The question of what would cause the prominence or fullness of the tail of the pancreas is one that you should direct to your doc. It can be caused by pancreatitis, but it can also be due to other issues and would have to be investigated more fully by a variety of tests. The final impression would have to be given by your doc.
Pancreatitis can become an on-going problem, unfortunately. But I'm wondering if problems could be continuing due to some left-over stones or sludge from the now-gone gallbladder. I know that stones would show up with the MRCP in most cases, but it's possible that you might have some residual sludge that escaped during the surgery and it lodged, causing on-going irritation and problems? Have you discussed that with your doc? To my knowledge, the only way to know would be via ERCP with manometry. They would essentially be looking for a sphincter of Oddi dysfunction (SOD). In that condition, the sphincter or the common bile duct spasms and when that happens, both bile and pancreatic fluids back up causing problems.
With the ERCP they would also be able to hopefully look at the pancreatic duct and stent it, if necessary.
Almost forgot - if your doc hasn't suggested a diet change and enzyme supplements, you may want to discuss that, also.
i too have mildly elevated amylase. at times left sided pain more like in the rib area on the side. i've had ct scan which was normal. when i had my gallbladder out 2yrs ago my amylase was at the same elevation. it ranges from 200 -300. my lipase is always normal. i've had no stool changes except for occasional yellow diarrhea which has been an issue ever since i had my gallbladder out. my next step is ercp but my doc & i have held off because my pain basically disappeared. now it comes and goes...it's really not pain just kind of an ache from time to time. my doc told me that some people have problems with sludge & stones well after they take out your gallbladder you can develop them. i've noticed when my diet is bad ie fatty then it bothers me...if i stay stick with healthier meals & avoid alcohol then no problems. my doc suggested SOD. anywho, just know that there is someone out there with the same thing. it's scary...i know but this site is a wonderful help. and CalGal is GREAT!
Hi, ok2531, I need your help. I am facing a similar problem than you. I am 27 years old and I had gallbladder problems a year ago, I had an elevation of amylase to 143 then and they removed my gallbladder, though since then, I had 2 CTs saying that my pancreas was inflamated. I have pain on my left side, exactlly as the one you are describing, but the doctor after 6 months ordered a CT and a MRCP and they showed normal. Though the days it hurts is bad, I would like please to talk with you. I would like please to ask for your advice. Could you write to my email ***@**** with your phone number. Please if you would allow me to talk with you. Thanks so much, blessings for you.
It sounds like pancreatitis and could possibly be in the chronic form. My suggestion would be to find a good GI doctor who really works with pancreatitis patients.
hello to all, i am 27 years old, athletic ,i have some pain in the pancreas. it feels almost like a muscle pain but i can tell it isnt, because its almost like an inflamation from with in the rib cage on the RIGHT BACK SIDE. the symptoms come and go maybe 3 to 4 times a month and last no more than 20 minutes. most of the time is when i eat, lay, or rest on my back. i have looked to try to find out what could be wrong but i dont see anyone with the same symptoms on the right back side. please comment on suggestions.
I severe back pain and had a CT scan. It showed a Kidney stone between the kidney and bladder. When I returned home the ER doctor called to tell me that he should have told me that the CT scan also showed a prominent pancreas tail. Is this a cause for alarm ?
Sorry, I'm not a doctor, but facing similar worries even though I've had investigations done. Just wanted to ask if severe back pain was your ONLY symptom or was there other stuff going on? Was the pain, lower, mid or upper back?
Worry has got to be worst disease!
Hi Fred, I have had no other symptoms. I woke up Christmas Eve with a little pain and within an hour I was on my way to the ER. The only pain I had was to the kidney area. The CT scan showed a stone lodged between the kidney and the bladder. I was shocked when the ER doctor called after we returned home and told be about something else that was read on the CT. Being the prominent Pancreatic Tail.
That must have been a shock for you. But sometimes these "incidental" findings tend to cause more worry than their warrant. I guess that's the downside of modern diagnostic methods. There are probably thousands of people walking around with congenital abnormalities in various organs of their bodies without ever experiencing any adverse health effects. I was similarly shocked when a precautionary mri scan of my head showed up a small brain tumor. Possibly there since birth, possibly not. Who knows. But now that I KNOW it's there it's a worry. Even if the brain surgeon says it isn't!
You don't have any symptoms of billiary or pancreatic problems so don't obsess about it. If your physician thinks it needs further study then he/she will tell you about it. Just so you know, the "gold standard" for pancreatic imaging is the Endoscopic Ultrasound. I had one done just before Christmas after gastric problems aroused suspicion of my pancreas. Thankfully, nothing was found. But my problems continue. Don't know what comes next and frankly I've even given up caring. I've got a life to live!
Good luck and have a healthy new year.
Hi everyone just want to let you know that I had this mildly prominent pancreas problem too,and I know that I will live with it,but the bad thing that ever happen to me is"one day" I was driving about 10 miles from home when I felt my belly stared to roll and I know I got to go,so I started to drive faster and my eyes started to run water. I could not help but to shiit on myself. Dear Doctor I'm so scared to drive 20 miles when I remember what had happened. Please help me because now the Doctor is laughing at me like it's funny and telling me that I might have Bipolar when he is a MD. who specialize in GI.