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Symptoms of chronic pancreatitis and gallstones

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In the past 3 months I've been having pain; which, ranges in severity, directly behind my sternum, to the left/right, and directly under/behind my lowest right rib. I have in 3months lost 35lbs, maintain a 99-100 degree fever(spikes to 102 sometimes), night sweats, fatigue, lowered BP 90/58, and increased heart rate 90-110.
I had my gallbladder removed due to sludge being identified in an ultrasound, and the pain persisted. More tests run-CRP was elevated, amylase was at 2x normal, lipase normal, I may have them reversed, but the blood work was done 5days after the most severe attack. Another CT was done but nothing abnormal.

My question is, how accurate are CT scans, what else could the pain be, and what other tests might be run to confirm why I'm having so much pain in my chest/abdomen area for no apparent reason?
Any help/suggestions/other thoughts would be greatly appreciated.


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replied May 1st, 2009
Pancreas Disorders Answer A6476


It is possible that the symptoms you reported might be related to chronic pancreatitis. Chronic pancreatitis is a chronic inflammation of the pancreas. It is usually presented with persistent abdominal pain. Nausea and a very smelly and oily stool can also be present. Weight loss due to malabsorption is commonly found in patients with chronic pancreatitis. Laboratory tests show increased levels of alpha amylase, although it does not reach the same high levels as in acute inflammation of the pancreas. Lipase is expected to be increased, too.


The most common reason for chronic inflammation of the pancreas is excessive intake of alcohol. Taking alcohol is not highly recommended in patients with chronic pancreatitis. In certain patients it is associated with the presence of gallstones. Autoimmune diseases might damage the pancreas, thus causing chronic pancreatitis. In various patients no cause can be found meaning that they are of idiopathic origin.


You might want to visit a specialist for internal diseases to have adequate treatment recommended. Please be advised that the chronic inflammation of the pancreas might damage the pancreas and cause diabetes. So, monitoring the blood glucose levels is also recommended.


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