I can't fully understand my case, pls give me some advise!

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Hello,

Just before christmas I started to have some abdominal pain, pretty strong.. I went to the dr office, made some lab tests in which the only compromised was amylase level 96 mg/dl, so the dr said probably i have acute panceatitis, and I should do again the tests after 2 weeks, which were today, the amylase today was 126 mg/dl but he said you're fine just check it again after 3 weeks and continue with the same therapy i gave to you 2 weeks ago which consists on:

Acetaminofen 500mg 2x1 tab

Kreon

Pantoprazol 20 mg 2x1 tab

Ciprofloxacin 500mg 2x1 tab

Spasmodil 3x1 tab. 

But it doesn't make that much sense to me to get ciprofloxacin for 5 weeks or even acetominofen 1gr/daily for 5 weeks. 

Please illuminate me if I am wrong or should I change my dr?

Thanx in advance to everybody and happy new year!!

 

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  • Posted

    It doesn't seem that your levels are really that high. But I just remember where my lipase was at the last time I got admitted to the hospital due to pancreatitus caused by pancreas divisum. My lipase level was 9000. I was released when my Lipase fell below 500. I am not negating your pain. Just curious. Did they check your Lipase levels? What was your diet like before the first blood check and what was it like prior to the 2nd blood test? My suggestion would be to either go on a fast for 2-3 days with nothing but water if you can swing it. Try doing it on the weekend so it doesn't affect your work. Hopefully that will diminish your pain. Then slowly add food back by first having some soup broth, very low fat. If that works for you then add soft foods like oatmeal, porridge or the like. Soup with low fat. Always low fat. Then, if your pain is still subsided, add food a little more substantial. But keep it low fat, no more than 10g of fat for any meal and try to keep it below 20g per day. If you can keep the 20g/day fat intake up until the next blood test, your Amylase/Lipase levels should drop considerably. (hopefully) I use Sparkpeople to enter my foods/meals to monitor how much fat I take in per meal and per day. Check it out and see if it works for you. They have a phone app that makes it easy to use every day.

    If it keeps flaring up periodically, I would ask to have an MRCP (MRI of the lower intestinal area) to see if there is a problem with your pancreatic ducts. I was born with pancreatic divisum where my major and minor ducts never merged, remained separated, and the minor duct sphincter somehow narrowed to the point of blocking the flow of enzymatic juices.

    Hope this helps!! And hope you have a better year than how it started out! I am waiting on my blood test to see if my pancreas is flaring up again. May have another visit to the hospital. And another surgery perhaps. Thanks for reaching out!!

    Yours truly, a fellow pancreatic brother!

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    • Posted

      Hi I spent a week in hospital as you can see I take hi levels of Creon , eat everything only thing I have problems with is severe bloating and pain which is hard to manage sometimes. Creon has been great for me. You need to find your level what is good for you can't OD on Creon
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  • Posted

    If it is working and your pain is resolved/ing with any other symptoms carry on, I think he wants to ward off a further attack possible but if in doubt ask him, if you don't feel able to ask your Dr questions regarding your treatment you have the wrong Doc.

    HTH smile

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