Cramps and painful gas 3 months after Whipple: Thoughts?

Posted by johnny1955 @johnny1955, Dec 8, 2025

Cramps after whipple
I had the whipple almost 3 months and have bad cramps almost every day.
Lots of painful gas. Still losing weight.
Any comments

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Profile picture for matt2024 @matt2024

@johnny1955 - Absolutely - from AbbVie's site - Signs of not taking enough Creon may include oily or foul-smelling stools, weight loss, bloating, gas, and abdominal pain. If you experience these symptoms, consult your healthcare provider to adjust your dosage.

It took a bit for me to figure out the foods and dosages and sometimes I forget to take Creon with a meal, I remember why I take it 🙂

I would reach out to your Doctor to get their thoughts on adjusting your dosage as losing weight and cramps sounds like malabsorption. I lost about 30 pounds after my surgery and have managed to keep it stable ever since (but I eat a lot of calories to maintain the weight.)

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@matt2024

Good idea talk to your doctor, also ask about a nutritionist. I had to bump up my creon dosage when I started on chemotherapy 7 weeks post op Whipple.

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I've noticed quite a few people here are using digestive enzymes. Did you have to go through any specific tests to get a prescription for them? If you don’t mind sharing, which test did you take? I just did the elastase test myself.

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Profile picture for azsunshine7 @azsunshine7

I've noticed quite a few people here are using digestive enzymes. Did you have to go through any specific tests to get a prescription for them? If you don’t mind sharing, which test did you take? I just did the elastase test myself.

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@azsunshine7 my surgeon told me how to get it free. Go to Abbvie.com.pas and ask for a application. Your doctor also has to fill one out also. They approved the applications pretty quick. They send me the enzymes (creon) by mail as to the prescription the doctor wrote. It is free. No tests.

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Profile picture for johnny1955 @johnny1955

@azsunshine7 my surgeon told me how to get it free. Go to Abbvie.com.pas and ask for a application. Your doctor also has to fill one out also. They approved the applications pretty quick. They send me the enzymes (creon) by mail as to the prescription the doctor wrote. It is free. No tests.

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@johnny1955

If my doctor prescribes it I will go to the site.

Did you take a test to indicate you needed digestive enzymes?

Thanks so much.

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Profile picture for azsunshine7 @azsunshine7

@johnny1955

If my doctor prescribes it I will go to the site.

Did you take a test to indicate you needed digestive enzymes?

Thanks so much.

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@azsunshine7 do you still have your pancreas? Mine doesn't work so I have to have the enzymes. I did not take enzyme test.

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Profile picture for johnny1955 @johnny1955

@azsunshine7 do you still have your pancreas? Mine doesn't work so I have to have the enzymes. I did not take enzyme test.

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@johnny1955

I had the whipple surgery which included taking out part of the pancreas, and stomach.

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Profile picture for azsunshine7 @azsunshine7

@johnny1955

I had the whipple surgery which included taking out part of the pancreas, and stomach.

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@azsunshine7 is your pancreas still functioning? Your doctor should have told you if you need the enzymes.
When did you have the whipple?

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@ Johnny 1955 Hello Johnny. I had Whipple Mid June this year. I had similar issues with cramps and BAD smelling gas. Doctor increased CREON to 2- 36000 unit capsules before each meal and then I take 1 more before going to bed. This has helped me. The doctors nursev also suggested I take one before an oily or greasy snack (whichbi avoide). If I don't take CREON the gas comes back. Good luck and have faith. My cancer has re appeared in my liver and i am back on chemo.

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Profile picture for hugo1313 @hugo1313

@ Johnny 1955 Hello Johnny. I had Whipple Mid June this year. I had similar issues with cramps and BAD smelling gas. Doctor increased CREON to 2- 36000 unit capsules before each meal and then I take 1 more before going to bed. This has helped me. The doctors nursev also suggested I take one before an oily or greasy snack (whichbi avoide). If I don't take CREON the gas comes back. Good luck and have faith. My cancer has re appeared in my liver and i am back on chemo.

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@hugo1313 thanks for the input. That makes sense. I wake up in the morning with gas. I will take the creon before going to bed. I am sorry that you are having more chemo.

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Profile picture for johnny1955 @johnny1955

@hugo1313 thanks for the input. That makes sense. I wake up in the morning with gas. I will take the creon before going to bed. I am sorry that you are having more chemo.

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@johnny1955
Hi Johnny. Did you have laparoscopic Whipple procedure? Mine was open surgery. Although took a few more days at hospital, the recovery was minimal. I was back to office work in 8 weeks. And travel in 10. Reason I went with open sugery was surgical experience. Lapa has only been around for only a few years and experience is limited. Also with Lapa I was told they remove part of your stomach. Which can lead to other issues. Hope the Crayon works for you. Keep us posted.

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