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Possible pancreatitis
Discussion in 'All Categories' started by Cabin Long - Feb 16th, 2012 11:36 pm.
Cabin Long
Cabin Long
I have pain upper right quadrant 10 weeks. 7-8 on a 10 scale un medicated. Only Lortab removes pain but not pressure. Various Anti inflammatory meds have not helped any. I have seen two GI docs and had one CT. findings: Scattered central mesenteric root lymph nodes are identified, with very vague stranding surrounding the superior mesenteric artery, best seen on the coronal reformatted images. This may reflect a nonspecific mesenteritis. I have history of similar pain over a year ago when I was a "practicing problem drinker" but have not drank alcohol in over a 16 months with no pain or like symptoms. Feels like I'm being lifted with a shovel handle under the last upper ribs. My labs have been normal. I did score an eleven of tumor protein scan. GI's MD's aren
re: Possible pancreatitis by Dr M.K. Gupta - Feb 19th, 2012 11:17 am
#1
Dr M.K. Gupta
Dr M.K. Gupta
Dear Long

Alcoholic pancreatitis usually occurs in men in their forties. Initial symptoms include vomiting as well as acute abdominal pain, which may be localized to the back and upper abdomen and is relieved by leaning forward. In mild cases, the pain may last 2 to 3 days; the short-term prognosis in such cases is very good. In severe cases, however, the pain may persist for several weeks and the risk of death rises to about 30 percent.

Less commonly, pancreatitis can be completely painless and is only diagnosed from symptoms of insufficient pancreatic function, such as diabetes and steatorrhea (excess fat in feces)

Although the mechanism responsible for the development of pancreatitis in alcoholics need to be fully clarified, significant progress in this direction has been made in the past decade, particularly with respect to understanding the direct toxic effects of alcohol on the pancreas. These effects may create a setting within the pancreas, which, in the presence of an additional trigger factor, could lead to acute, clinically evident pancreatic injury. Repeated episodes of acute pancreatic injury may lead to chronic disease. Progression of alcoholic pancreatitis may also be aided by alcohol-induced deposition of protein plugs within small pancreatic ducts. Thus, the various theories of the development of alcoholic pancreatitis need not be mutually exclusive. Indeed, it is likely that a combination of the postulated mechanisms described in is responsible for the manifestations of alcoholic pancreatitis.

The treatment of chronic alcoholic pancreatitis is difficult. Abstinence from alcohol reduces the frequency of acute attacks as well as decreases pain. The pain of chronic pancreatitis can be controlled by medication. The clinician first must rule out other possible causes of pain in these patients, such as pseudocysts, tumors, or ulcers. In some cases, intractable pain can be temporarily relieved by chemically blocking the nerves that supply sensation to the pancreas. Poor pancreatic function is often treated by administering pancreatic enzyme preparations in tablets or capsules.

With regards

M.K. Gupta

re: Possible pancreatitis by Sujoy - Mar 13th, 2012 10:21 am
#2
Sujoy
Sujoy
Ovarian Cyst During Pregnancy! How can I cure it?I'm suffering from aivraon cyst for two years now. Tried a lot of varies treatments but very little of them used to help (birth control pills and others). I don't wanna have surgery 'cause I'm pregnant and I don't want take any medication. Please give an advice of some good solution on the internet to cure aivraon cysts during pregnancy!
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