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Hello, Would Pancreatic Pain Present On The Left Side (right

Posted on Thu, 13 Aug 2020

Question: Hello, would pancreatic pain present on the left side (right under breast) and extend to the back and flank? I’ve had this pain for about 2 years now. I’ve had an ultrasound which said my pancreas was normal (although the tail was not well seen) and also a complete abdominal ct without contrast which also didn’t find anything wrong with the pancreas. My pcp did Lipase and amalyse both normal. Tests were a year ago. Pain started 2 years ago and it still comes and goes. Google tells me it could still me a glucagonoma. How likely could this be?

Follow up: Dr. Dr.P.Ratnakar Kini (0 minute later)

Hello, would pancreatic pain present on the left side (right under breast) and extend to the back and flank? I’ve had this pain for about 2 years now. I’ve had an ultrasound which said my pancreas was normal (although the tail was not well seen) and also a complete abdominal ct without contrast which also didn’t find anything wrong with the pancreas. My pcp did Lipase and amalyse both normal. Tests were a year ago. Pain started 2 years ago and it still comes and goes. Google tells me it could still me a glucagonoma. How likely could this be?

Answered by Dr. Dr.P.Ratnakar Kini (0 minute later)

Brief Answer:
Need more information

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
I would like to have some more information before I can give my opinion.
1. Are you a diabetic?
2. Any other symptoms like diarrhea, skin lesions?
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr.P.Ratnakar Kini (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (25 minutes later)

I am not a diabetic. My last blood sugar reason was 99. No skin lesions. I do have rashes under the skin folds of my breasts and belly but my dermatologist deemed them to be fungal in nature due to the size and because I am obese

Follow up: Dr. Dr.P.Ratnakar Kini (0 minute later)

Answered by Dr. Dr.P.Ratnakar Kini (23 minutes later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Thanks for the additional information.
If your pain is due to recurrent acute pancreatitis, the amylase and lipase would be elevated and scan would show changes in pancreas.
If it is due to chronic pancreatitis, you may have diabetes and fatty/oily stool and scan would show changes in pancreas.
You do not have any of these and so your pain is not due to recurrent acute pancreatitis or chronic pancreatitis.

Glucagonoma is unlikely as diabetes is part of it and you are not a diabetic and other symptoms include skin lesions and diarrhea.
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr.P.Ratnakar Kini (0 minute later)