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Suggest Treatment For Acute Pancreatitis Pain
Question: Sir I have suffering acut pancreatitis pain since last week, Dr provide zenoci 200 twice daily 3day, pantdac once daily continous,ursocol300 three time daily couninuos mebex two time daily 3day,pathology reports are following~sgpt 137,all.phosphatase135,gamma g.t.276,crp-Quantitative by Immunoturbidometry Serum81.90,usg report of pancreas-Poorly visualized look to be bulky in size.Parenchymal architecture is heterogenous.Main pancreatic duct is prominent 14mm.Liver-nomal in size.Parenchymal architecture is homogenous.No focal Sol is seen.Intrahepatic Hillary radicles are not dilated.Right dome of diaphragm normal movement.
-Mild Ascites seen in lower abdomen
-no evidence of para aortic adenopathy seen
-No evidence of pleural effusion seen on either side.
Impression:PANCREATITIS,MILD ASCITES
And I have suffering last 10 years back pain also my MRI report result is - L1-L2=2.0cm,L2-L3=2.2cm,L3-L4=2.1cm,L4-L5=1.8cm,L5-S1=1.3cm.
Impression:-The above findings are suggestive of degenerative changes in lumbosacral spine with postero- lateral disc herniation at L5-S1 extruding more towards right side compressing the cauda equina nerve roots,particularly right S1 nerve root in the spinal canal with encroachment on right L5 nerve root in the neural foramen.There is postrero-lateral disc herniation at L4-L5 without nerve root compression.No secondary central canal 9stenosis is noted
Starting pain is feel right -side abdominal but now pai is left side feel,weeknees more feel.
What I do plan suggest me.
-Mild Ascites seen in lower abdomen
-no evidence of para aortic adenopathy seen
-No evidence of pleural effusion seen on either side.
Impression:PANCREATITIS,MILD ASCITES
And I have suffering last 10 years back pain also my MRI report result is - L1-L2=2.0cm,L2-L3=2.2cm,L3-L4=2.1cm,L4-L5=1.8cm,L5-S1=1.3cm.
Impression:-The above findings are suggestive of degenerative changes in lumbosacral spine with postero- lateral disc herniation at L5-S1 extruding more towards right side compressing the cauda equina nerve roots,particularly right S1 nerve root in the spinal canal with encroachment on right L5 nerve root in the neural foramen.There is postrero-lateral disc herniation at L4-L5 without nerve root compression.No secondary central canal 9stenosis is noted
Starting pain is feel right -side abdominal but now pai is left side feel,weeknees more feel.
What I do plan suggest me.
Brief Answer:
ERCP- Gastro opinion and Neurosurgeon's opinion.
Detailed Answer:
Hi.
Thank for your query and an elucidate reporting and history.
You have two main issues:
1) Related to Pancreatitis and
2) Related to the Spinal canal and discs.
- The dilatation of the pancreatic duct (14 mm) indicates that you need immediate ERCP which will be diagnostic as well as therapeutic. By putting a proper pancreatic stent you problems will get reduced
* Continue the medicines as advised and you can ask for the pancreatic enzyme supplements to be taken with food.
- The MRI showing multiple problems needs a correlation between the MRI findings and actual physical findings on clinical examination by a Neurosurgeon to give the opinion about the diagnosis, its sequel and complications it has caused and further treatment whether surgery is indicated or not, whether it will help or not, order for physiotherapy and any medicines if needed.
I hope this answer helps you to get a nearly diagnosis and proper treatment to get a relief and possibly cure too.
ERCP- Gastro opinion and Neurosurgeon's opinion.
Detailed Answer:
Hi.
Thank for your query and an elucidate reporting and history.
You have two main issues:
1) Related to Pancreatitis and
2) Related to the Spinal canal and discs.
- The dilatation of the pancreatic duct (14 mm) indicates that you need immediate ERCP which will be diagnostic as well as therapeutic. By putting a proper pancreatic stent you problems will get reduced
* Continue the medicines as advised and you can ask for the pancreatic enzyme supplements to be taken with food.
- The MRI showing multiple problems needs a correlation between the MRI findings and actual physical findings on clinical examination by a Neurosurgeon to give the opinion about the diagnosis, its sequel and complications it has caused and further treatment whether surgery is indicated or not, whether it will help or not, order for physiotherapy and any medicines if needed.
I hope this answer helps you to get a nearly diagnosis and proper treatment to get a relief and possibly cure too.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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