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I Have A Problem Of Pancreatitis With Liver Problems And Presence Of Gallbladder Sludge For Last 2.5 Yrs
Posted on
Sun, 26 Jul 2020
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sun, 26 Jul 2020
Answered on
Wed, 6 Aug 2025
Last reviewed on
Question : Hi doc
I have a problem of pancreatitis with liver problems and presence of gallbladder sludge for last 2.5 yrs .last one year I had totally stop alcohol.
Now pancreatic enzymes is in normal range.SGPT 174, SGOT 96. Alkaline phosphatase fluctuating every 15 days(1600-340-1200).i have lost 12 kg body weight in last XXXXXXX to February.
Now the problem is....
1.Yellowing of urine if iam not taking water for just 45 min
2.***Itching (not limited to one area; worse at night or in warm weather)
3.Fatigue
4.Weight loss (now stable)
5.Back pain start especially in the left side on the back rib cage ( when I sit for 30 minutes without support)
6.duodenitis but stool ok
7.High appetite
8.Diabetic
9.Sexually disable totally.
10.no fatty liver now
I am taking heptral 400,ursetor 300(starts from last 2 days),heptagon,creon 25000,carnisure plus
Please advise quickly
I have a problem of pancreatitis with liver problems and presence of gallbladder sludge for last 2.5 yrs .last one year I had totally stop alcohol.
Now pancreatic enzymes is in normal range.SGPT 174, SGOT 96. Alkaline phosphatase fluctuating every 15 days(1600-340-1200).i have lost 12 kg body weight in last XXXXXXX to February.
Now the problem is....
1.Yellowing of urine if iam not taking water for just 45 min
2.***Itching (not limited to one area; worse at night or in warm weather)
3.Fatigue
4.Weight loss (now stable)
5.Back pain start especially in the left side on the back rib cage ( when I sit for 30 minutes without support)
6.duodenitis but stool ok
7.High appetite
8.Diabetic
9.Sexually disable totally.
10.no fatty liver now
I am taking heptral 400,ursetor 300(starts from last 2 days),heptagon,creon 25000,carnisure plus
Please advise quickly
Brief Answer:
Need more information
Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
Was CT scan of abdomen done?
Can you upload the most recent scan report?
Need more information
Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
Was CT scan of abdomen done?
Can you upload the most recent scan report?
Above answer was peer-reviewed by :
Dr. Kampana
Please reply
Brief Answer:
Answer given below
Detailed Answer:
Hi,
Thanks for uploading the CT scan report.
You have features of acute on chronic pancreatitis.
And you have obstructive jaundice which has occurred as a complication of pancreatitis.
This obstructive is what is causing symptoms like yellow urine, itching etc and also the abnormal liver function test. This obstruction has to be relieved for which a procedure called ERCP has to be done and a stent has to be placed in common bile duct.
The other steps include finding the cause for this pancreatitis. Gallstones and alcohol intake are the two common causes of pancreatitis. Good that you have stopped drinking alcohol. Your scan is showing gallstones/sludge which can lead to pancreatitis. So gallbladder has to be removed.
Autoimmune pancreatitis should also be ruled out as this is one of the types of pancreatitis that causes obstructive jaundice. Endoscopic ultrasound and a biopsy from pancreas and serum IgG4 tests are to be done.
You need to consult a Gastroenterologist for the above mentioned procedures and tests.
Regards,
Dr.R.K.
Answer given below
Detailed Answer:
Hi,
Thanks for uploading the CT scan report.
You have features of acute on chronic pancreatitis.
And you have obstructive jaundice which has occurred as a complication of pancreatitis.
This obstructive is what is causing symptoms like yellow urine, itching etc and also the abnormal liver function test. This obstruction has to be relieved for which a procedure called ERCP has to be done and a stent has to be placed in common bile duct.
The other steps include finding the cause for this pancreatitis. Gallstones and alcohol intake are the two common causes of pancreatitis. Good that you have stopped drinking alcohol. Your scan is showing gallstones/sludge which can lead to pancreatitis. So gallbladder has to be removed.
Autoimmune pancreatitis should also be ruled out as this is one of the types of pancreatitis that causes obstructive jaundice. Endoscopic ultrasound and a biopsy from pancreas and serum IgG4 tests are to be done.
You need to consult a Gastroenterologist for the above mentioned procedures and tests.
Regards,
Dr.R.K.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Answer given below
Detailed Answer:
Hi,
Thanks for uploading the CT scan report.
You have features of acute on chronic pancreatitis.
And you have obstructive jaundice which has occurred as a complication of pancreatitis.
This obstructive is what is causing symptoms like yellow urine, itching etc and also the abnormal liver function test. This obstruction has to be relieved for which a procedure called ERCP has to be done and a stent has to be placed in common bile duct.
The other steps include finding the cause for this pancreatitis. Gallstones and alcohol intake are the two common causes of pancreatitis. Good that you have stopped drinking alcohol. Your scan is showing gallstones/sludge which can lead to pancreatitis. So gallbladder has to be removed.
Autoimmune pancreatitis should also be ruled out as this is one of the types of pancreatitis that causes obstructive jaundice. Endoscopic ultrasound and a biopsy from pancreas and serum IgG4 tests are to be done.
You need to consult a Gastroenterologist for the above mentioned procedures and tests.
Regards,
Dr.R.K.
Answer given below
Detailed Answer:
Hi,
Thanks for uploading the CT scan report.
You have features of acute on chronic pancreatitis.
And you have obstructive jaundice which has occurred as a complication of pancreatitis.
This obstructive is what is causing symptoms like yellow urine, itching etc and also the abnormal liver function test. This obstruction has to be relieved for which a procedure called ERCP has to be done and a stent has to be placed in common bile duct.
The other steps include finding the cause for this pancreatitis. Gallstones and alcohol intake are the two common causes of pancreatitis. Good that you have stopped drinking alcohol. Your scan is showing gallstones/sludge which can lead to pancreatitis. So gallbladder has to be removed.
Autoimmune pancreatitis should also be ruled out as this is one of the types of pancreatitis that causes obstructive jaundice. Endoscopic ultrasound and a biopsy from pancreas and serum IgG4 tests are to be done.
You need to consult a Gastroenterologist for the above mentioned procedures and tests.
Regards,
Dr.R.K.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
In this covid pandemic I cannot meet my doctor.so the medicine which I am consuming is that ok or not please advise .names of the medicines are listed above.
In this covid pandemic I cannot meet my doctor.so the medicine which I am consuming is that ok or not please advise .names of the medicines are listed above.
Brief Answer:
Answer given below
Detailed Answer:
Hi,
Those medicines are not enough.
You need to consult a Gastroenterologist.
Regards,
Dr.R.K.
Answer given below
Detailed Answer:
Hi,
Those medicines are not enough.
You need to consult a Gastroenterologist.
Regards,
Dr.R.K.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Answer given below
Detailed Answer:
Hi,
Those medicines are not enough.
You need to consult a Gastroenterologist.
Regards,
Dr.R.K.
Answer given below
Detailed Answer:
Hi,
Those medicines are not enough.
You need to consult a Gastroenterologist.
Regards,
Dr.R.K.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir as you are a renowned gastroenterologist please suggest proper treatment to me.I live in a rural area in West Bengal.so it is impossible to me to meet any gastroenterologist in this covid 19 situation
Sir as you are a renowned gastroenterologist please suggest proper treatment to me.I live in a rural area in West Bengal.so it is impossible to me to meet any gastroenterologist in this covid 19 situation
Brief Answer:
Answer given below
Detailed Answer:
Hi,
You can consult Dr XXXXXXX Goenka, Gastroenterologist at Apollo Gleneagles Hospital at XXXXXXX He will guide you properly.
Regards,
Dr.R.K.
Answer given below
Detailed Answer:
Hi,
You can consult Dr XXXXXXX Goenka, Gastroenterologist at Apollo Gleneagles Hospital at XXXXXXX He will guide you properly.
Regards,
Dr.R.K.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Answer given below
Detailed Answer:
Hi,
You can consult Dr XXXXXXX Goenka, Gastroenterologist at Apollo Gleneagles Hospital at XXXXXXX He will guide you properly.
Regards,
Dr.R.K.
Answer given below
Detailed Answer:
Hi,
You can consult Dr XXXXXXX Goenka, Gastroenterologist at Apollo Gleneagles Hospital at XXXXXXX He will guide you properly.
Regards,
Dr.R.K.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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