Doctors Lounge - Gastroenterology Answers
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Forum Name: Gastroenterology Topics
Question: 4 YEARS OF PAIN AND VOMITTING
|seza - Wed Apr 13, 2005 11:57 am||
My sister is 29 Years old and has been suffering with severe leftside abdominal pain accompanied by excessive vomitting. The pain intensifies and vomitting starts after eating and sometimes even just drinking water. Her condition began after she had her gallbladder removed. She had been in and out of the hospital for three years. Her blood work has never shown any abnormalties. She was eventually sent home with 100 miligram shots of demeral to control the pain because doctors couldn't find the cause. Finally a doctor performed ERCP and found stanoses of the common bile duct. SO he put a shunt in to widen it. Approximately one year has passed where she has been painless. Unfortunately with no warning her condition has returned. She has been hospitalized for two weeks, she has had blood work, ct scans, ERCP's and have all come back normal. She cannot keep anything down. Her only chance of hydration is IV. The only thing doctor's recognize is whatever is happening with her stomach causes her pacreas to become inflamed. I welcome any opinions we are really desperate for answers.
|Dr. Safaa Mahmoud - Fri Aug 04, 2006 9:01 pm||
Pancreatitis could be a cause of these symptoms.
Pancreatitis is an inflammatory process that occurs when the pancreatic enzymes digest the gland.
Patients with acute pancreatitis present with epigastric pain radiating to the back associated with Nausea, vomiting and fever.
Recent surgical procedures, invasive techniques like endoscopic retrograde cholangiopancreatography ERCP and history of repeated biliary colics are usually present in these patients..
Blood tests that should be done include:
Serum amylase levels (Amylase P) is specific to pancreatic problem. Levels of 3 times higher than normal makes the diagnosis of acute pancreatitis more likely.
Lipase levels also are elevated.
Liver function tests should be done.
CT scan is of choice in the diagnosis of acute pancreatitis.
Management include supportive care with IV fluids and nutrition, in addition to antibiotic coverage especially in cases of biliary pancreatitis that are associated with cholangitis.
Hope you find this information useful.
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