Talk:Pancreatitis

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ERCP a cause for pancreatitis?

Some one can explain me how ERCP can be a cause for pancreatitis?

Pancreatitis is a known uncommon complication of ERCP which occurs when the procedure causes either direct damage to the pancreas or if there is damage to the pancreatic duct causing blockage of pancreatic juices causing pancreatitis... Alex.tan 17:47, 25 May 2004 (UTC)[reply]

Pancreatitis

Is there anyway to treat chronic pancreatitis besides heavy medication? Should chronic pancreatitis cause so much pain that it hinders daily function? Will dieting help chronic pancreatitis? Is alcohol not the most common source of pancreatitis? It seems to be a common assumption.

Can birth control pills make the pancreas flair up?

How is pancreatic cancer not related to pancreatitis? MY EMAIL is mmeacham0007@hotmail.com Please explain. please could someone tell me how long you can be on morphine for because i have got chronic pancreatitis ?my email is lelthegirl@yahoo.co.uk please email me back with any information, Thanks Lel

A BIT OF AN ANSWER...

As someone who has suffered recurrent pancreatitis recently, I can tell you what my experience has taught me. I can tell you that when the pain gets too bad, I wouldn't want to do without a painkiller! Actually, Dilaudid works better than morphine for me, but everyone is different. (A nursing professor told my class once that pancreatitis should not be treated with morphine but I never could figure out why she said that.) I was able to catch an attack early once, though, so that I could avoid going to the emergency department by curling up in my bed, not eating for several hours, but drinking small sips of water occasionally so that I wouldn't get dehydrated. But recurrent pancreatitis is not the same thing as chronic pancreatitis, so this may not be very helpful to you. Dieting seems to be somewhat helping my pancreatitis (which is apparently caused by hypertryglyceridemia). Gallstones is the number one cause of acute pancreatitis. I believe that birth control pills can exacerbate pancreatitis, as I experienced severe symptoms the first time I tried taking them.

As for the morphine question, I believe that just like for anyone suffering from chronic pain, opioids can be taken on a daily basis with appropriate dosing under the supervision of a physician or nurse practitioner.Astrogirl7 03:44, 11 September 2007 (UTC)[reply]

Could someone clear this up?

The most common cause of acute pancreatitis is gallstones. Excessive alcohol use is often cited as the second most common cause of acute pancreatitis but in USA this is the most common one, but this is technically incorrect, as these patients invariably have enough destruction to their pancreatic parenchyma to be considered to have chronic pancreatitis, so it is more correct to say that these patients present with acute flare-ups of their chronic pancreatitis rather than acute pancreatitis.

This looks like a very bad edit made by someone with a contrasting opinion from the original author(s). Could someone please clear this up, it's confusing, and quite a run-on. I understand people want to be concise, but this whole introductory paragraph is awful. —The preceding unsigned comment was added by 76.0.238.197 (talk) 06:18, August 21, 2007 (UTC)

This is what it meant:

"The most common cause of acute pancreatitis is gallstones. The second most common cause of acute pancreatitis in the U.S.A. is excessive alcohol use; however, these seemingly acute attacks are best described as flare-ups of chronic pancreatitis." Astrogirl7 03:32, 11 September 2007 (UTC)[reply]

I have acute pancreatitis and usually receive demerol when I have an attack. Once they gave me morphine in the hospital and it made me sicker. I had diarrhea and vomited all through the night until my pancreas specialist arrived and told them they are NOT supposed to give morphine for pancreatitis and they switched me to demerol. Hope this helps.. —Preceding unsigned comment added by 74.138.185.0 (talk) 00:17, 29 June 2008 (UTC)[reply]

In all of My medical treatments, morphine is the current choice for any issues of pancreas, liver and/or kidney pain. Demorol can cause severe complications from its toxic concentrations. Kidney failure is one. the above info appears to be in direct opposition to the body of the original article, "Provision of pain relief. In the past this was done preferentially with meperidine(Demerol), but it is now not thought to be superior to any narcotic analgesic. Indeed, given meperidine's generally poor analgesic charactersitics and its high potential for toxicity, it should not be used for the treatment of the pain of pancreatitis. The preferred analgesic is morphine for acute pancreatitis" aditional medications are given with morphine to prevent itching, vomitting & diarrhea. 1makala (talk) 05:15, 20 May 2009 (UTC)[reply]

The Causes paragraph only addresses acute pancreatitis, and does not address chronic pancreatitis, where alcohol use becomes a more prevalent cause. This section could use more balance, probably explicitly addressing different causes for acute vs. chronic, and adding a paragraph for chronic. —Preceding unsigned comment added by 141.156.233.149 (talk) 11:31, 14 June 2009 (UTC)[reply]

Poor phrasing

Under "Complications" the article currently says Some or all of the lungs may collapse (atelectasis). I would suggest rephrasing that as One or both of the lungs may collapse... as I am unaware of anyone, other than transplantees, with three or more lungs! -- Arwel (talk) 23:54, 1 November 2007 (UTC)[reply]

Byetta

I removed the section about Byetta being a "cause" of pancreatitis. My mother-in-law takes this and she asked her doctor about this. Pancreatitis can be caused by diabetes, since byetta is a popular diabetes drug, it makes sense that there would be cases of people taking the drug having this condition. Rather than spreading misinformation by listing this drug as a cause of this condition I've changed it to a more general warning. —Preceding unsigned comment added by 72.215.68.49 (talk) 15:05, 25 August 2008 (UTC)[reply]

Best Imaging Modality for Pancreatitis?

It is mentioned that ultrasonography is an option for the imaging of pancreatitis. However, working in the field as a sonographer I know that even the best of us can only detect pancreatitis when imaging windows on a given subject are clear. Even then the numbers are not completely in our favor. My suggestion stands then that we edit the statement to say that ultrasonography may be helpful in the diagnosis of pancreatitis, however a CT scan and clinical correlation is the most common step taken. Anyone else have thoughts on this?

TheQueenEJ (talk) 15:38, 23 May 2010 (UTC)[reply]

problems

Sorry, folks, but this article is quite a mess (especially the 'Causes' section). The headings were all messed up, so I tried to reorganise it a bit. There are plenty of repetitions and duplications & problem areas. I hope someone can re-edit the whole thing. I'll do what I can to help. --Dyuku (talk) 17:25, 25 June 2010 (UTC)[reply]

Here's a good model for the article,

Pancreatitis -- National Digestive Diseases Information Clearinghouse

The whole thing is split into 2 main sections: acute, and chronic pancreatitis. Obviously, there's no copyright. --Dyuku (talk) 18:16, 25 June 2010 (UTC) Treatment[reply]

The treatment of pancreatitis is supportive and depends on severity. Morphine generally is suitable for pain control. There is a claim that morphine may constrict the sphincter of Oddi, but this is controversial. There are no clinical studies to suggest that morphine can aggravate or cause pancreatitis or cholecystitis.[31] Just had a gallstone fall out of Oddi valve due to use of morphine. Should this not read use of morphine may relax Oddi valve sphincter which is how it regulates the addition of the relevant digestive juices? (Therefore extended use of morphine may be harmful). — Preceding unsigned comment added by 36.37.145.41 (talk) 02:27, 25 June 2015 (UTC)[reply]

lifescript healthy solutions etc

What's with all the unrelated bracketed rubbish on this page? It looks like advertisements have slipped into this page, and someone should review and remove them if confirmed. — Preceding unsigned comment added by 130.102.158.15 (talk) 05:45, 7 June 2011 (UTC) okay, i've removed the ones i could find, should be obvious and nondestructive.[reply]

Medicine Task Force Revamp

Will be reviewing this article over next few days, content suggestions/feedback appreciated Kallimachus (talk) 06:14, 29 September 2011 (UTC)[reply]

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Redundancy

It's so frustrating to try to edit both acute pancreatitis and pancreatitis. They are essentially the same article. I know that the article "pancreatitis" covers also chronic pancreatitis, but 90% of the article is just a repeat of "acute pancreatitis". It should just be both "acute pancreatitis" and "chronic pancreatitis". This page seems so redundant. Princeton wu (talk) 20:46, 13 May 2018 (UTC)[reply]

Indeed. A redirection from "Pancreatitis" to "Acute Pancreatitis" should be better (with a link at the top for "Chronic Pancreatitis") Linuxo (talk) 08:26, 16 May 2018 (UTC)[reply]

Steroids and Acute Pancreatitis?

The link between both seems to be disputed: there is this study only (all the others cited in this article below are before 2000 (one study in 2003 is a case study)): https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/16565382003 In addition, in this particular study:

"Although the analyses were controlled for potential confounders, there were no direct measures on factors such as alcohol abuse,35 smoking,36 abdominal adiposity,37 or dietary factors,3"... well, well...

In fact, it could be even the opposite! (beneficial effect for acute pancreatitis): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4555660/ https://jamanetwork.com/journals/jama/article-abstract/333107?redirect=true Linuxo (talk) 08:23, 16 May 2018 (UTC)[reply]

@Linuxo 2600:6C44:79F0:62C0:8859:EF6F:5C88:C605 (talk) 01:10, 24 June 2023 (UTC)[reply]

high or low calcium

Having trouble figuring out the relationship btwn blood calcium levels and pancreatitis. On the one hand, hypercalcemia is a risk factor, and on the other hand, one of the diagnostic criteria is a hypocalcemia... — Preceding unsigned comment added by 2607:FEA8:3C20:111A:A88F:E807:5E9E:F62C (talk) 15:14, 29 August 2018 (UTC)[reply]