Clear abdominal ultrasound and normal blood tests

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Concerned that something is going on in my pancreas but recently had a clear ultrasound and normal blood tests. Should I still pursue this with the GP? Very frustrated that can’t find the cause of this ache in right abdomen and back 

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  • Posted

    i had a normal blood test last week and i'm going for an ultrasound in the morning. i have had 5 episodes of what is severe right side pain that wrapped  around my back that i understand is the symptoms of either pancreatitis or gall bladder.  so i have pretty much stopped eating  for fear of it happening again.  my doc said if my ultrasound is clear then we have to start thinking outside the box.  i asked what she meant by that and she said "when was your last cancer screening?  " now i'm even more scared.  

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  • Posted

    Yes, my friend, look a little deeper especially with a second opinion from another GI specialist. I've just come out of a 3+ year relationship with a doctor who told me nothing but "good news" when in fact, I was in constant pain. By not getting a new specialist, I've gone untreated for pain/digestion for quite a while. Just keep knockin' cousin, someone will help. Good luck!

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  • Posted

    Hi I’ve had crohnic pancreatitis for 4 years if you have any concerns go to your Doctor I’ve had the same pain before I got diagnosed by ct scan . There’s a site on Facebook crohnic pancreatitis uk it’s a very well run group and the people on it a very up to date with CP 
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  • Posted

    Go to a specialist !  If it’s pancreatitis the pain will be unbearable.  Could be a forewarning.  

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  • Posted

    If you have chronic pancreatitis your lipase/amylase might not elevate anymore and a regular ultrasound won't show anything. Have you had an EUS (endoscopic ultrasound) or ERCP? Those are the tests that will see what kind of damage has been done to your pancreas. If you are seeing a regular GI, my suggestion is to seek out a pancreatic disease specialist at a large teaching hospital because regular GI's just don't have a clue. Good luck to you! 

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    • Posted

      Exactly what Pam just said. My relationship with a garden-variety GI doctor has led nowhere. They're looking for generalized changes that literally smack them in the face of something severe. It's funny that this topic came up, I'm in the middle of dumping my old GI doctor and am in search of a more proactive professional. One of the deals with this very serious disease. Usually, it's just about a series of CT scans and whether or not there's been any change since your previous one. But, it's much more complex than that as the pain may increase with few signs to them that there has been any other change. That's the most important part. They're looking for things that are blatantly pointing towards a severe change and a possible malignancy. But, that won't help you with your pain and dealing with what is currently going on. I wish you the best of luck and hope that you can find someone who takes this disease seriously and is not just simply looking for obvious things that show up with a CT or other obviously simplistic signs. You will have to be patient. That is the most difficult part. As you know, each day seems like an eternity and no treatment is provided.

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  • Posted

    I had blood tests, endoscopy and regular ultrasound all come back normal. I then had a CT Enterography show atrophy of my pancreas. My regular doctor still didn’t see any cause for abdominal pain until I pointed out that atrophy usually is associated with chronic pancreatitis. I was sent to a GI specialist who ordered a MRCP. It was the MRCP which showed I have a rare congenital abnormality called Pancreas Divisum. The GI specialist still thought my symptoms were more IBS related. I didn’t feel they were therefore I asked to see a pancreas specialist. The pancreas specialist performed an ERCP which confirmed the Pancreas Divisum diagnosis and also diagnosed me with chronic pancreatitis due from Pancreas Divisum. It took the doctors over a year to diagnose me. I’m now getting ERCPs every other month for treatment to widen my pancreatic ducts (I have two instead of one). I had never been diagnosed with acute pancreatitis before and my blood work has never showed pancreatitis but my AST/ALT levels rise when I’m having an attack. I would ask for a MRCP because it’s the only noninvasive test that really looks at all the pancreas and how it’s working. 
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  • Posted

    It sounds as though you may have something psychological going on. But, I would first make sure that your Dr. has run a battery of tests on you just for your own piece of mind. Many Dr’s think that if your pancreatic enzymes are normal then everything is ok. That’s further from the truth. In fact, your enzymes may be perfectly normal, yet you still might have something going on. Our enzymes only spike at times and return to normal before lab work is done. A CT scan and US will usually rule out something more sinister going on with your pancreas. An EUS would be a definitive diagnostic tool to tell them all they need to know. I would get a 2nd opinion just to ease your mind. But, it sounds like you don’t have much to worry about. But please get your Dr. to run tests that would pickup most abdominal anomalies. 

    DJ~RN

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    • Posted

      Thank you very much for the reply. Maybe it’s in my head. I also work in the health service and for somebody who hasn’t had even a GP appointment for the last 10 years this has really hit me. 
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  • Posted

    I have the same pain like yours
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