can a medical person help me please?

Question

in relation to questions i have asked regarding my husband the pain is mostly around the pancreas area he has been checked for chronic pancreatitis and tumours he has lost four stone in weight since last christmas he has also had the camera down his throat revealing nothing

Answer 1

Chronic Pancreatitis:


Clinical Presentation
-Pain
Epigastric, LUQ, or RUQ radiating to back
Increased with food or binge drinking and relieved by bring knees to chest
Accompanied by nausea, vomiting, & weight loss
No correlation between pancreatic function and pain severity
Acute worsening of pain = complication (pseudocyst, duct obstruction, cancer

-Diabetes mellitus
Occurs with 80% loss of gland function (late in disease)
Some residual control with loss of glucagon secreting cells
Neuropathy and retinopathy occur, but ketoacidosis is rare (small amount of insulin persists)
-Exocrine insufficiency
>90% gland function must be lost
Weight loss may not occur if caloric intake increased
Bowel frequency increases 3-4/day without cramping (severe cases will have oily/greasy stools- not common)

Go to the site below for more detailed info:

http://www.muhealth.org/~md2003/update7/2-20chronic.doc

from Medscape General Medicine [TM]

Chronic Pancreatitis:

Clinical Presentation
Abdominal pain and weight loss are the 2 most common clinical presentations in chronic pancreatitis. The former causes decreases in patient appetite and limits food consumption, thus resulting in weight loss and malnutrition. Abdominal pain is the most common indication for surgery in chronic pancreatitis.

Usually, the pain is characterized as diffuse and localized to the upper abdominal region. The abdominal pain is worse after meals, and there are also nocturnal symptoms. The precise mechanism underlying the abdominal pain is a point of controversy, but may involve inflammation of the pancreas, increased intrapancreatic pressure, neuroinflammation, or extrapancreatic causes such as stenosis of the common bile duct and duodenum.

Weight loss initially occurs due to a decreased caloric intake secondary to the fear and anticipation of abdominal pain. Later, as pancreatitis advances, patients will develop pancreatic insufficiency due to malabsorption.

Diabetes mellitus develops when more than 80% of the gland has been destroyed. Steatorrhea occurs when over 90% of pancreatic function is lost.

Physical examination may reveal epigastric tenderness during acute exacerbations. In mild chronic pancreatitis, the abdominal exam may be normal. In advanced cases, there may be an abdominal mass from a pseudocyst or pancreatic cancer, or splenomegaly from splenic vein thrombosis.


Pain is an important symptom of abdominal disease. Its position and characteristics give important clues to the likely causes. However, it is important to emphasize that many abdominal illnesses are not painful, at least in the early stages.


This is because the lining of the gut has no nerve endings. Some inflammations and even cancers can develop and grow without provoking pain, unless the problem spreads through the wall of the gut to its outer lining, or causes narrowing. The intestine is sensitive to distention, which occurs upstream of any partial or complete obstruction.


Abdominal pains usually occur where you might expect from the anatomical location of the involved organ. Thus, problems in the stomach, biliary tree and pancreas usually cause pain in the upper abdomen below the breast bone (in the case of the gallbladder, somewhat to the right).


Pain from the colon can be felt anywhere around the abdomen, but often in the flanks, whereas problems in the small intestine tend to be felt more centrally in the abdomen. There is some truth in the saying that pains further from the middle of the abdomen are likely to be more important than those near the umbilicus (navel).

Common causes of abdominal pains:

Peptic Ulcer, Chronic Pancreatitis, GERD; IBS or irritable bowel syndrome; inflammatory bowel disease such as diverticulitis; Dyspepsia or indigestion; Gallbladder Disease; such as infection in Cholecystitis or Cholelithiasis or Gall stones;

Uncommon causes:
Abdominal wall pain, Hernia; Fibromylagia; painful rib syndrome; Tietze's syndrome; postruamatic pain; precordial catch syndrome; thoracic distal hernia; Pancreatic injury fom blunt trauma. metabolic disease.

Diseases of the pancreas (chronic pancreatitis and cancer) cause upper abdominal "epigastric" pain; it is often felt also in the mid back, since the pancreas lies across the spine. The pain of pancreatic cancer is continuous and progressive. That is due to chronic pancreatitis is usually intermittent. Upper abdominal pain and weight loss (along with lack of appetite) are typical symptoms of stomach cancer


You need to mention more symptoms than just chronic abd pain and weight loss along with lab results for more differential and definitive diagnoses.

Hope this helps. I spent a long time researching. Lost quite a bit of materials sensitive of medical issues. I encourage you to go to the aforementioned site. A lot of lab values and work-up are mentioned for more accuracy.

If the endoscopy and colonoscopy were negative; why don' t you ask the Dr to do ultrasound, CT Scan or MRI.?

Complications of Chronic Pancreatitis are: DM, bleeding from the stomach, pseudocyst; severe chronic pain; blockage of the bile ducts; infection, malabsorption of nutrients such as fats. and pancreatic cancer. and death to pancreatic tissue.

Mandy, you must reside in either England or Australia to refer to weights in stone. So 1 st=14 lbs. So a loss of 36 lbs since Christmas is a considerable amt of weight loss.


The main highlight of the treatment plan is to refrain from alcohol consumption. as alcohol abuse and gallstones are the 2 most common causes.

Answer 2

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Answer 4

Yes a medical person can help you. But first you'd have to ask an actual question!

Answer 5

This Site Might Help You.

RE:
can a medical person help me please?
in relation to questions i have asked regarding my husband the pain is mostly around the pancreas area he has been checked for chronic pancreatitis and tumours he has lost four stone in weight since last christmas he has also had the camera down his throat revealing nothing

Answer 6

Could be some flukes in that area. I was reading about some flukes in the ductus pancreaticus living there as parasites, and causing a lot of pain. That was in Google.
Doctors have special medication for that.

Also we have trillions of bacteriae in our body, most of them live in our intestines, and they can harm our digestive system.
That's why we have to include probiotics in our diet as supplements, or eat yogurt regularly everyday, to be able to grow good bacteriae in our bodies. These good ones destroy the bad bacteriae and fungii that have negative impact on our health.

Answer 7

Ask your doctor about an exercise routine. Regular exercise, such as walking three times a week, may reduce neuropathy pain, improve your muscle strength and help control blood sugar levels. Gentle routines such as yoga and tai chi might also help.

Answer 8

I think this question is way beyond what anybody here can answer for you. I'd suggest he see another doctor for a second opinion. Take the results of all previous tests with you.

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Answer 11

I don't think you should trust people on YA to answer this - even if someone says they're a doctor they could be lying. Go to a real doctor. If they won't help, see another til they do.