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Could this be chronic pancreatitis?

Digestive Health | Last Active: 5 days ago | Replies (55)

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@bluedog35

I have been struggling with abdominal pain for the last 6 months that gets worse when I eat or drink. I have lost 35lbs. I am nauseous all the time and unable to eat without pain, even a bland diet or liquid diet, low fat etc.. I have had CT Scans, Ultrasounds and upper endoscopy, all normal. I have had low lipase levels and borderline vitamin deficiencies. Liver enzymes have also been elevated. I have had a partial gastrectomy due to gastroparesis over 12 years ago and have not had any issues until the last 6 months. Recently had a HIDA scan and it showed slow emptying of bile. They tried to perform an ERCP and were able to get to bile duct but unable to enter it due to anatomy. The angle was such that they could not get the wire set correctly. They did see bile emptying so we know it is not completely blocked. There is also a blind loop that is 5cm long from the partial gastrectomy which a concern was food maybe getting stuck although there did not seem to be any in the loop during the ERCP. Just trying to see what should they look at next? Could if be chronic pancreatitis or something else..

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Replies to "I have been struggling with abdominal pain for the last 6 months that gets worse when..."

I had nausea and pain all the time they finally diagnosed me with chronic pancreatitis thru eus

Yes after months of testing, many repeats, 5 ER visits and 3 hospital stays, chronic pancreatitis was diagnosed via endoscopic ultra sound. The light used during this procedure visualizes the organs. I was so happy I finally got a diagnosis. Good luck to you.

Hi @bluedog35 . Welcome to Connect.
You have certainly gone through a lot and feel miserable. You have to be so frustrated not being able to tie all these tests together somehow.

I haven’t had testing that shows much so far, still I know the problem is there, definitely real. My unintended weight loss has been the most helpless feeling because there was absolutely nothing I could do about it. Add knowing pain from eating will come when trying to fix it……I finally got to doctors that are helping me figure out what I can do lifestyle-wise to make this all tolerable as they pin down what is wrong. It can’t happen soon enough!

Has any changes with your original gastrectomy been ruled out? What does your doctor think you should consider next?

There is an issue with the gastrectomy which could possibly be causing the issue. They left what is called a blind loop which is basically an appendage that goes no where. It is longer than they would have expected so the thought is that food maybe getting stuck in there and causing pain till it comes out. They were trying to rule everything else out first because this would be a major surgery. I am not sure what is next, I a, waiting to hear back from the doctor. It is very frustrating because I know there is an issue and they have been unable to pinpoint it. This has been going on since October. Not being able to eat without pain has been extremely hard. I am hoping the doctors have a plan soon.

I am so sorry you are struggling like this. I am wondering with your gastrectomy if you know if they removed or bypassed your pyloric sphincter. I just took a nutrition class and I learned that the gastrectomy surgeries that do that and gastrectomy surgeries that create blind loops are the most challenging to manage. Those procedure types can be quite problematic as far as absorption of nutrients as well in the case of a blind loop one gets overgrowth of bacteria and fungus which causes issues. As well you have nutrients dumping straight into the part of the small intestine that was not designed to handle that. My teacher who is a registered dietitian did have some strategies for managing the situation. If you haven’t already seen a registered dietitian for help with this that might be super helpful. She said the surgeons do these procedures and then just move on to the next patient. No accountability at all for chronic issues the patients are left dealing with the feast of their lives. Registered dietitians also have strategies for managing chronic pancreatitis. So some kind of plan that works both those angles while you get this all sorted I am thinking could help you feel better regardless the ultimate cause that is determined or even if the cause is a combination of both conditions. My teacher said it is super rare that people only have one system in their body that is experiencing dysfunction. That we learn these diseases one at a time in isolation and then when one sees an actual patient they almost are dealing with having multiple conditions.