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Symptoms related to chronic pancreatitis

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March 27th, 2010

I have been having constant upper abd pain just below the sternum and to the left when the pain becomes worse it radiates straight thru to the back. This has been going on for 2 years now. I am 31 and a healthy person, no alcohol, no smoking, eat decent. I have an old abd trauma in 95 were I was kicked by a horse and lacerated the head of the pancreas.Ias hospitalized for a month with TPN and lipids due to pancreatitis. I have been into the ER 3 times with thispain over the last 2 years were it has flared up severly and I have nausea and vomiting, have to sit straight up and lean forward. Dilaudid just takes the edge off. Only this last time did my amylase and lipase come back elevated along with my liver enzymes. I had a ERCP a week later were they cut the SOD and placed a temp. stent. They SOD was cut because it was "closed tight" everything otherwise was wnlCan this be chronic pancreatitis even though my ERCP and MRCP were normal (other than SOD)amd only having labs off 1 time

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Dr. Ana Aleksovska

replied March 29th, 2010

Pancreas Disorders Answer A10984

Hi and welcome to the forum! I am glad that I can help you.

You want to know whether the symptoms that you experience can be related to chronic pancreatitis.

Pancreatitis is inflammation of the pancreas which is characterized with increased blood levels of pancreatic enzymes. There are two types of pancreatitis: acute and chronic. Acute pancreatitis may appear due to trauma or in case of blockage of the extra-hepatic ducts by a stuck gallstone or stricture. The bile causes necrosis of the pancreatic tissue in case of bile retention. This acute inflammation may lead to formation of cysts or chronic inflammation which is mainly clinically characterized with pain in the upper abdomen and back.

According to the data that you described, you may be experiencing another outbreak of acute pancreatitis due to stricture. You may consider consulting with a gastroenterologist for further diagnosis and treatment options.

Please keep in mind that I provide medical information only. I am not able to diagnose medical conditions online. Please contact your doctor or other qualified healthcare provider such as a gastroenterologist for further advice and information about diagnosis and treatment options.

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	Tags: symptoms, chronic, pancreatitis, gastroenterologist, treatment options, diagnosis, treatment, vomiting, amylase, smoking

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