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My Mom Have Pain And Indigestion Along With Mild Jaundice

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Posted on 6 days ago
Question: hi my mom have pain and indigestion along with mild jaundice before treatment at a hospital at the first hospital CT scan was performed (Phillips 64 slice with contrast injected) scan shows normal liver gb and everything else but an ill defined mass of about 14mm at head of pancreas causing cbd dilation CA199 test at this particular hospital was 5000+ she was move to another hospital immediately where she undergo a EUS+FNA eus report shows no difinite mass at head of pancreas and normal pancreas with no lesion and normal liver and gb therefor FNA was not performed however EUS did find a severe H pyoli infection of the duodenum medicine were given to eradicate H pyoli on the next day CA199 was tested again with result coming in at 1700+ doctor schedule an MRI (Siemens) mri confirms there are no mass,nodules or abnormalities in the liver and gb but mild dilation of cbd and pancreatic duct a small lesion was detected on pancreas head by the mri but undefined. Doctor discharge my mom from hospital after the mri scan putting her on prednisone(steroid) before scheduling another CA199test 3 days later which is yesterday upon test yesterday CA199 shows 3396 ul CEA3.1 and lipase 144(assay normal range is 78 cut off point)
doctor
Answered by Dr. Dr.Dorina Gurabardhi (2 hours later)
Brief Answer:
Report interpretation is explained below in details.

Detailed Answer:
Hello,

I already reviewed the attached reports.
The report indicates the preemptive of gastric polyps, which are commonly benign.
You should for the results of the pathology to confirm the nature of the polyps.
It was detected the presence of H.Pylori which needs treatment with antibiotics.
Lipase level is very high which indicates the inflammation of the pancreas. I recommend to follow a diet that is low in fat, low in red meat, and high in fiber.
Ca199 is also high. It can be related to the inflammation of pancreas.
You should also wait for the pathology results for confirmation of the diagnosis.

Hope I have answered your query. Let me know if I can assist you further.

Kind regards!

Dr.Dorina Gurabardhi
General &Family Physician

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dr.Dorina Gurabardhi (10 hours later)
Thank you Doctor.The biopsy of the polyp tested negative for malignancy. But as of today most pain are gone but my mom still have dark urine and a little indigestion and her appetite have not yet return to normal she is still on steroid given by our doctor and our doctor schedule my mom to see her again on the 14 this month to retest the CA199 I am really worried about pancreatic cancer at the moment and wants to know what is happening because many test are done and still no conclusion or any serious treatment
doctor
Answered by Dr. Dr.Dorina Gurabardhi (16 hours later)
Brief Answer:
Probably pancreatitis.

Detailed Answer:
Hi again dear,

I think that the symptoms are related to pancreatitis.
It can cause dark urine, indigestion issues and low appetite.
If it was a pancreatic cancer, it would probably result in the CT scan.
High lipase level confirms the inflammation of the pancreas.
I recommend to consult a gastrologist for specific treatment.

Hope it helps dear.
Take care,
Dr.Dorina Gurabardhi
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Dr.Dorina Gurabardhi

General & Family Physician

Practicing since :2013

Answered : 13556 Questions

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My Mom Have Pain And Indigestion Along With Mild Jaundice

Brief Answer: Report interpretation is explained below in details. Detailed Answer: Hello, I already reviewed the attached reports. The report indicates the preemptive of gastric polyps, which are commonly benign. You should for the results of the pathology to confirm the nature of the polyps. It was detected the presence of H.Pylori which needs treatment with antibiotics. Lipase level is very high which indicates the inflammation of the pancreas. I recommend to follow a diet that is low in fat, low in red meat, and high in fiber. Ca199 is also high. It can be related to the inflammation of pancreas. You should also wait for the pathology results for confirmation of the diagnosis. Hope I have answered your query. Let me know if I can assist you further. Kind regards! Dr.Dorina Gurabardhi General &Family Physician