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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Upper Abdominal Bloating, Sore Stomach, Tired. Have Type 2 Diabetes. Symptoms Of Pancreatic Cancer?

Hi, I have constant upper abdominal bloating . I go back and forth between diarrhea and bile like loose stools. My stomach feels sore. I am also tired a lot. 53 yr old female, menopause! Type 2 diabetic w great A1 c. Exercise 4 days a week. A friend of mine just today said I have pancreatic cancer symptoms... ( I didn t say she was a good friend..). But, I am scared. Is she right?
Wed, 14 Nov 2012
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Gastroenterologist,  's  Response
Hello, Dpullaro,
I am glad that your Diabetes is well under control. It is very important
because, the many complications such as Neuropathy, Retinopathy,
Nephropathy etc (Eye,Nerves,Kidney ) are more common if the diabetes
is not well controlled. Your symptoms of abdominal bloating and watery
diarrhea could be due to lack of digestive enzymes that your pancreas
produces, a condition called "Pancreatic Insufficiency" .
What you might want to do is to have your stool tested for the presence
of fat (Fat Globules). This can be done by any good lab.
As for Pancreatic cancer, symptoms can vary from absolutely none to
weight loss (Unexplained), back pain, abdominal pain, yellow jaundice etc.
If you have a very strong family history of cancers, including Pancreatic or
esophageal or endometrial (Uterine) cancers, then you may need to have
some screening tests. Tests like CEA and CA 19-9 . There are some newer
tests as well.
I don't believe that you have pancreatic cancer.
Wish you well.
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Upper Abdominal Bloating, Sore Stomach, Tired. Have Type 2 Diabetes. Symptoms Of Pancreatic Cancer?

Hello, Dpullaro, I am glad that your Diabetes is well under control. It is very important because, the many complications such as Neuropathy, Retinopathy, Nephropathy etc (Eye,Nerves,Kidney ) are more common if the diabetes is not well controlled. Your symptoms of abdominal bloating and watery diarrhea could be due to lack of digestive enzymes that your pancreas produces, a condition called Pancreatic Insufficiency . What you might want to do is to have your stool tested for the presence of fat (Fat Globules). This can be done by any good lab. As for Pancreatic cancer, symptoms can vary from absolutely none to weight loss (Unexplained), back pain, abdominal pain, yellow jaundice etc. If you have a very strong family history of cancers, including Pancreatic or esophageal or endometrial (Uterine) cancers, then you may need to have some screening tests. Tests like CEA and CA 19-9 . There are some newer tests as well. I don t believe that you have pancreatic cancer. Wish you well.