Pain after whipple

Posted by johnny1955 @johnny1955, Dec 8 4:42pm

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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Hi - sorry to hear you are going through that. I had a total pancreatectomy about 6 years ago and experience similar effects when my Creon enzyme dosage isn't quite right for the meal I ate. Did they prescribe Creon for you? It could be pancreatic insufficiency and the dosage might need to be changed (or started.)

Take care
- Matt

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Profile picture for matt2024 @matt2024

Hi - sorry to hear you are going through that. I had a total pancreatectomy about 6 years ago and experience similar effects when my Creon enzyme dosage isn't quite right for the meal I ate. Did they prescribe Creon for you? It could be pancreatic insufficiency and the dosage might need to be changed (or started.)

Take care
- Matt

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@matt2024 I am taking creon and since I don't eat much i only take 1 capsule. My pancreasedoes not work at all.

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Profile picture for johnny1955 @johnny1955

@matt2024 I am taking creon and since I don't eat much i only take 1 capsule. My pancreasedoes not work at all.

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@johnny1955 - thanks. I take three 36,000 unit capsules with meals and one with snacks. Here's a dosage calculator from AbbVie that helped me dial in the right dosage -> https://www.creonhcp.com/dosing-calculator. Might be worth checking on it to see if that helps. For me, fatty or protein heavy meals need more Creon to avoid the undesirable side effects of insufficiency.

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Profile picture for matt2024 @matt2024

@johnny1955 - thanks. I take three 36,000 unit capsules with meals and one with snacks. Here's a dosage calculator from AbbVie that helped me dial in the right dosage -> https://www.creonhcp.com/dosing-calculator. Might be worth checking on it to see if that helps. For me, fatty or protein heavy meals need more Creon to avoid the undesirable side effects of insufficiency.

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@matt2024 could cramping be a source of too little creon
Sometimes I cramps all.day.
By the way I had the whipple almost 3 months ago.

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Profile picture for johnny1955 @johnny1955

@matt2024 could cramping be a source of too little creon
Sometimes I cramps all.day.
By the way I had the whipple almost 3 months ago.

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@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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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 what type of high calories do you eat.

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Matt, what are some of your high calories?

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Profile picture for johnny1955 @johnny1955

Matt, what are some of your high calories?

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@johnny1955 - I tend to eat about 3000 to 3500 calories a day. I watch carbs (because of brittle diabetes from the pancreatectomy) so I eat protein - lean meats, nuts, yogurt, with veggies mixed here and there.

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Profile picture for matt2024 @matt2024

@johnny1955 - I tend to eat about 3000 to 3500 calories a day. I watch carbs (because of brittle diabetes from the pancreatectomy) so I eat protein - lean meats, nuts, yogurt, with veggies mixed here and there.

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@matt2024 can you eat beef and pork?
What high calorie food?

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Profile picture for johnny1955 @johnny1955

@matt2024 can you eat beef and pork?
What high calorie food?

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@johnny1955 - Hi Johnny - I can really eat most anything, but tend to eat more turkey products (turkey ground meat, hot dogs, etc.) because it's less fatty and easier for me to digest. I really haven't found anything I couldn't digest once I had the right dosage.

For high calorie items, I eat a lot of nuts (mostly walnuts that has really helped my cholesterol levels) and peanut butter because the fat in it helps slow the blood sugar carb spike.

I eat breakfast (eggs/toast), mid morning snack (variety), lunch, mid afternoon snack, dinner, and some yogurt/walnuts before bed.

AbbVie also offers free water soluble vitamins if you sign up for their Creon savings card at https://patientsupport.creoninfo.com/cost-savings.

Might be worth asking your Doctor if they work with a nutritionist to help you plan a diet that works for you

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