Hello - thanks for asking your question.
To answer your questions:
1) Glucose intolerance occurs with some frequency in chronic pancreatitis, but overt diabetes mellitus usually only occurs late in the course of disease.
2) Chronic pancreatitis may be associated with a variety of complications. The most common are pseudocyst formation and mechanical obstruction of the duodenum and common bile duct; less frequent complications include pancreatic ascites or pleural effusion, splenic vein thrombosis with portal hypertension, and pseudoaneurysm formation, particularly of the splenic artery. There may be an associated with pancreatic cancer.
3) Here are some relevant links:
NIDDK - Chronic Pancreatitis
Medline Plus - Chronic Pancreatitis
Pancreas.org - Chronic Pancreatitis
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
So glad you posted your question! Would you mind emailing me to discuss some of your symptoms, especially the one dealing with the pain you mentioned that involves your back? I have all the same problems you mentioned and I keep telling my gastro that there has to be something else causing my problem, but he keeps telling me to eat more fiber, walk, and drink more water. I was doing all of that prior to my last little complication.
How do I get my doctor to investigate something when he is absolutely convinced that it is as cut and dry as IBS, a huge Hiatal hernia, excess acid production, and my liver blood work comes back 'fine?'
Also, I would like to know about the 'secretin test' also.
Thanks for any help you may be willing to offer.
When a physician you are seeing becomes locked into one way of looking at your situation, and that perspective doesn't comport with your experience, or common sense, it's time to get another opinion.
I had two different GI doctors tell me that the excruciating, disabling pain, unlike any pain I'd ever had before, that occured every single day, 2-3 hours after every meal, and that began literally the day after I had my gall bladder removed, was "stress." When I asked why my stress level would change so dramatically in only one day, they just shrugged.
A third doctor at a major medical center who wasn't locked into one way of looking at the problem had a different idea that has helped a lot.
My doctor has been suspecting chronic pancreatitis as the cause of my pain. However, when I recently had my amylase test done it came in at 30. Is this within the normal range? She doesn't seem too sure about it. She told me normal is 30-150. I am living with constant pain in behind my sternum and it radiates into my back.
First off, when did this site become a pay site? I read where it might be, but to post a question is now 15.00. I had no idea it changed. I knew the Dr.s personal page was a pay site.
Second, has anyone on here that has been diagnosed with any form of Pancreatitis taken any diet suppliments? I have Idiopathic Severe Chronic Pancreatitis. I want to lose some weight and excersizing alone is not doing it due to the meds I take.
I am not sure if your comment about the gastroparesis diagnosis was meant to mean that it was correct or not? If you do have it,
there is a medication that might also help your other symptoms. It is called domperidone. I have to order it from outside the US, because it is not sold here. However, it is a wonderful medication, and I have taken it for awhile now with good results. It helps the stomach to empty better, and helps with things like nausea, bloating, etc. I would imagine that is why you are taking the erythromycin, that is another med used to treat gastroparesis. If it is NOT working for you, ask your doctor about trying the domperidone. You may want to consider seeing a gastric motility specialist, as it can be a complex disorder, especially for someone like yourself. I have been helped a lot by joining an online support group for gastroparesis through Yahoo. Also, diet is important in treating gastroparesis. Low fat, low fiber. Those are hard for the stomach to digest. Let me know if you need more info.