Would It Be Sufficient To Get The MRCP In 3t Machine Without Contrast ?

Brief Answer:
Follow up.

Detailed Answer:
Hello and thank you for follow up dear and hope you are doing fine now,
See in your case the MAIN reason to do MRCP is to rule out possibility of any pathology related to pancreas as tumor marker was elevated earlier.
Usually a plain MRCP is enough and traditional contrast XXXXXXX Gadolinium is used only in case some anomaly comes out/suspected in plain MRI scan. Gadolinium is a chemical agent and kidney function test have to be checked before injecting it as it is excreted by kidney however in your case(going by presentation,symptoms at present and return back of marker to normal limits I don't think contrast MRI is required).

However now a days secretin-stimulated MRCP is done instead of plain/contrast enhanced MRCP.
Secretin is a hormone produced in body and is not a chemical agent.

Benefits of using secretin over plain MRI are-
secretin causes exocrine secretion of the pancreas, dilating the pancreatic duct and improving its visualization many folds.
​It can detect even the most minor characterization of pancreatic duct anomalies or strictures
characterizing communications between the pancreatic duct and pseudocysts/fistulas
characterizing pancreatic and sphincter of Oddi dysfunction .
However in your case a plain MRI is sufficient but in case you want to shut this case and throw any thoughts related to pancreatic pathology/Hepato-biliary problem go for secretin based MRCP for a complete mental relaxation/satisfaction(specially if insurance covers your cost).
I think you are an anxious person and mental satisfaction is the key to treatment in such patients.
Along with yoga...practice Yoga nindra also...Have home cooked veg food for few weeks and take prizolec and Metochopramide for 2 weeks as suggested earlier.
You would start feeling difference in a week.
Before going to bed take a natural milk based supplement called LACTIUM(Just to calm down your mind).By mind I mean autonomous nerves which are not in our control....Deep breathing exercises,Yoga NIDRA and LACTIUM would help you with that.

Consider your body as a assembled machine.If one component has a problem the machine would start developing more and more problems.So treatment of root cause is essential(which usually doctor never do these days as it requires lots of time).
If you would study various literature most common caused of GERD /Associated problem is not your stomach rather over stimulated sympathetic nervous system.
We have two type of nervous systems in our brain-
1)Which we can control
2)Which is automatic-It is further divided in two parts Sympathetic and parasympathetic.
When Sympathetic signals increases nerves remain overstimulated and constant signals are received by gut and other muscles causing secretion of acid in excess and it's regurgitation back into esophagus.
Sorry for long answer but I think as a Doctor I should explain things in details to you my dear patient.
Feel free to ask any doubt whenever you have.
Follow the medicines and other suggestions and you would soon start feeling much better.
And don't panic your MRCP results would be normal.
Thank you!

---

Brief Answer:
Follow up.

Detailed Answer:
Hello and thank you for follow up dear and hope you are doing fine now,
See in your case the MAIN reason to do MRCP is to rule out possibility of any pathology related to pancreas as tumor marker was elevated earlier.
Usually a plain MRCP is enough and traditional contrast XXXXXXX Gadolinium is used only in case some anomaly comes out/suspected in plain MRI scan. Gadolinium is a chemical agent and kidney function test have to be checked before injecting it as it is excreted by kidney however in your case(going by presentation,symptoms at present and return back of marker to normal limits I don't think contrast MRI is required).

However now a days secretin-stimulated MRCP is done instead of plain/contrast enhanced MRCP.
Secretin is a hormone produced in body and is not a chemical agent.

Benefits of using secretin over plain MRI are-
secretin causes exocrine secretion of the pancreas, dilating the pancreatic duct and improving its visualization many folds.
​It can detect even the most minor characterization of pancreatic duct anomalies or strictures
characterizing communications between the pancreatic duct and pseudocysts/fistulas
characterizing pancreatic and sphincter of Oddi dysfunction .
However in your case a plain MRI is sufficient but in case you want to shut this case and throw any thoughts related to pancreatic pathology/Hepato-biliary problem go for secretin based MRCP for a complete mental relaxation/satisfaction(specially if insurance covers your cost).
I think you are an anxious person and mental satisfaction is the key to treatment in such patients.
Along with yoga...practice Yoga nindra also...Have home cooked veg food for few weeks and take prizolec and Metochopramide for 2 weeks as suggested earlier.
You would start feeling difference in a week.
Before going to bed take a natural milk based supplement called LACTIUM(Just to calm down your mind).By mind I mean autonomous nerves which are not in our control....Deep breathing exercises,Yoga NIDRA and LACTIUM would help you with that.

Consider your body as a assembled machine.If one component has a problem the machine would start developing more and more problems.So treatment of root cause is essential(which usually doctor never do these days as it requires lots of time).
If you would study various literature most common caused of GERD /Associated problem is not your stomach rather over stimulated sympathetic nervous system.
We have two type of nervous systems in our brain-
1)Which we can control
2)Which is automatic-It is further divided in two parts Sympathetic and parasympathetic.
When Sympathetic signals increases nerves remain overstimulated and constant signals are received by gut and other muscles causing secretion of acid in excess and it's regurgitation back into esophagus.
Sorry for long answer but I think as a Doctor I should explain things in details to you my dear patient.
Feel free to ask any doubt whenever you have.
Follow the medicines and other suggestions and you would soon start feeling much better.
And don't panic your MRCP results would be normal.
Thank you!

---

Brief Answer:
Follow up.

Detailed Answer:
Thank you and get well soon.
Do rate the answer if you find it helpful.
Every thing would be fine soon take my words.
May God bless you.
Regards!

---

Brief Answer:
Follow up.

Detailed Answer:
Thank you and get well soon.
Do rate the answer if you find it helpful.
Every thing would be fine soon take my words.
May God bless you.
Regards!

---

Brief Answer:
Follow up.

Detailed Answer:
Hello XXXXXXX
Golden rule of medical science is that rare things do occur but they occur rarely.
Therefore when ever we suspect a big diagnosis like Pancreatic cancer and all and that too in a patient who falls in a low risk category it is always advisable to repeat the test from a different lab on the very same day(when levels came high on first visit).If results from both labs more or less tally then we proceed further.
Now in your case that thing was not done but fortunately the second test done after a particular time though from a different lab shows that tumor marker level is normal at present.
Ideally it should be repeated at the same laboratory from which the first test was done but as levels in seconds lab has returned back to normal(whatever technology they may use but a raised level would be reflected in test done by any technology).
So my answer is that if levels have not returned back to normal then a second recheck could have been repeated from your initial lab. However if you feel anxious/tense and cost is not an issue you could give sample at the first lab(which showed raised level earlier).
However MRCP would make things clear.
So final call is yours for mental satisfaction you could get the test repeated at the initial lab;However test done by any technology would detect levels(if they are abnormal..Slight variation could be there but not significant).
It's a pleasure answering you so please feel free to ask any thing any time you want. I am more then happy to help you.So please don't hesitate you could ask any doubt you have and I would be more then happy to clear them.
Thank you and regards!

---

Brief Answer:
Follow up.

Detailed Answer:
Hello XXXXXXX
Golden rule of medical science is that rare things do occur but they occur rarely.
Therefore when ever we suspect a big diagnosis like Pancreatic cancer and all and that too in a patient who falls in a low risk category it is always advisable to repeat the test from a different lab on the very same day(when levels came high on first visit).If results from both labs more or less tally then we proceed further.
Now in your case that thing was not done but fortunately the second test done after a particular time though from a different lab shows that tumor marker level is normal at present.
Ideally it should be repeated at the same laboratory from which the first test was done but as levels in seconds lab has returned back to normal(whatever technology they may use but a raised level would be reflected in test done by any technology).
So my answer is that if levels have not returned back to normal then a second recheck could have been repeated from your initial lab. However if you feel anxious/tense and cost is not an issue you could give sample at the first lab(which showed raised level earlier).
However MRCP would make things clear.
So final call is yours for mental satisfaction you could get the test repeated at the initial lab;However test done by any technology would detect levels(if they are abnormal..Slight variation could be there but not significant).
It's a pleasure answering you so please feel free to ask any thing any time you want. I am more then happy to help you.So please don't hesitate you could ask any doubt you have and I would be more then happy to clear them.
Thank you and regards!

---

Brief Answer:
Follow up.

Detailed Answer:
Thank you for appreciation and kind words dear.
Regards and Best of luck and yes you can clear any doubt any time.
Thank you and may God bless you.

---

Brief Answer:
Follow up.

Detailed Answer:
Thank you for appreciation and kind words dear.
Regards and Best of luck and yes you can clear any doubt any time.
Thank you and may God bless you.

---