
Im Currently Struggling For The Past Two Years With Upper

Doctor is using gold standard test to diagnose pancreatic cancer however very very rarely a CT with contrast misses it.Go for it but i need few more details before making any comment dear.
Frankly pancreatic cancer presents with completely different set of symptoms that you are having.You have none of the signs or symptoms of pancreatic cancer.
Detailed Answer:
Hello and thank you for choosing "Ask a Doctor" service for your query my dear patient,
Have seen your details and i appreciate your concerns,
You have not mentioned about Endoscopy? Was an Endoscopy performed earlier on you by your doctor?
If endoscopy done earlier was normal and you have tried many antacids(If possible kindly mention the names and doses and duration for which you tried them in follow up) plus your CT with contrast is completely normal then your doctor is doing the right thing by performing ultrasound guided endoscopy;This would definitely help to rule out minor possibility of any non specific lesion which even contrast CT had missed. As far as pancreatic cancer is concerned patient in early stages have severe back pain ,severe jaundice nausea vomiting etc...I mean your symptoms have nothing to do with pancreas rather are suggestive of gastritis.
However first thing i want to know is the name potency and duration of antacids used by you.
Please write in detail.
Waiting


It's not cancer.
Detailed Answer:
Hi there ,
Omeprazole is not even the drug of choice to treat gastritis.
Secondly pain felt by you is mostly limited to right side upper abdomen while pain of pancreas is usually not felt on right upper side and radiation is almost always there on back.
Secondly it's not always necessary that gastritis related changes are seen on endoscopy. Basically its done to rule out ulcers.
I assure you your pain is related to acid peptic disorder and is there because of improper and incomplete treatment.
99.99% its not cancer.
But you can go through endoscopy guided by ultrasound.
Ask your doctor to treat you with high doses of Esomeprazole 80 mg twice daily.
Along with it take antacids containing aluminium and magnesium hydroxide.
A prokinetic drug like domperidom could also be added to help prevent reflux.
This protocol would help.
Along with it stop any fast food or food high in spices.
Take food cooked in house.
Avoid citric fruits.
Rest assured it's not cancer.
Thank you.

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