Pancreatitis and gerd
Common Questions and Answers about Pancreatitis and gerd
pancreatitis
For the last few months I have had a constant gnawing achy feeling in the pit of my stomach. I have had labs for liver enzymes all normal, cholesterol all normal (trigs are 224 non fasting), all CMP labs within normal range. I had a complete abdominal ultrasound which was completely normal, (unable to view pancreas due to bowel gas). My doctor started me on kapidex which caused the symptoms to get worse. Dr says it's GERD, but it just constantly aches in the upper quadrants both of them.
Now I realize that many of the things that I was doing to myself have finally caught up to me as I age. GERD set in and the nerves of the stomach are directly connected to the back. Now several small meals, no sodas , no coffee, nothing to eat two hours before bed and the combination of lipase, protease, and lactase before each small meals are my ticket out of the misery. This took a combination of a regular doctor, a chiropractor and a well trained sales lady at Whole Foods.
Amylase was at the high end of normal.
ALT was very slightly raised.
Still in pain though!
would anything other then pancreatitis cause epigastric pain that radiates to the back?,,,that comes and goes.
i get it,but i dont get the throwing up,or the hospital visits i hear about from pancreatitis.
i have not lost weight,dont throw up,the pain feels like a cramp in my diahpram,goes into back,,ive had amalyes/lipase checked,2 ct scans with barrium and iodine contrast,and they dont see anything,,,no stones,enlargments,hernia,nothingwhat elce could this be?
would spyincter of oddi do this?
doesnt sound like pancreatitis to me,,,sounds like you have gastro issues,and your nerves are getting your body to think it has pancreatitis!!,,anotherwards,you have to put that out of your mind.,,and some of the issues will subside!!,,i know
see,i have gerd,and i also have a good friend who actualy has chronic pancreatitis from alcohol abuse...
After my gallbladder was removed I developed acute pancreatitis, now almost 2 yrs later I have chronic pancreatitis and insulin dependant as my pancreas has stopped working, but it sure hurts. Blood/lab tests will show lipase and amylase. CT scan would help diagnos other problems.
ve found some info that implies a link between Pancreatitis and Pleurisy, but am wondering how they are related? He does take prevacid and ursodiol for GERD, and is on TOBI, Cipro (for pseudamonas) and the usual Pulmozyme, enzymes, etc, etc, etc.
How are these related? How can we prevent pleurisy? Will it reappear later as we fight CF? Will having had it affect his long term prognosis?
The most common causes of pancreatitis are gallstones and heavy alcohol use. Other less common causes include medications, metabolic disorders (hypertriglyceridemia and/or hypercalcemia), infection, trauma, surgery/procedures (ERCP), autoimmune disorders, and anatomic variants (pancreas divisum). Sometimes, a cause for pancreatitis is never found.
Pancreatitis is the leading possibility, as it can present with an elevated amylase and markedly high triglycerides.
Further imaging should be done, specifically on the biliary ducts, to exclude a blockage. An MRCP can be considered.
If pancreatitis is suspected by the physician, you can discuss whether bowel rest is an option.
If the tests are negative, other causes of dyspepsia can be considered - this can include an upper endoscopy or upper GI series to exclude GERD or an ulcer.
or it could be pancreatitis.. if you've been drinking or hitting NSAD's really hard lately..the pain is pretty high with pancreatitis and you'd be doubled over..but not always. A blood test for pancreatitis can be used if you've been drinking a lot.. either way with an ulcer i'd avoid alchohol/tylenol/asprin like the plague. That'll kill your stomach.
When I was in the hospital I had a CT, mrcp, and ultrasound. The only significant findings was the pancreatitis on the CT and sludge in the GB. Do you have any ideas as to where I should go next with this or who to see.
Pancreatitis can often be diagnosed clinically based on symptoms and/or labs (e.g., lipase, and to a lesser extent amylase). CT can confirm this, showing fat stranding around the pancreas, but the main role of CT is to evaluate complications of acute pancreatitis (e.g., necrosis, collections, etc.) and/or sequela of chronic pancreatitis (e.g., calcifications).
Pancreatitis will be unlikely given the normal CT scan as well as normal amylase and lipase levels.
I would consider looking at various causes of upper GI disease, including an ulcer, inflammation of the stomach and esophagus, or GERD.
An upper endoscopy would be the next recommended test, and can be discussed with your personal physician.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only.
I have been having so much pain in my actual stomach like under sternum that radiates to my back, kind of like a burning, it is incredibly uncomfortable just sitting here.. worse wit eating and even drinking water... I had a positive prego test and there is more to that story.. but the question right now is .... at like 5-6 weeks can the GERD/reflux be this bad due to pregnancy? I also posted on the gastroenterology forum to see if somebody there experienced this...
, acute MI, unstable angina, thoracic aortic dissection, tension pneumothorax, esophageal rupture, pulmonary embolism) are immediately life threatening. Some (e.g., angina pectoris, pericarditis, myocarditis, pneumothorax, pneumonia, pancreatitis, various thoracic malignancies) are potentially life threatening.
over christmas holidays i started getting reallyl bad stomach attacks and they just said it was GERD or food allergies, and i completely changed my lifestyle. I altered my eating habits and have a diet filled with fruits and veggies, and excercise daily for more then 45mins. After changing everything, things did calm down, then 3 weeks ago, out of the blue and without eating anything I had another attack that lasted over 2 hrs!
I've had on-and-off mild nausea, including two episodes of vomitting. To check for possible gallbladder problems I had an abdominal ultrasound. The report showed a normal gallbladder but "inhomogeneous pancreas". The doctor has ordered amylase, lipase, and liver function blood work. I have been on proton pump inhibitors for years for GERD and eosiniphilic esophagitis. It's weeks before I can see the gastroenterologist.
Use one to two in your WATER if needed and recheck urine after an hour. You may have pancreatitis from a gallbladder problem, (even if it's been removed). DO NOT DELAY, MAKE AN APPT TODAY!
also,,,chronic pancreatitis is just that,,,chronic,,and ongoing,it only gets worse,and will continue to over the course it takes,,so i doubt thats your issue,and thats A GOOD THING.
Comprehensive diagnostics including endoscopies, colonoscopies, biopsies and labs (blood and stool) yield no reason, other than limited gut motility and chronic constipation. Rxs, dietary and biomedical interventions ineffective. NG tube cleanse outs are effective but last only 2 days before bloating returns. Carries diagnosis of IBS, GERD, Non-Allergic Rhinitis. Has history of pancreatitis. Is on special diet. Bloating unresolved for 6 months. Welcome any ideas. Thank you.
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