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Hello @cjmchicago and welcome to Mayo Connect. As I also have had pancreatic cysts (IPMN) for over 10 years, I was interested in your post and wanted to respond. My IPMN was discovered on a CT scan for something different and follow-up has continued. At first, every year, then after a couple of years with no changes, it is now checked every other year by an MRI.
You mentioned having a lot of gastric symptoms. Have you had an upper endoscopy? If not, you might request this to make sure there are no other gastric problems that need to be dealt with.
How are you dealing with the symptoms? Have you made any adjustments to your diet? It can be helpful to keep a written log of what you eat and when your symptoms are the worst. It is also goof for GERD patients to eat small, frequent meals, rather than large meals.
Have you found any prescription meds or over-the-counter products that give you relief? I look forward to hearing from you again.
Sorry for all the pain and discomfort you have been experiencing, CJM. Consider getting a second opinion, perhaps going to Mayo Clinic in Rochester, MN.