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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pain With Nausea And Variations In Bowel Movement?

I am a 40 year old female with diabetes and a history of gastric ulcers and chronic pancreatitis. I have been experiancing severe abdominal pain lasting for over 2 weeks. I have been severely nauseated but have not thrown up. Nasea is worse when I am laying down. The pain tends to go straight into my back. I have also been experiencing severe gas as well as alternating bouts of constipation and diarhea. The pain is constant but tends to become worse after eating or drinking. I had emergency surgery on my pancreas 5 years ago. I have a strong family history of various types of cancer. My physician tends not to acknowledge my problem when I tell him or takes routine blood an urine that comes up negative for infections< although my last urine sample did reveal small trace of protien. Any suggestions what may be causing this?
Mon, 14 Jul 2014
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Gone through your history.
Since you are a known patient of pancreatitis, ulcers and diabetes with a history of surgery on pancreas, the probable reason for your symptoms is pancreatitis.
I would suggest the following:
Contrast enhanced CT scan / MRCP to see the present-day condition of the pancreas and related structures .
Start taking or increase the dose of pancreatic enzyme supplements.
ERCP will help delineating the cause and may help by stenting the pancreatic duct to alleviate your symptoms.
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What Causes Abdominal Pain With Nausea And Variations In Bowel Movement?

Hi. Thanks for your query. Gone through your history. Since you are a known patient of pancreatitis, ulcers and diabetes with a history of surgery on pancreas, the probable reason for your symptoms is pancreatitis. I would suggest the following: Contrast enhanced CT scan / MRCP to see the present-day condition of the pancreas and related structures . Start taking or increase the dose of pancreatic enzyme supplements. ERCP will help delineating the cause and may help by stenting the pancreatic duct to alleviate your symptoms.