor your symptomatic presentation upon which we rely to render an intelligent guess. However, we can neither converse with you nor examine you in this format. If you're unhappy with one provider's diagnosis then ask questions of him about it. If the response is unsatisfying, seek the opinion of another physician. Pancreatitis is serious. ...Read more
19
How long (days, weeks, months) does lipase stay elevated from onset of acute or chronic pancreatitis? Is Lipase elevated at end stage of pancreatitis?
Lipase: The lipase level is usually elevated in acute pancreatitis, and usually not in chronic pancreatitis. It will usually remain elevated as long as the acute pancreatitis remains active, and usually decreases as the pancreatitis improves. This can take weeks, but usually does not. A lot depends on what is causing the pancreatitis, in addition. Good luck. ...Read more
20
IDIOPATHIC CHRONIC panctreatitis age is 20yrs.best tablets are CREON and tramodol.Is it true. Do they cure pancreas?
Pancreatitis: Unfortunately there is no cure if the pancreatitis is truly idiopathic. Creon is helpful for digestion in chronic pancreatitis and tramadol is helpful for pain that may be associated with the pancreatitis. Hopefully all other reasons for your pancreatitis have been looked for. ...Read more
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