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question on pancreatis
Apr 14, 2002

does pancreatis always cause pain? I've had amylase checked in the past which were normal (over a year ago)yet lately I've been having big time shortness of breath,excessive burping,elevated liver enzymes,(not severe) fatigue,and an occasional twinge of pain. Last exam didn't reveal any enlargement(3 weeks ago). Also could not having a gallbadder contribute to a more sensative liver and pancreas since they have to work harder? Lately if I eat anything unhealthy (like a piece of chocolate cake)I pay dearly the next day.Thank you

Response from Dr. Henry

The lipase level is more specific for pancreatitis. Usually there is pain with pancreatitis. If you are on treatment I would also consider lactic acidosis as a possibility. Gallbladder dysfunction can cause those symptoms. Have you had your gallbladder removed? If not, have you been evaluated for cholecysitis or for gallstones? If you have had your gallbladder removed some patients develop a modest intolerance to certain foods. KH



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