Question: Hello, I was diagnosed with invasive lobular carcinoma, stage 1b, and had surgery and reconstruction last year but no chemo or radiation...surgery 12 months ago. I had pancreatitis last April. My gastroenterologist had been monitoring my lipase periodically and it never went down to normal but was 'stable' in the 80s. I had severe abdominal pain one night a few weeks ago, 10 out of 10, but the severe pain only lasted about 30 minutes (put an ice pack on) and I did not have nausea or vomiting. It takes a lot to make me feel nauseous or vomit. Since that time I have had near constant epigastric pain, though not severe, just an annoying ache which occasionally radiates to my back, and I have a cough at times and terrible fatigue..I just don't feel really well ever. My primary care doctor checked my lipase three weeks ago after the nighttime episode of pain and it was 85. I had my regular GYN checkup four days ago and my lipase was 585. I had much imaging last year and all was normal except finally on a endoscopic ultrasound some small stones were seen in my gallbladder so I had my gallbladder removed in November. My liver function tests are occasionally a bit high but they are normal now. All other labs are normal. I know you cannot diagnose by email, but any advice or thoughts please? I have a GI appointment but not for several days. Thank you.