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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pancreatic Pseudocyst In Upper Abdomen. Prescribed Pentocid. Is It Ok?

Hi Doctor,I am 26 year old, Male- during whole body checkup, doctor found pencreatic pesudo cyst in my uper updomen( 8 by 6 size), done all the checkup every thing is normal no issue, clear fluid,doctor gave me medicin-Pentocid DSR for 1month, getting benifit but its very slow. I want to ask is it ok? may i take some multivitamin tablet and cyrup for recovery(Polibion cyrup and becasule CZS) Please advise Thank you Abhishek nayak PUNE
Sat, 27 Oct 2012
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Gastroenterologist 's  Response
Hello, Abhishek,
You mention about the pseudocyst of the pancreas was found.
Usually, this is a result of inflammation of the pancreas.
One of the complications of pancreatitis is this condition.
Most of the small cysts disappear on their own after the
inflammation subsides. Your cyst is fairly good sized.
You must have had a bad case of pancreatitis.
The causes of pancreatitis here western culture, number one
is alcohol abuse. Next is gallbladder disease and then there are
viral causes, autoimmune and some unknown causes.
I am not sure if your was gallbladder related, or even viral.
Pantocid DSR is a two drug combination. One is called
Pantoprazole (Acid controlling drug-PPI) and the other is
Domperidone, a motility agent that improves stomach
emptying.
Essentially, your doctor is keeping the acidity under control
so that your pancreas heals better.
Continue to take your vitamins, that is O.K.
Also, stay on the Pantocid.
What you need is a followup sonogram to re-check the
size of the cyst. If it starts shrinking you don't need any
further procedure. If the cyst enlarges, you may need to
have aspiration or through a needle, under local, they can
take out the fluid to prevent complications such as rupture
or infection.
Wish you well.
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Pancreatic Pseudocyst In Upper Abdomen. Prescribed Pentocid. Is It Ok?

Hello, Abhishek, You mention about the pseudocyst of the pancreas was found. Usually, this is a result of inflammation of the pancreas. One of the complications of pancreatitis is this condition. Most of the small cysts disappear on their own after the inflammation subsides. Your cyst is fairly good sized. You must have had a bad case of pancreatitis. The causes of pancreatitis here western culture, number one is alcohol abuse. Next is gallbladder disease and then there are viral causes, autoimmune and some unknown causes. I am not sure if your was gallbladder related, or even viral. Pantocid DSR is a two drug combination. One is called Pantoprazole (Acid controlling drug-PPI) and the other is Domperidone, a motility agent that improves stomach emptying. Essentially, your doctor is keeping the acidity under control so that your pancreas heals better. Continue to take your vitamins, that is O.K. Also, stay on the Pantocid. What you need is a followup sonogram to re-check the size of the cyst. If it starts shrinking you don t need any further procedure. If the cyst enlarges, you may need to have aspiration or through a needle, under local, they can take out the fluid to prevent complications such as rupture or infection. Wish you well.