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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Malabsorption Issues Due To Surgeries For Pancreatitis

I am a 45 yr old woman... I have had a pancreatectomy, splenectomy, duodenum and biliary tract removed this year.. .along with gall bladder... all post pancreatitis (7x). I was also fortunate to get an auto islet cell transplant and am insulin free for 10 months. I was told I have will have chronic mal-absorption issues due to this procedure. I was given 2 iron infusions over the summer, and now my ferritin is still pretty high (250?) and my hemoglobin is 11.3 ( lab says 11.2- 15 is normal). I have been getting heart palpitations ( fluttering in my chest) for the first time in my life on an off for nearly a month. I have been to the ER because it scared me and they have no explanation. ( I spin and lift weights regularly, but have found that sometimes, I can t get through my regular workouts due to fatigue) Saw an endochronologist last week and still plan to see a cardiologist....Thoughts?
Wed, 31 May 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history and understood your concerns.
Removal of slpeen, pancrease, gall bladder and related parts will make one suffer from multiple deficiencies of vitalines, minerals and trace elements, will alter metabolism of various kinds.
Hence low hemoglobin and high ferritin.
Also can cause fatigue and other problems.
Yes you should consult the Gastroenterologist, Hematologist, consulting the Nutritionist and other Specialist in a center where Metabolic and Bariatric Surgery is done can help you a lot.
You have take all supplements of vitamins, minerals and trace elements.
Pancreatic enzyme supplements with food can help you the most.
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Suggest Treatment For Chronic Malabsorption Issues Due To Surgeries For Pancreatitis

Hi. Thanks for your query. Noted the history and understood your concerns. Removal of slpeen, pancrease, gall bladder and related parts will make one suffer from multiple deficiencies of vitalines, minerals and trace elements, will alter metabolism of various kinds. Hence low hemoglobin and high ferritin. Also can cause fatigue and other problems. Yes you should consult the Gastroenterologist, Hematologist, consulting the Nutritionist and other Specialist in a center where Metabolic and Bariatric Surgery is done can help you a lot. You have take all supplements of vitamins, minerals and trace elements. Pancreatic enzyme supplements with food can help you the most.