Current medical status: I have had my gallbladder removed in 6/18/2008, ERCP with dual spinchterotomy and stent placement on 8/2008, and EUS on 11/2007, a adominal u/s with dopplers on 12/2008 (no results yet) MRCP on 11/2008 normal findings. I had genetic testing done to determine the SPINK1 defect for pancreatitis. Due to the inabbilaty to eat, excessive vomiting, and possible pancreas damage, my blood sugars have been very low.
Current medical treatment: Immitrex, Fentanyl 50 mch patch every 72 hours, 5 mg imm rel cap, ativan, zofran (ins only covers 15 per month), compazine, reglan, and phenergan.
It doesn't seem likely that your hypoglycemia is the result of pancreatitis. Chronic pancreatitis damages the insulin production and in time will cause hyperglycemia (diabetes). It seems that your hypoglycemia is due to a kind of liver damage. Elevated ALT, AST and alkal phosphatase indicates liver damage. Additional laboratory tests (albumins, bilirubin, γ-GT, fibrinogen…) and imaging tests (CT or MRI scan) could be necessary to find out what is going on.
You could consult a gastro-entero-hepatologist about your condition.
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