Chronic Pancreatitis

Chronic pancreatitis is defined as continuous chronic inflammation of the pancreas that does not heal or improve. It gets worse over time, leading to permanent damage. This condition eventually impairs the ability to digest food and make pancreatic hormones.

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Based on my endoscopic ultrasound, what is the cause of my upper abdominal and back pain?

Query: Hello doctor, I have a long-standing diagnosis of GERD. Around six months back, an upper endoscopy rendered a diagnosis of gastritis, which had occurred several times over the years. I have been taking Omeprazole, Carafate, and Pepcid for six months. These have helped to a limited degree. There is...  Read Full »


Dr. Mian Shah Yousaf

Answer: Hi, Welcome to icliniq.com. I reviewed your history and saw reports (attachment removed to preserve the patient's identity) of endoscopy and endoscopic ultrasound (EUS). These EUS findings may suggest mild chronic pancreatitis, but these are not typical of chronic pancreatitis. But there is no cy...  Read Full »

I developed pancreatitis. Do i have chronic pancreatitis ?

Query: Hello Doctor, I developed pancreatic disease. I have been worsening the condition by taking the triggers (heavy food and alcohol). Last April and July I could manage with a strict diet to bring the inflammation and enzyme levels down. I am maintaining a low fat diet and I have reduced the amount ...  Read Full »


Dr. Ajit Naniksingh Kukreja

Answer: Hi, Welcome to icliniq.com. I have gone through your history and investigations.You are hypertensive, under medication for the same. You are also under medication for anxiety, gastritis and reflux.You are having acute attacks of pancreatitis (inflammation of the pancreas). If you continue taking...  Read Full »

When should I be concerned about changes in bowel movements?

Query: Hi doctor, I have recently had a shift in my bowel movements. They are now jagged, look fluffy; some bits will float and have light red streaks or strings on them. When I wake up in the morning, I need to have two to three bowel movements to clear my bowels completely. I am unsure what is causing m...  Read Full »


Dr. Sandeep V Nair

Answer: Hi, Welcome to icliniq.com. I hope you are not on any medications, have diabetes or thyroid disorder, and have not undergone any abdominal surgeries. Recent changes in consistency and color of the stool may be due to change in dietary habits like taking more processed carbohydrates, protei...  Read Full »

How to cure the pain and discomfort present in pancreas?

Query: Hi doctor, I have mild pain and discomfort where my pancreas is, and I cannot eat or drink much more. I ate a small portion of chicken, potato salad, and green beans for dinner and had apple cinnamon oatmeal for breakfast. It took a few weeks to be able to eat this, and I was barely eating during t...  Read Full »


Dr. Ajeet Kumar Lohana

Answer: Hello, Welcome to icliniq.com. I can understand that you must be very upset about your ongoing chronic pain and inability to eat because of pain. The diagnosis of pancreatitis requires blood, stool investigations, plus radiological evidence on CT (computed tomography) scan or MRI (magnetic res...  Read Full »

Is stenting required for chronic pancreatitis?

Query: Hi doctor, My brother is 22 years old, and he is having severe abdominal pain, and he has a history of pancreatitis. He is currently in the hospital, and yesterday MRI was done. Below is the highlight of the MRI reports: " Pancreatic body and tail appear mild atrophy with peripancreatic fat streak...  Read Full »


Dr. Patel Hirenkumar Prakashbhai

Answer: Hello, Welcome to icliniq.com. Yes, he has chronic pancreatitis (attachment removed to protect the patient's identity). Along with stone in the duct, which if not relieved with ERCP (endoscopic retrograde cholangiopancreatography) and stone removal added with a stent, he may develop pain again...  Read Full »

Can Librax help with my upper abdominal cramps due to pancreatitis?

Query: Hello doctor, I am diagnosed with repeated pancreatitis. The advised diet is working to decrease cramps, gas, and belly bloating. I have one question. Is there any medicine to reduce the cramps especially in the upper abdomen? My last blood check showed normal levels of amylase and lipase enzymes,...  Read Full »


Dr. Ajit Naniksingh Kukreja

Answer: Hi, Welcome to icliniq.com. Diet does play an important role in symptoms for a patient with pancreatitis. So better avoid fatty, fried, and fermented meals. Also, keep away from alcohol. As far as medicines concerned for relief of cramps in the upper abdomen, any analgesic like Acetaminophen c...  Read Full »

How to treat chronic calcific pancreatitis?

Query: Hello doctor, My brother has stones in pancreas and the report says chronic calcific pancreatitis. Some doctors say surgery is required and some say it is not required unless my brother is in pain. Could you please let me know by removing stones can he become normal without depending on the medicin...  Read Full »


Dr. Ajeet Kumar Lohana

Answer: Hello, Welcome to icliniq.com. I have seen the reports you attached (attachment removed to protect patient identity). The clinical history i.e diarrhea and CT scan findings are suggestive of chronic calcific pancreatitis which is an entity that occur in tropical areas such as India and middle ea...  Read Full »

What is the possible diagnosis of left abdominal pain with loss of appetite?

Query: Hello doctor, Just after Christmas, I started losing my appetite, I began feeling sick and really lousy and weak. Then at the beginning of this month, I started getting pain in the upper left side of my abdomen (just under my bottom rib). I am still feeling rough, the pains are still happening and ...  Read Full »


Dr. Nagaraj Patil

Answer: Hi, Welcome to icliniq.com. By looking at history, it seems like chronic pancreatitis for me. Pain after eating, tenderness, loss of weight, bloating sensation are highly suggestive. Mesenteric ischemia also presents in a similar way but is usually seen in the elderly with a history of cardiac dis...  Read Full »

Can my acute pancreatitis become chronic?

Query: Hello doctor, I had acute pancreatitis three weeks ago (probably due to too many drinks on a Saturday although I am not a big drinker generally) and since then struggled with digestion. I am very worried as some of my stools are pale yellow and I have terrible fatigue. My blood tests are now all fin...  Read Full »


Dr. Datta Ram. U

Answer: Hello, Welcome to icliniq.com. Generally, it takes time to recover after acute pancreatitis. I suggest you stop drinking alcohol, absolute cessation of alcohol. You are at a risk of developing repeated episodes of pancreatitis and chronic pancreatitis if you continue to drink. Please start enzyme...  Read Full »

Is there any treatment for chronic pancreatitis with calcium build-up in the pancreatic duct?

Query: Hello doctor, My wife had pancreatitis, and now she has scarring and calcium buildup in her pancreatic duct. According to her doctor, there is nothing to be done, and she has to live on a liquid diet. I am looking for a second opinion because I do not want her to die from this. Any help is appreciat...  Read Full »


Dr. Ramesh Kumar S

Answer: Hi, Welcome to icliniq.com. As per the description, she is suffering from chronic pancreatitis. In this, a persistent inflammation develops in the pancreas. Over time, the inflammation causes scarring and damage to parts of the pancreas. This can then lead to enzymes and insulin deficiency. The...  Read Full »

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