Condition Info - BotMed Application

ConditionName

Chronic pancreatitis

ConditionDescription

Symptoms

Epigastric pain radiating to the back;
Pain gets worse when you eat or drink alcohol;
Diarrhea or oily stools; 
Nausea and vomiting;
Severe pain that may be constant or that comes back;
Weight loss;

PhysicalFindings

ClinicalTests

Amylase and lipase – mildly increase or normal;
Low fecal elastase – most specific and sensitive test;
CT scan with contract – 80-90% specific for calcification;
Vitamin D and A deficiency;

AB xRay (50-60% sensitive for calcification, very specific);

Secretin stimulation test – most accurate diagnostic test;

RiskFactors

Acute pancreatitis that damages your pancreatic ducts;
A blockage of the main pancreatic duct caused by cancer;
Autoimmune disorders;
Cystic fibrosis;
Hereditary diseases of the pancreas;
Smoking;
Alcoholism;

IsRedFlag

IsNPLEX

Consequence

ProgressionFromCondition

Associated with pancreatic insufficiency.
High triglyceride level;

TreatmentOptions

Stop alcohol;
Stop smoking;
Enzyme replacement; 
Small, low fat meals;
Surgical repair of ductal damage;

PharmOptions

Opioids;

WebLink

https://www.merckmanuals.com/en-ca/professional/gastrointestinal-disorders/pancreatitis/chronic-pancreatitis