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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Severe Pain After Eating And Vomiting With History Of Gallbladder Removal And Acute Pancreatitis Indicate?

I do not drink alcohol, had my gallbladder out 15 years ago and was treated from acute pancreatitis with surgery on the sprinter of Oddi two summers ago. I have once again started having intense pain after eating in the RUQ which is worse when I sit at my desk. This seem sort of like the same slow progression that lead to a five week hospitalization two tears. I was extremely sick! I ended up with two hospital acquired infection and lost over 60lbs in five weeks. I am concerned this thing is happening again, but last time it took several months of this sort of pain before I started vomiting and anything showed on labs. The pain is getting steadily worse and I am now having pain every time I eat. How do I get the doctors to pay attention and consider that this may be the beginning of a very ugly illness? Can this be the same darn thing and can pacreatitis be reoccurring in someone that is NOT a drinker?
Wed, 19 Oct 2016
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General Surgeon 's  Response
Hello,
1) Yes your present pain episode may be due to recurrent episode of pancreatitis
2) Pancreatitis can occur again in person who is not a drinker
3) Most common causes of pancreatitis are alcohol, gall bladder stone, structural abnormality in pancreatic duct or bile duct or sphincter of Oddi.
4) In your case, structural abnormality of sphincter of Oddi might be the reason for repeated episodes of pancreatitis.
5) Laboratory test of serum Amylase can confirm acute episode of pancreatitis. If value of this test is elevated then USG abdomen or contrast enhanced CT scan abdomen is recommended to evaluate extent of pancreatitis.
6) Sometimes repeated episodes of acute pancreatitis can lead to structural changes into pancreatic tissue (fibrosis) and pancreatic duct (narrowing and stone formation) and this condition is known as chronic pancreatitis. Severe episodic abdominal pain is main symptom of chronic pancreatitis.
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What Does Severe Pain After Eating And Vomiting With History Of Gallbladder Removal And Acute Pancreatitis Indicate?

Hello, 1) Yes your present pain episode may be due to recurrent episode of pancreatitis 2) Pancreatitis can occur again in person who is not a drinker 3) Most common causes of pancreatitis are alcohol, gall bladder stone, structural abnormality in pancreatic duct or bile duct or sphincter of Oddi. 4) In your case, structural abnormality of sphincter of Oddi might be the reason for repeated episodes of pancreatitis. 5) Laboratory test of serum Amylase can confirm acute episode of pancreatitis. If value of this test is elevated then USG abdomen or contrast enhanced CT scan abdomen is recommended to evaluate extent of pancreatitis. 6) Sometimes repeated episodes of acute pancreatitis can lead to structural changes into pancreatic tissue (fibrosis) and pancreatic duct (narrowing and stone formation) and this condition is known as chronic pancreatitis. Severe episodic abdominal pain is main symptom of chronic pancreatitis.