Pancreatitis

The pathologic inflammation of your pancreas, a small organ present behind your stomach, is called pancreatitis. The symptoms include indigestion, upper abdominal or back pain, abdominal bloating, and hiccups. Gallstones, binge drinking, pancreatic cancer, infections, abdominal surgery, and injury can result in pancreatitis.

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Why do I have a crampy stomach and belching even when scope tests remain clear?

Query: Hi doctor,I am in my early 60s. For the last three months, after dinner, I feel indigestion for 2 hours and have a crampy stomach with lots of belchings. Because of this, I am not on regular food. Earlier, I had a few issues, but that was manageable and not so intense. Now, even when not taking food...  Read Full »


Dr. Happykumar Kagathara

Answer: Hello, Welcome to icliniq.com. I can understand your concern for your symptoms. Having normal endoscopy reports does not eliminate other small intestine related causes for indigestion. Constipation itself cause heartburn and belching related to incomplete evacuation due to slow intestinal movement. ...  Read Full »

What is the significance of an elevated CA-19 tumor marker?

Query: Hello doctor, I have a question regarding the significance of an elevated CA-19 tumor marker. I recently had one and that came back as 43 (per laboratory should have been under 34). I do not have cancer and I am wondering what else could cause this elevation? Please help.  Read Full »


Dr. Rajesh Kumar Padhan

Answer: Hi, Welcome to icliniq.com. CA 19-9 (cancer antigen) is a tumor marker, but it can be elevated in healthy individual. It can be elevated in benign conditions like pancreatitis, cirrhosis, thyroid disease and inflammatory bowel disease. It can be elevated in various gastrointe...  Read Full »

What can cause extreme pain in the upper right abdominal area on breathing?

Query: Hi doctor, My boyfriend is having pain in his right upper abdominal area while breathing. This is the third time and it started around 7 pm in the night and so he went to the hospital yesterday. They told me that they are unable to find anything on X-ray or blood work. He waked up in the morning an...  Read Full »


Dr. Ajeet Kumar Lohana

Answer: Hi, Welcome to icliniq.com. Pain in the abdominal area can occur due to gall bladder stones and bile duct stones, ulcers in the stomach, and pancreatitis. You can take capsule Esomeprazole 40 mg half an hour before meals. He can take Tramadol 100 mg for pain. If it is not available, he can take ca...  Read Full »

Kindly help me get relief from upper abdominal pain.

Query: Hi doctor, I am a 35 year old male. My height is 5'9", and weight is 220 lbs. I am a smoker and not on any medication.¬†Over the past seven months or so, I have been experiencing on and off severe upper abdominal pain (center), and that radiates through to my back. At times, the pain may just be som...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Most likely it is acidity and reflux disease. You will need endoscopy to confirm the diagnosis and rule out ulcer. The common cause for this is Helicobacter pylori and for which you should have urease breath test, which if positive or even otherwise empirically you can...  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. Hiren Patel

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 »

Is it life-threatening if gallstones remain unremoved before delivery?

Query: Hello doctor,I am 31 weeks pregnant, and the ultrasound showed I have gallstones and pancreatitis. My amylase test result came high as 116. Is this an emergency or life-threatening since it is high? Can I manage the symptoms until delivery? I want to know the risk at 116.   Read Full »


Dr. Ajeet Kumar Lohana

Answer: Hello, Welcome to icliniq.com. One high amylase level cannot predict pancreatitis. However, if you have serial testing of serum amylase and that showed an upward surge, then it is a concerning thing. Additionally, abdominal pain is the hallmark of pancreatitis, not just a single blood test of am...  Read Full »

What do I get persistent diarrhea, though my abdominal pains stops a month before?

Query: Hello doctor, I have diarrhea three to four times a week, 30-60 minutes after eating dinner. The stool is mushy and has a normal shade of brown color and comes in multiple pieces but the toilet water becomes very cloudy with a dark green sometimes yellowish color. This started after I had mild co...  Read Full »


Dr. Ajeet Kumar Lohana

Answer: Hello, Welcome to icliniq.com. I can understand that you must be very upset about your symptoms that have been running for almost over two months. There are few possibilities like peptic ulcer disease (ulcers within the stomach and duodenum a part of the small bowel), and the pain due to pancreat...  Read Full »

What could cause abdominal pain immediately after eating?

Query: Hello doctor, My 6-year-old son always complains of abdominal pains especially immediately after he takes breakfast. Today he has the same abdominal pain and joint pains, cold palms, and feet. He has this problem for the past one year.  Read Full »


Dr. Manu Bharadwaj

Answer: Hi, Welcome to icliniq.com. If your son is getting pain after eating, it suggests he might be having gastric irritation which in turn causes few conditions. It could be: 1. Infection - can be cured by antibiotics. 2. Inflammation - needs only antacid medications. 3. Pancreatitis - inflammation...  Read Full »

What could be the reason for abdominal pain in elderly with diabetics?

Query: Hello doctor, My father is 71 years old. He having abdominal pain in the middle for the past four to five days. Pain is constant and mild to moderate in intensity. He is not having any issue in passing stools or urine but sometimes complains of burning sensation while passing stools. His appetite ...  Read Full »


Dr. Ajeet Kumar Lohana

Answer: Hello, Welcome to icliniq.com. I can understand you must be very upset about your father's health. Well, you see the abdominal pain in such age is often an alarming finding, and I urge you to get him some investigations before giving any blanket cover of medicines. Common possibilities in his age...  Read Full »

My stomach pain is severe and it moves to the back. What could cause this type of pain?

Query: Hello doctor, My sister is having severe stomach ache and yellow vomiting and the pain goes around her abdomen to the back. She is suffering from this pain for the past one week. Please help.  Read Full »


Dr. Ajeet Kumar Lohana

Answer: Hello, Welcome to icliniq.com. I can imagine you must be very upset about your sister. And I really feel sorry that she is in pain for a week's time. Well, the pain you mention that is severe and radiating to back is suggestive of pancreatitis. However, the possibility of peptic ulcers cannot be com...  Read Full »

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