
Suggest Treatment For Chronic Pancreatitis, Episodes Of Chest Pain And Back Pain

Investigations with second opinion.
Detailed Answer:
Hi.
Thanks for your query and an elucidate history; read over and over again to correlate the things you have nicely put in.
To recapitulate important points for me not to miss anything:
Female / 61 - Chronic Pancreatitis - Cholecystectomy 2 years back - similar pain in back - Prilosec - no tests done - last year - more pain in the back and persistent bloating after large meals - Bloating goes away on cutting food intake - Nausea - did research - back to the Doctor - high lipase 160 - hospitalized - MRI confirms Chronic Pancreatitis - GI thought of alcohol and wrote vitamins which you did not follow - avoided large meals and lipase to 30 - regular Doctor - no prescription - and days surgery not wasn't necessary - * Oct - pain in sides on sit ups - Doctor says not related - recently bouts of chest pain on consuming sugar - rec chest pain on eating anything - most concerned about pain in right side like kicked in the ribs and sharp chest pain - * Ibuprofen 800, Aspirin helps within an hour - pain can last for more -heating pad helps -What is causing **chest pain ? come on running or exertion - Sugar and protein act as trigger - no diabetes - small pains on breathing.
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After compiling I would advise you the following:
-Second opinion of another Gastroenterologist.
-Upper GI Endoscopy and EUS (Endoscopic Ultrasonography) if the facility is available.
-CT scan of the chest and the abdomen
-Cut off the trigger factors as a part of treatment.
-Routine examination of the blood for sugar, liver functions / Urine / Stool to see the level of indigestion.
-Second opinion.
Additional treatment in discussion with your regular Doctor or Gastroenterologist:
-Pancreatic enzyme supplements
-Priosec, Antacid and other medicines as per the reports of investigations.
I would like to know the exact location of the chest pain.
The starting or enhancing of the chest pain immediately after sugar, running and exertion can indicate towards lower esophageal or stomach problems like inflammation / ulceration and so on.
I hope this answer helps you to get a proper guideline for the proper diagnosis and treatment. Please feel free to ask for further relevant queries if you need to or if you feel that there is a gap-of-communication to clear anything.
Wishing you an early diagnosis and proper management .

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