Gastroenterologist, Gastroenterology Journal

Question: I'm 48 years old, was treated in hospital for 21 days, doctors say that all tests are good, prokapali antrikal. Medicines omez, dyuspatalin, motillium. But pain is not prekraschyayutsya, pain in the left side gives in the back, severe dizziness, often changing the pressure, the lower is high, now take Creon 10. 000 does not improve. What do I do? What else can you get a survey?

Answer: When pain syndrome as result of acute pancreatitis helps octreotide.

Question: I was treated by a gynecologist, was first appointed Doxycycline, I cut, after the prescribed trihopol, and now I have a sour taste and dryness of the mouth, I have xp. holitsistit, and how to get rid of that taste in your mouth?

Answer: It will pass. This from trihopola. You should always carefully read the instructions.

Question: doctor! QUESTION: In 2000. Gall bladder removed RETSIDIVIRUSCHY Pancreatitis DEVELOP SMALL SUGAR OF 6 A0 9, cholangitis, bile stagnate in the channel Nausea Stomach PAIN AROUND THE NOT YET STRONG LIVE IN ONE PILL IS Hollin PENZINTAL Creon Wobenzym GEPABENE ETC have been out THREE YEARS TO PLEASE OTVETTE DISEASES THAT MAKES DISABILITY? Is there another LEKARSVA that would help?

Answer: regulations on examination of disability do not have. Features medicinal (and surgical) treatment of biliary pancreatitis, probably not yet exhausted. It is possible, for example, that need to ERCP diagnostic or even therapeutic purposes.

Question: I gave birth six months ago. then a month later fell ill with stomach, passed various tests, made gastroscopy, put pancreatitis. gastroscopy showed accumulation of bile in the stomach, gastric prescribed tea. tests – blood and urine amylase is slightly higher sugar 3,6. is small inflammatory process – increased white blood cells and red blood cells. ultrasound showed everything is fine, only small echogenic inclusion in the tail. accumulated fluid in the uterus, about 10ml. I feed the baby, so of all the medicines I protivopakazano – keep a diet and drink brusniver. please tell me how long it will last, how much is dangerous. I happen periodically pain when moved away from the diet. very worried. thanks

Answer: I do not think that this is pancreatitis. So, what can handle dietary measures, with time will pass. Brusniver (lingonberry leaves 50%, St. John's wort grass 20%, succession Trifid grass 10%, rose fruit 20%) actually can also be attributed to clinical nutrition. Strictly speaking, this is not "Gastroenterological" means.

Question: please'll show that you can drink during exacerbation of chronic pancreatitis in pregnancy (pain in the left hypochondrium, nausea)? Period 6 weeks. And yet, if you have any data on the negative effects on the fetus medication Omez? I did not know that she is pregnant and took the medication. Then in the annotation read that it is contraindicated in pregnancy, is very excited. Thank you.

Answer: Be patient, if the pain does not interfere with sleep at night. Omez is not desirable because during pregnancy has not been investigated, the real harmful effects, not described.

Question: Brother of my husband was hospitalized on Jan. 3, 2008 The diagnosis of pancreatic necrosis (receive alcohol in large quantities). He is 26 years old. 16. 01. 08 – conducted an operation (insert any of the tube from the stomach and nose). On the trail. day occurred vnutreennee bleeding a day stopped the blood and in the evening possible. When we called the doctor in the evening, he said that the condition was extremely difficult, requires a lot of blood (for transfusion), and said such a phrase "The pancreas is divided right before our eyes, we do not know what to do." My question is: What can we expect? Is it possible death? And glad to whether that man can not live without a pancreas? Thanks in advance for the answer.

Answer: The course and outcome of pancreatic necrosis is unpredictable, even with fully adequate treatment.

Question: Dear Doctor! Again I am writing to you. My previous letter http://www. doktor. ru/qa/gastro/16425/qa. html? id = 83811 I am still concerned about pain, so I decided to write you in detail the studies that I passed. Esophagogastroduodenoscopy: Available held for the pharyngeal ring. The esophagus passes freely his pink mucosa, peristalsis can be traced, cardio closes completely. Prolabiruet gastric mucosa into the lumen of the esophagus. Mucous non-increase in the size of gastric hyperemic, puffiness. The folds of mucous react to insuffulyatsiyu. The angle of the stomach is not modified. Gatekeeper passes freely. Near-wall a lot of mucus. 12 duodenum to the descending branch of hyperemic. DGR. Conclusion: The endoscopic picture of moderate gastroduodenitis. Signs of failure of the cardia. Ultrasound: Liver: Left share is not increased by 6.0 (to 7.0) the right proportion is not increased by 11.3 (to 14.0) structure is homogeneous. Smooth contours. Gall bladder: size is not increased by 7.8 * 2.5. wall thickened. Contents: a thick sludge. Concretions no. In the place (not sure what exactly is written) bend. duotus holedohus 0,4 (up to 0,6) V-porta 1,0 (up to 1,2) V-cava inf 1,5 (up to 2.0). Pancreas: head is not enlarged 2.1 * 1.9 cm (up to 3.0), the body is not increased 1.8 cm (up to 2.0), the tail is 2.0 (up 2.8) contours smooth homogeneous structure, echogenicity normal. Spleen: dimensions, body and tail are not enlarged, the contours are smooth, homogeneous structure, echogenicity was normal. Kidneys: left normal, right, too, is normal, only the location-omitted. Conclusion: Chronic cholecystitis, right-handed nephrosis. Biochemistry, general analysis, as I wrote to you earlier – in the norm. Analyze three weeks. No more retake. Uzi is also three weeks ago did. But gastroscopy a few days ago. We accept omeprazole 20mg * 2 times daily before meals, Creon 10000 at the time of each meal, essliver forte * 3 times a day. Pain in my high in the epigastrium closer to the left ribs, but not under the costal arch (where the ribs end), but right where the ribs, high, 3-4 fingers down from the xiphoid process. At this level. Sometimes the feeling that even in the commends the left chest and between his shoulder blades to the spine. And also pain on the right, in the gall bladder, the deterioration and increasing pain on the right occur about once every 3-4 days, with the same diet, then feel less pain on the right, but the left and continues to hurt. Against the background of omeprazole treatment I felt better right away (pain decreased on the left) compared with what it was, but the end does not pass, as if stalled. And sometimes it becomes worse, then better again. But the pain always present. At night, no pain, in the morning, too, there is no bitterness in my mouth and there was never as heartburn (вобще've never been). Боль начинается иногда сразу после еды( это по утрам), а если уже болит( например в обед), то после еды немного стихает боль. And sometimes it hurts all the time, hardly changed throughout the day. The pain on the left seem oppressive, I want to pull a muscle in place of pain, it seems that this would become easier, as if the pressure is reduced. It's easier when sitting than when standing. When nervous worse of course. After all, he would do after a strong Stresa it all started. Stool is normal. Sometimes after eating boils violently, and starts running around the abdomen (rare) but the diarrhea or frequent stools anyway. Twist and passes. A couple of weeks ago I went early to church before this dyuspatalin drank and ate a few spoonfuls of porridge herculean water and did not take Creon thought, that almost nothing is eaten. Where then after an hour and a half I began to have pain, stronger than ever, as if pressed inward, shingles, but more to the left, I pull a muscle, but the truth, I was nervous, agitated. After that, the next day, early in the morning I went to skliflaboratorii blood and deposited on a-amylase, everything is OK-74, 0 norm (28-100). Not lose weight, appetite normal, if not nervous, height 173 weight 56 (always been a little reduced). I am 33 years old, do not smoke, do not drink alcohol for many years. Diet now have kept very strictly. As a child, often lying in hospitals over cholecystitis and diskenizii, then for a long time managed to avoid severe exacerbations. Previously, I often did tyubazhi when she felt that it becomes worse and I felt better. After tyubazhey pain went right and becomes very easy, but after tyubazhey a little sore on the left, then passed and I have not attached any importance. This time, I again tried to make tyubazh pain right after it went off immediately, but the pain on the left increased. 1) Tell me why, after pozhaluyysta tyubazhey increasing pain on the left and gives a stronger spine? This is the pancreas? And why she reacts to tyubazh? 2) tell me I have pancreatitis? 3) it is dangerous? 4) Should I hold tyubazh,? I put up, if it will benefit in the end. 5) If not, what would you advise me doctor that it all passed quickly? 6) What are the surveys I have yet to conduct or analysis? Soon probably lie in the hospital about endometritis, which never took place, despite the five-month treatment. Gynecologists are almost always prescribed antibiotics except trihopol me away bad happened even without exacerbation, which is now 7), please tell us trihopol injections do not harm the digestive tract? (If suddenly will nominate him again) And lastly, I read all of your recommendations that you wrote everything, but some references about the food I had for some reason I can not open my computer and redirects to the main page, so I ask you is what – can I eat apples, cookies and candy? Thank you in advance for your patience. Sincerely, Elena.

Answer: 1-2-3) is similar to the cramps pancreatic duct or common bile duct (called the sphincter of Oddi dysfunction of pancreatic type). 4) is not worth it, better just warmer. 5) of the enzyme is better to take a domestic pancreatin for 2 tab, and not during meals, and half an hour, plus antispasmodic some, such as Buscopan in 2 v. 6) do not have anything up until a gynecologist did not understand it. 7) trihopol w / no harm, although the metallic taste, cramps and nausea may occur at the time. Gingerbread and candy in the diet "5p" does not exclude, and apples – sour baked or mashed (without skin).

Question: doctor! I have already addressed to you on the site. Now I have "born" new issues. If you remember (even though millions of us), I wrote to you about RHPG, I removed the three stones. The fact that the stomach cramps are not. More worried after a meal and in a horizontal position. Frequent spazmirovaniya stomach unbearable. Gave me pariet 20mg, dyuspatalin and motillium. But improvement is not observed, although the operation had passed a half months. Why is one gone, and another came, and at least painful? Was tested: the level of amylase was decreased 85, and vice versa lipase rose from 65 to 85ed. What can be the reason? Why is this happening? It is dangerous? I look forward to your response, I just need it! Particularly worrying is the stomach! Thank you very much for such a right thing! Yours Tatyana

Answer: Continuing http://doktor. ru/qa/15613/qa. html? id = 84177. Apparently, repeat gastroscopy and consider, inter alia, the nipple area faterova. Sit still that diet 5p http://doktor. ru/qa/16265/qa. html? id = 59963.

Question: doctor. I am 36 years old. 5 years ago diagnosed with chronic pancreatitis, gastritis with low acidity. At first the pain was minor, only horizontally, vertically usually disappeared, the pain was in the dorsal region and in the left hypochondrium. When you receive a waiver of enzymes and alcohol were not full. Diets are not maintained regularly, drank alcohol, smoked, with time the pain became constant, the enzymes do not help, and in some cases with them even worse. Abandoned them completely. Helps camomile tea, 3 times a day instead of tea. Doctors say the same diet enzymes, but nothing changes. For 3 months I do not smoke, alcohol is very rare, and I think that would refuse to 100% because after a glass of beer pain torment week. And with the time began to notice that if a long time lying on his left side, then the pain hurts all day, as if there is a stalemate is formed. He began to sleep on his back and right side was better, but then again everything came back "full circle". I want to ask a range of studies needed to correctly diagnose all. Assign the right treatment and get rid of the pain. Pain "izela", became nervous. Is it possible to fully cure? Not believe it! that I will live with this for the rest of life, the more so because whole life ahead. I read that it is possible 100% cure of some sort nutraceutical according to the Chinese method. http://www. chinesemc. ru / pancreatit / If possible assess this method, if YOU met with him in his practice. Thank you.

Answer: This chronic pancreatitis – a very unpleasant disease. On the radical treatment is inappropriate to talk until completely refuse alcohol and tobacco. In principle, the same may be a serious examination (computed tomography, etc.) for subsequent invasive approach that can eliminate the pain. We can recommend courses of subcutaneous injections of octreotide. Effectively also spa treatment. Since these methods are not met.

Question: I nesolko questions pancreatitis. The fit (but small – moderate pain) was 12 days ago. Treatment was kontrikalom (5 days droppers) On the fourth day, the level of diastase in urine was 740. Today, however, again passed the analysis and the level was 520, this is a normal yavleninie (that level yet so increased) after 12 days of onset of illness? Pain went Somewhere to 8 day, but here is a small pain returned and to this day, I understand because of the fact that what is Neto or greater than the need to eat. Is this normal? (what pain may occur again after 12 days of treatment and diet) If you want to – then my vschzrast – 35 years (men)

Answer: Level of diastase increased only moderately, and it's natural. Diet must be followed in this disease a long time, several months about this: http://doktor. ru/qa/16265/qa. html? id = 59963.