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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Pain For 4 Years. Ultrasound Shows Spots On Pancreas. Feeling Weak, Lost 12-15 Kgs. Is It Pancreatitis?

I've been having symptoms of pain for 4 years. Last week I had an ultrasound and they found spots on my Pancreas. They've taken blood tests and one of the doctors said he doesn't think I have Pancreatitis, but they're waiting for results from other tests. I have been feeling very weak lately and have lost 12-15kg in 3 months without intending to. Please tell me if you have any clue to what's wrong?
Thu, 20 Jun 2013
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General & Family Physician 's  Response
Hello,
Hello,
I went through your problem. Usually pancreatitis is diagnosed by the onset and severity of pain and Serum Amylase level.
The diagnosis depends on the nature of the spot. The spot may cystic or solid.
Whether cystic or solid a complete further investigations like CT or MRI may be needed to arrive at a diagnosis. Loss of weight and the feeling of weakness may associated with the pancreatic problem. Treatment depends as per the result.
Best wishes



Others can include changes in the pancreas from chronic pancreatitis.
The following are more cystic in nature:
Pseudocysts of the pancreas.
Serous cystadenoma (benign small cyst seen in elderly patients)
Choledochocele

Of course, this depends on if the "spot" seen on the ultrasound was solid, or cystic. Nevertheless, this should be followed up with a CT of the abdomen by your doctor and further workup, which may include a biopsy of the mass.
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Having Pain For 4 Years. Ultrasound Shows Spots On Pancreas. Feeling Weak, Lost 12-15 Kgs. Is It Pancreatitis?

Hello, Hello, I went through your problem. Usually pancreatitis is diagnosed by the onset and severity of pain and Serum Amylase level. The diagnosis depends on the nature of the spot. The spot may cystic or solid. Whether cystic or solid a complete further investigations like CT or MRI may be needed to arrive at a diagnosis. Loss of weight and the feeling of weakness may associated with the pancreatic problem. Treatment depends as per the result. Best wishes Others can include changes in the pancreas from chronic pancreatitis. The following are more cystic in nature: Pseudocysts of the pancreas. Serous cystadenoma (benign small cyst seen in elderly patients) Choledochocele Of course, this depends on if the spot seen on the ultrasound was solid, or cystic. Nevertheless, this should be followed up with a CT of the abdomen by your doctor and further workup, which may include a biopsy of the mass.