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pancreatitis and gall stones

sewardak posted 10/4/2018 08:08 AM

my very fit sister, who is a year younger than I - 50 - was admitted to the hospital last night with severe pain and this is what was determined she has. She'll be there a couple days until her pancreas becomes less inflamed and then surgery to remove gallstone blocking pancreas and gallbladder - this is exactly what her husband texted me.

does this happen randomly or is it hereditary? She does have a stressful job and drinks 2 glasses of wine a night. my grandma had gall stones and kidney stones and my other sister has had a terrible time with kidney stones. That sister has been diabetic since age 12.

I'm scared this will happen to me. is it something we eat? how can I prevent it?

imagoodwitch posted 10/4/2018 08:22 AM

My older sister has problems with her gallbladder, my oldest DD has already had her's removed, she was 18 when it was removed. I had mine removed a couple of years ago and my Mom was just diagnosed with gallstones.

I'll tell you this, my diet was the best it ever was when I got my gallstones.

tushnurse posted 10/4/2018 08:51 AM

This is a very common thing, developing stones, and needing surgery to get them and the GB out.
However Pancreatitis is a secondary issue that can happen when a stone lodges in the Common Bile Duct.
Pancreatitis can be dangerous if it does not resolve, and is extremely painful.

As an old GI RN we used to see this regularly, and one procedure to clean the stones out of the duct prior to surgery is one we did. We basically would attempt to clear the duct under fluroscopy.
Once that is done the duct can drain, and the pancreatitis will resolve.

The surgery itself is now considered an outpatient procedure, and recovery is not bad.

Wishing her good Mojo and prayers.

sewardak posted 10/4/2018 08:57 AM

thank you^^

Lalagirl posted 10/4/2018 09:28 AM

The surgery itself is now considered an outpatient procedure, and recovery is not bad.

Very true...BTDT...I had surgery on a Friday - back to work on Monday.

Phoenix1 posted 10/4/2018 13:42 PM

I had my GB removed due to stones a few years after my last child birth. My GI Dr told me it was actually quite common after pregnancy. It was an outpatient procedure (and I'm talking late 1990s here) on Wednesday and I was back to work on Monday. Tiny incisions. But I felt relief immediately. The attack that finally made me do it happened when I was driving to work. Had to pull off the road because I was doubled over in pain. My GI Dr had told me I would know when I was ready for the surgery. I called him as soon as I got to my office to schedule it. Pain was excruciating, and he was right.

Aside from the potential pregnancy connection, my dad had his removed in the 70s (giant 6-inch scar) and my oldest DD is having GB issues now (no pregnancies) and will likely need to have hers removed at some point. So I do think there may be a genetic component as well.

sewardak posted 10/4/2018 14:18 PM

my mom just emailed me that her mom had a gallbladder attack right after a delivery and that when my sister gave birth 12 years ago, she also had some issues with that but it wasn't pressing enough to do anything. I guess she's there right now.

[This message edited by sewardak at 2:18 PM, October 4th (Thursday)]

tushnurse posted 10/5/2018 08:24 AM

How's your sis doing today?
Sending more mojo.

sewardak posted 10/5/2018 08:52 AM

thanks for asking! better. she's can now go an hour without morphine.
I'm going to ask how her night was but they're two hours behind me so I will text in an hour maybe.

sewardak posted 10/5/2018 10:15 AM

omg i just got this text:
inflammation of pancreas interfering with everything, pain less but fluid building in belly, no pee, discovered she has Type II diabetes, moving to intensive care...

Phoenix1 posted 10/5/2018 13:05 PM

Oh no! I hope they can get a handle on the pancreatitis quickly and she recovers soon!

sewardak posted 10/5/2018 13:11 PM

latest: IV insulin to reduce 225 blood sugar, normal 75. suppository to help eliminate fluids, she looks 6 months pregnant. pain not too bad.

tushnurse posted 10/5/2018 14:07 PM

It sounds like she definitely has full blown pancreatitis.

The insulin will help get her blood sugars back to normal, and help her kidneys pull off that extra fluid. Also with her being in full blow pancreatitis, don't hang your hat on her having true DMII. The pancreas is what makes insulin, right now that insulin can't get to where it needs to go, so her blood sugars are going to go up.

Have they attempted an ERCP on her?

Any talk on putting in a bili tube to allow the nasties and insulin, and other pancreatic enzymes to come out?

sewardak posted 10/5/2018 14:13 PM

thanks tushnurse. I will ask those questions.

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