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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Acute Pancreatitis

Are you or any of your colleagues specialist in treating very accute pancreatitus. Sister has suffered this condition for three months, most of that time in hospital and now in skilled nursing home. She now is fed by tube into her stomach. Still no solid food. We are desperate for a doctor who can address and treat her problem. Thank you. J. Hemenez
Mon, 5 Oct 2015
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General & Family Physician,  's  Response
Welcome at HCM
I have gone through your and being your physcian ii completely understand your health concerns.
As far as management is concerned , first thing is cause of acute pancreatitis is it a GALL STONES? or something is else.
second is how severe is the attack? for this we need to get some investigations like serum glucose , fbc, LDH and AST along with UREA CREATININE and serum CALCIUM LEVELS.
the most important aspect of the management is giving rest to the pancreas by keeping Nill by mouth to patient. for this purpose NG tube has to be put in .. All necessary fluids has to be given via intravenous route along with ANTIBIOTICS. studies have shown that IMIPENEM has reduced the mortality by 70% in these patients..
my advise to you , you should meet GASTROENTROLOGIST so that you can be counselled properly . as far as home management for this disease is concerned i will discourage you for it and in my opinion patient should be hospitalized untill and unless he starts tolerating oral diet...
meanwhile stay calm and meet your GASTROENTROLOGIST.
get well soon
Hope your query is adequately addressed if you still have any feel free to ask
Regards
Dr Saad Sultan
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Suffering From Acute Pancreatitis

Welcome at HCM I have gone through your and being your physcian ii completely understand your health concerns. As far as management is concerned , first thing is cause of acute pancreatitis is it a GALL STONES? or something is else. second is how severe is the attack? for this we need to get some investigations like serum glucose , fbc, LDH and AST along with UREA CREATININE and serum CALCIUM LEVELS. the most important aspect of the management is giving rest to the pancreas by keeping Nill by mouth to patient. for this purpose NG tube has to be put in .. All necessary fluids has to be given via intravenous route along with ANTIBIOTICS. studies have shown that IMIPENEM has reduced the mortality by 70% in these patients.. my advise to you , you should meet GASTROENTROLOGIST so that you can be counselled properly . as far as home management for this disease is concerned i will discourage you for it and in my opinion patient should be hospitalized untill and unless he starts tolerating oral diet... meanwhile stay calm and meet your GASTROENTROLOGIST. get well soon Hope your query is adequately addressed if you still have any feel free to ask Regards Dr Saad Sultan