Does this sound like Chronic Pancreatitits?

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Hello!

I have been struggling with chronic undiagnosed Abdominal pain for 4 years. And I want to know if what I'm going through sounds like chronic pancreatitis.

To start off I'll tell you my background I am 18 I am a male and I have had my appendix out (acute appendicitis) and gallbladder out (chronic cholecystitis) within 6 months of each other. And I have IBS which is under control and Gastroparesis which is also under control.

I am experiencing Severe pain in RUQ that wraps around my back, nausea, vomiting, fatigue, oily pale bowel movements, low grade fever, rapid heart rate, loss of appetite, bloating/swollen stomach, and pain and vomiting after eating.

I had blood tests a couple of weeks ago and my AST, ALT, ALP, and GGT were all elevated, my Lipase was 5, my Hematicrit and Hemoglobin were low, and I have a slightly elevated Sed Rate and C Reactive Protien. I also had a UA and there was blood and mucus in my urine.

So does this possibly sound like a case of chronic pancreatitis. I'm just hurting is bad and I'm desperate for answers.

1 like, 11 replies

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11 Replies

  • Posted

    Hi. Certainly sounds like pancreatitus - whether it's chronic or not, only a doctor can tell you. Keep on at them to check you out as I had chronic pancreatitis that hid a tumour and I'm now recovering from a Whipple producure to remove it.

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  • Posted

    That doesn't sound like pancreatitis to me only because the pain is usually on the left side but with all the abdominal problems that you've had no telling what it could be. Are you getting another opinion from another physician? Or are you sticking to the same one

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  • Posted

    You have quite a history given your age David so I hope you are under a gastroenterologist and receiving thorough follow ups.  Your pale stools might indicate a liver issue but could just as easily be pancreatitis given we all seem to have variable symptoms. 

    You could also have something entirely different requiring a different specialty.  A General Physician could be a step worth taking.  Depending on where you live that specialty might be called something else.  Here in Australia a General Physician is a specialists specialist who covers all the bases thoroughly.

    Have you tried eating a low fat diet?  You say your stool is generally pale, if they were yellowish it could indicate malabsorption issues but not with pale stools so it seems your pancreas is coping ok with food but something is making you vomit and have pain so do pursue this.  If your weight is fairly stable it also usually indicates your pancreas is doing ok.  I'd have a wider set of tests and see a General Physician if I were you.  Good luck, report back so we know how you're going.

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  • Posted

    The only indication I see based on your symtoms that it could be pancreatitis is that your lipase is extremely low. I a lipase of 5 if an indication of pancreatic problems. I think you need a EUS as soon as possible to assess you pancreas. Pain location does not sound like pancreatitis, however.  How is your amylase? Have they measured trypsin? At this point, without further tests, it becomes a guessing game.

    By the way, pancreatitis does not cause blood in your stool. 

    You are only 18 and you don't want to to sit on this medical issue. You need a GI as soon as possible.

    Best wishes,

    Oscar

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  • Posted

    I was your age when I was diagnosed with pancreatitis then chronic pancreatitis @ 22. the pain I've always had is below my ribcage in the middle. its never wrapped around as you say but feels like it cuts right through the middle of my body into my back. when I was 121st diagnosed my enzymes were so high they had been stamped by the lab "urgent". I didn't get other symptoms til I was older, chronic stomach upset, trouble with bm, severe diabetes. usually they can do a x-ray or ct scan and find your pancreas is inflamed or an ercp and find the same. hope this helps.

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