Chronic Pancreatitis possible? Or is it something else? Struggling to find answers

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Hi everyone- like a lot of you on the forum, I am at my witts end trying to figure out what ailment and/or disease I have. To be brief, my symptoms started in August of 2014 when I started to notice upper abdominal pain and tenderness. This was on a weekend where yes, I had been consuming alcohol. I am a healthy 28 year old female and in my younger 20s I did drink more than is recommended. On the onset of symptoms, I went to a doctor who prescribed an anti-acid. I noticed over the next few months my symptoms came and went and I honestly thought nothing of it. I started noticing a change in my bowel movements in October/November (they started to become more loose, float and were more volumous). I have been into see multiple GI specialists who have run a million tests. I've had basic labs done (liver function tests, lipase/amylase, basic metabolic panel, IgA/IgG- celiac seriologies, Vitamin D/B12, Iron studies-- all came back good), an MRCP w/secretin (good), RUQ (good), EGD/EUS (good), fecal elastase > 500 (good)..... but heres he kicker.. a 9g fecal fat (normal is under 7g) with a fecal weight of ~470g (200g of stool is normal output from what I have read). To my knowledge there are only a few diseases that cause a high stool fat and CP is one of them. 

My question is.. do any of you experience high fat stools and normal imaging? The doctors seem to think this is all IBS but from what I've read IBS  does not cause high fecal fat. 

I am so desperate for answers... I wish they would just find what is causing my discomfort and abnormal stools-- even if that meant a diagnosis of CP. 

Please help if any of you can shed some light here!!!! 

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  • Posted

    Hi all,

    A lot of this sounds just like me. Im now 32 and have been suffering for the last 5-6 years. Sorry this is going to be a long one.

    The below was written in 2010.

    ‘In my younger days I liked to drink and ‘party’ most nights of the week if I could. Like most teenagers do when they discover the freedom and consider yourself invincible. I started to get a bad feeling after an evening of drinking but I put this down to getting older and the hang over’s getting worse, but this feeling was a lot worse than a hang over. I would often stupidly have hair of the dog which would make me feel better. Anyway I decided enough was enough and cut drinking a lot about the same time I started trying to find out why I started feeling so bad.

    I started to get pains in my back and underneath my left rib cage so eventually I went to the doctors. The pain lasted for around a week and a half and my doctors suspected stomach ulcers and put me on a course of lansoprazole 30mg which seemed to help at the time but I’m pretty sure it was coincidental.

    2 months later I got the pains back again. The pain would not be there first thing after I woke up but would kick in after 30mins after waking up and last until I went to sleep. It would help if I lay down so I could sleep fine. I went back to the doctors and got sent for an endoscopy and blood tests. Bad pain lasted again about a week and a half. The hospital said my stomach looked fine and took a biopsy which came back all clear.

    I was then sent for an ultra sound scan and it was said all looked well. More blood tests also came back fine.

    About 2 months later pain came back again (lasted just over a week) went back to the doctor who said there was nothing wrong with me and said he thought I had M.E. due to me wanting time off work as I felt so drained and the pain. Was prescribed anti depressant (which I never took) I wasn’t depressed just worried as id looked up my symptoms and thought the worst.

    Back to the doctors again in pain around 2 months later. More blood tests ordered and my doctor telling me its not unusual for a man of my age to be getting pains (like nerve or growing pains) ended up in tears with my doctor and me telling him I thought it was my pancreas. To which he said he had no reason to think this would be the case as all tests have come back negative. As I got so upset he agreed to a CT scan and more blood tests, with a fast.

    CT scan done and the fluid they injected me with mad me feel bad for 2 hours after, pains under my ribs again and nearly sick from it. Scan and blood tests fine.

    I asked my doctor to be referred to a specialist. This was done and over a month later I got to see a gastro who was running very late. So he stuck his finger up my bum and said it was not my pancreas as id been thoroughly investigated, keep taking the lansoprazole and see how I get on. Oh and that id been referred to a surgeon and my doctor has sent me to the wrong people. In and out in 10 minutes… including his finger!

    I’ve read a lot but I still don’t have answers. My doctor basically laughed at me when I mention pancreatitis. He said my insides are healthier than his. I’ve worried myself sick at the time that I've only got a few years left and feel like my days are very much numbered. I know there’s going to be people a lot more worse off than me. But I know there’s something wrong

    I’m 5'10 and weigh around 9 stone so I can’t afford to lose weight. I eat health and pretty much always have. I don’t drink tea or coffee or drink fizzed pop. I eat plenty of veg and fruit.

    To add to this I took a fight in June 2009 and I thought I was going to die when landing on the way back. The pressure down my left side was so bad. Whilst flying it wasn’t pleasant either. Now I scared to fly also. Sure it’s related.

    My family are also worried and say I shouldn’t self diagnose and if I had ‘a serious problem like that they would have found it with all the tests I’ve already had’

    Since I wrote this ive also have a tube up my nose and a load of liquid pumped into my small bowl, with xrays. All clear.

    Ive been back to see several GP’s and had a number of ECG’s which have been fine. One visit to a GP confirmed that I had a heart murmur (not spotted before). I was therefore sent for an Echocardiogram. From this they confirmed that I have a dodgy heart valve with some brightness around my heart. If I’m honest if was a little relieved as a dodgy heart valve is better than a dodgy pancreas. The suggestion of pericarditis wasn’t so good.

    I was told to visit a hospital during my next flare up. I was working in London at the time and feeling pretty terrible so I did. It was short of a joke and they said what do you want us to do?!? My answer ‘You’re supposed to be the doctor’. It was suggested that I had growing pains and I was sent on my way.

    Back to the GP who sends me back to the heart doc. He confirms to go for blood test during my next flare up and have a heart monitor fitted but my heart shouldn’t be causing my pain that I mention. I got the bloods done but didn’t go for the monitor. Managed to get another Echo done 2 years after the original and they said they couldn’t be sure the valve is a problem so an MRI of my heart was requested.

    This confirmed there was no problem with the valve and no brightness around the heart. The MRI guy suggesting that the 2 Echo that were done which showed brightness must be due to an incorrect contrast setting.

    I stopped drinking for around 12-18 months back 5 years ago but when I was assured that my pancreas was fine I started again. Since then I could count on 2 hands the number of times I’ve drank too excess. Generally a glass of wine with a meal or a beer or 2. It generally usually takes the edge off the pain.

    Anyway… ive continued to feel pain on a daily basis but to a manageable level in which the pain feels ‘normal’ but every 5 months or so ill have a period of weeks feeling in more pain and very tried. For the last 2 months ive felt pretty bad. I’ve been back to the GP who arranged for more bloods and asked me to try Mebverine. Bloods came back fine, tablets haven’t helped.

    Because ive been feeling bad for so long with continual pain (2 months) ive started to worry again. My stools are fine and don’t seem to change a great deal. Ive stopped drinking a few weeks ago. Ive decided yesterday to put myself on a low fat diet, not that I ate a lot of bad food anyway. Im off to get some Turmeric tablets and Grape Seed Extract tonight as I understand these can be good for inflammation. The pain is constant and stress certainly doesn’t help but I cant say I feel or should be stressed right now. Since the early days the pain is a little different. I don’t get it radiating to my back so much any more but if I was to push my fingers up inside my left ribs I feels inside there. I also feel it right around my left side which I didn’t so much before. It’s a little like stitch x10 and feels like someone has scraped my insides out with a spoon. Ive spent many hours crying because it just doesn’t want to stop.

    Im considering paying to go private now but im not sure if this is going to produce anything other than what I already know. Ive called the docs today and asked for a call back from the same GP I saw last time, in which I spent the whole time apologising to him for being there and still asking for help. He’s words a month or so ago were ‘sometimes we just cant find out whats wrong with some people’. Im going to ask for a faecal test as its never been checked and what bloods were done the last time. Im also considering getting my records to see whats within them and if I can see any changes myself.

    • Posted

      Sounds a lot like I went through, 2 years of tests coming back good and doctors saying nothing is wrong, I finally convinced a doctor to send me to Indy to be tested, they found that the pressures in my bile ducts were 10 times what they should be (which will not show up on any blood test, mri, CT or xray...and very few hospitals have the equipment to test for this...they also found that I had S.O.D. which also doesn't show up on any test and only few hospitals can test for it....my suggestion...get referred to IUPUI in Indianpolis, Indiana gastrointestinal dept. and ask to be tested for bile duct pressures and S.O.D.......
    • Posted

      Hi Nath,

      When I read your comment I couldn't believe someone could be going through EXACTLY the same as me. Literally word for word I could have written the above!

      Someone somewhere must know what the hell is going on with us??

      My GP has refused all tests and said everything is normal. My consultant also is refusing to do anymore tests and has said my insides are all normal and I don't need anymore tests. I beg to differ!! This pain that consumes my life every day is coming from something!!!!

      I've got to wait until September until I see the consultant again. Until then I have to try amtrptiline. She won't see me back until I've tried it. But I've read really mixed reports for it.

      I just want my life to go back to normal sad

      Please let me know if you find anything else out!

    • Posted

      At least I know I'm not crazy. I'm going through a bit of a bad patch again worrying about it. I did all this years ago and read and read until it made me feel sick.

      Eventually I decided that I'd try and trust what I was being told despite my body telling me differently. Since then I've had some good days some bad. It's strange because I'm suffering pain whilst I type this and read your words about wanting to feel normal, the thing is I'm not sure what normal is any more. I'm trying to think now where the paining I'm getting right this second has been there all the time but I'm only really noticing more now because im thinking about it.

      I'm not so tired the last few days as I have been but I seem to be stopping myself doing a lot of things I'd like to in fear of getting worse.

      I see your in the west mids gem. Do you mind me asking where about as it's possible we are getting the some ride from the same people.

      What's the amtrptiline supposed to do for you?

    • Posted

      Oh I've just checked amtrptiline. Drs simple answer... Take these they will make you feel better rolleyes

      I was given 2 types of anti d's and whilst I accept I only took them for a short time they made me feel disgusting. Citalopram and Fluoxetine, citaloI managed about 2 days before I could take it any more. Stomach cramps feeling sick head ache. I didn't even want to communicate with anyone. There is no way I could have gone to work on them.

      Do you ever get any pain or numbness in your left arm at all?

    • Posted

      I'm near cov, so that's the NHS I'm

      Dealing with. Waiting times for anything are so long!!

      I know what you mean about worrying, I read on the internet everyday. I swear I know more than my consultant, especially because I've been reading up to date case studies. I mention things and they say I've never heard of that, where did you hear that from 😡 they're supposed to be the professionals!

      I don't get any numbness and pain in my left arm but I do suffer with bone pain more in my left shoulder tip. I was diagnosed recently with fibromilga, but the pain seems related to what the pain on my left side is doing??

      I can't remember if you said in your post originally but are you stools loose and of normal colour? And do you get pain on your right side?

      Mine started with pain on my right, I just really want it to be my gallbladder but if I'm honest I don't think it is anymore 😔

    • Posted

      I'm not too far from you. My ex lived in kenilworth. I can feel your pain about having to wait. I think unless you've evidently got an arm falling off your not considered a concern. To be fair I'm still here and this has been going on a long time for me. It just certainly doesn't feel like your run of the mill 'oh your just a little under the weather or stressed' type pain.

      Its rare I get left arm numbness/pains but when I've been bad for a while I sometimes do.

      The one thing that keeps telling me it might not be my pancreas is that my stools are ok. I generally go once a day and according to the poo charts they are pretty good poo's. I've probably had more hard poo's than soft. Always feels kind of strange with a flash light off your phone looking down the pan but it's something I've been keeping an eye on. This is one of the reasons I don't think the doc has ever pushed for me to have it checked but I'm going to ask them to test it anyway I think. I have lost about half a stone over the last few months but I haven't been eating as much. It's pretty easy for my to lose weight but I was up to near 9 1/2 stone at one put which is the biggest I've ever been.

      One thing I'm petrified of is being put to sleep. Given the way my insides feel I'm really not sure they will take it. Some days my insides feel so tired that I almost feel like if I didn't have the control that they could just give up. I had an unrelated op as a kid where I was put under but I didn't know any better then and I didn't feel bad like now.

      I was given some antibiotics not so long ago due to an infected hair follicle and they made me really sick, similar to the anti d's and I had to stop taking them. I'm sure that's not normal.

      Thankfully all the tests I've had done so far I've been awake for. So it's never had to be a concern but it's possible they are going to want to go down that route if I keep pushing. The thing for me is that a can be really bad and think this feeling is for life but sometimes it's lasted only a few weeks or months and then I've gone back to being ok and only background pain. I can eat what I want and I've had a drink without any real problems and get on with things ok. I can have periods of feeling pain and exhausted and other times of feeling alert and awake but with pain. Sometimes my breathing is affected, sometimes it isn't.

    • Posted

      See that's where our symptoms differ slightly. My stools are loose. They are of normal colour though. Sometimes undigested food. Sometimes a slight oil slick and they smell chemically as well.

      When I saw the surgeon about having my gallbladder removed he told me that my pain sounded like chronic pancreatitis and not gall bladder. I am suffering with right sided pain attacks under my right ribs. I have read that chronic pancreatitis scan cause gall stones. I have also read and been told my the surgeon that pancreas can be felt on the right and and spread to the back like gall bladder pain. Yesterday my right sides pain was horrible sad all day!! But at least my left sided pain settled a bit.

      I am really stuck as to what to do next sad Dr can't and won't do anything. My pain feels like it is getting worse. I am starting to worry about missed pancreatic cancer. I can't afford anymore private tests else I would be doing them. September seems such a long time to wait to see the consultant again sad

    • Posted

      IUPUI is where I was referred - specifically, Dr. Christopher Schmidt.  He operated on my calcified pancreas tail using the Da Vinci and I have nothing but positives to share as it relates to this very serious operation and the comfort/quick hearling using the robotic surgery!

       

    • Posted

      I realise your comment was from a while back, Im thinking I may have an issue with my pancreas, I had a major pain after a flight, it was under my right ribs on the side but in line with my belly button. My tummy feel tight and bloated and my stools are always loose and now often light coloured. THe really bad pain lasted about a week and it was so bad that I bruised myself checking with my finger prodding myself. I didnt notice it got worse with particular food or drinks. WHat do you think and are you feeling any better?
    • Posted

      Hi Keckie,

      Have you had any diagnostic tests done? Symptoms like yours can be caused by numerous things. Right sides pain is usually, but not all the time, related to liver or gallbladder. The left is usually stomach, pancreas, spleen and the turn in the large intestine.

      I've had all the tests and they are all been normal. Yet I still have the pains and symptoms and the consultant still thinks IBS.

      Gem

    • Posted

      Thanks for your quick reply Gem!! Ive not had any tests done as yet as have only just started getting concerned about it. I do suffer from health anxiety and since my other symptoms have settled and this hasnt it has grabbed my attention. But the bloating and loose stools are occuring more regularly now and I had a strong coffeee today and then had two bouts of the runs. TMI haha.

      I had a heap of bloods taken about 3 months ago but I'm pretty sure the amalyse and lipase were not checked. Have you changed your diet and if so any success or improvement?

      One weird thing I keep reading is that alcohol should affect it if it was pancreas related, would this be straight away or days later? I dont notice any pain after alcohol.

      TIA Keckie 

    • Posted

      Hi Nathp83, I know it was a old post, I have had the same pain as you for over a year everyday after I wake up, I can sleep fine with no pain, and also left arm numbness and pain, have you found out what cause it???

  • Posted

    Hi Christine: I am just wondering if you ever came up with any answers regarding your condition. I have the same symptoms and have been on Prilosec for them for the past two months. I am going to request a fecal test next time I go back to my GI. Any info is appreciated. In addition to floating stools and tenderness I get absolutely awful piercing pain in my sternum which they think is heartburn from acid reflux but the meds don't help it
  • Posted

    I would go to a pancreatic cyst clinic and get evaluated by them. I had no pain, just started bloating and change in bowel movements and now have diagnosis of IPMNs/chronic pancreatitis and exocrine pancreatic insufficiency. Am on CREON and all symptoms resolved except having ongoing scans to see if pancreas changes.

    See if you can get prescription for enzymes (expensive). If they work it's probably because your not digesting fat (pancreas issue) and not IBS. Don't think they do anything for IBS.

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