Our Gastroenterology Blog
Posts for: June, 2019
The pancreas is an organ that we don’t often give much thought to and yet it’s quite important. After all, it is responsible for releasing digestive enzymes into the small intestines to help with digestion. It is also instrumental in releasing both insulin and glucagon into the blood, which influences metabolism and determines how effectively the body turns food into energy; however, certain lifestyle choices and health problems could lead to an attack of pancreatitis.
What is pancreatitis?
This condition is rather rare and occurs when the pancreas is inflamed. In most cases, this condition is acute and can be treated; however, sometimes it can become chronic. Damage to the pancreas will occur if the digestive enzymes are activated before the reach the intestines, causing the enzymes to destroy the pancreas.
What are the symptoms of pancreatitis?
Acute pancreatitis often causes upper abdominal pain that may get worse after eating and may radiate to your back. Your abdomen may be tender to the touch and you may feel nausea. Sometimes these symptoms are accompanied by a fever and rapid pulse.
Those who have chronic pancreatitis will notice the same abdominal pain that’s present in acute cases, as well as oily stools (known as steatorrhea) and unintended weight loss. If you are dealing with any kind of persistent abdominal pain it’s important to schedule an appointment with your gastroenterologist. If the pain is severe or makes it difficult to stand up straight, you need immediate medical attention.
Of course, there are many conditions and injuries that can lead to upper abdominal pain, so it’s important that you consult your doctor as soon as possible. If it is pancreatitis, this will often require hospitalization, so this requires immediate medical attention.
What causes pancreatitis?
There are certain conditions and habits that can increase your likelihood for developing pancreatitis including:
- Cystic fibrosis
- High calcium levels (usually occurs in those with hyperparathyroidism)
- High triglyceride levels
- Abdominal surgery
- Pancreatic cancer
Sometimes the cause of pancreatitis is unknown. However, it is possible for this condition to lead to more serious complications such as an infection, diabetes or kidney failure if it isn’t properly treated.
How is pancreatitis treated?
As we mentioned above, most people with pancreatitis will need to be hospitalized. During hospitalization, the treatment plan will include:
- Fasting for a couple of days (this will help your pancreas recover)
- Pain medications
- IV fluids
Once we have addressed your condition, we will then try to find the root cause. Based on the cause we may recommend additional treatment or surgeries including:
- Surgery to remove obstructions of the bile duct
- Pancreas surgery to drain fluid and remove diseased tissue
- Gallbladder removal (if gallstones caused your pancreatitis)
- Quitting alcohol or finding an alcohol treatment program
If you are dealing with unexplained abdominal pain or other digestive problems it’s important that you turn to a gastroenterologist who can figure out what’s going on. Call to schedule an appointment today.
When people experience frequent bouts of flatulence, abdominal bloating, cramps, and diarrhea, it's disconcerting and sometimes unpredictable. Your gastroenterologist may review your symptoms and do some in-office testing to determine if you have lactose intolerance. It's a common GI condition in which the body produces the lactase enzyme in insufficient amounts. Fortunately, the teens and adults who develop it can manage the symptoms and feel good.
The details on lactose intolerance
The digestive enzyme, lactase, is produced in the small intestine. When it encounters lactose, the carbohydrate in dairy products such as milk and ice cream, it breaks down the sugar into a highly usable form. If, however, lactase is insufficient, the milk sugars will cause those uncomfortable GI symptoms within a half an hour or so.
While cheese and yogurt also are dairy products, they go through a fermentation process which limits their lactose content. As such, people who are lactose intolerant can consume these dairy items comfortably, says Genetics Home Reference.
Besides happening in young adulthood, lactose intolerance seems to run in families, particularly if as infants, individuals appeared unable to digest breast milk or formula properly. Additionally, some research shows this gastrointestinal problem may occur after an abdominal injury, reports John Hopkins Medicine.
Diagnosing and managing lactose intolerance
Your gastroenterologist will review your symptoms, their severity and timing. Also, he or she may run a lactose intolerance test in which you consume a liquid with high levels of lactose. Through the course of two hours, the doctor measures your blood sugar levels. High readings indicate lactose intolerance.
In addition, a hydrogen breath test pinpoints lactose intolerance. For babies and young children, a stool acidity test uncovers this common GI disorder.
To manage lactose intolerance, your doctor will recommend some diet modifications, such as eliminating as much dairy as possible. Checking food labels for dairy content helps, as well as switching to almond or soy milk and taking supplements such as Lactaid which boost lactase levels in the gut.
See your gastroenterologist
Your GI doctor wants you to have healthy digestion and a varied diet. Be sure to see him or her right away if you experience symptoms of lactose intolerance so you can feel your very best.