3. PANCREATITIS
3.1 ACUTE PANCREATITIS
The majority of patients of
pancreatitis (80%)
have
associated gallstones
or
history of excess
alcohol
intake. The
relative
inportance of
these two
principal causes is variable.
CLINICAL MANIFESTATIONS
In
most cases the patients
give history of a heavy meal
or
an acute excess alcohol
intake episode preceding the
attack
*
Pain usually begins
suddenly
*
Is located in midepigast-
rium and may radiate to
the
back
*
It may range
in intesity and
is steady knife
like or
penetrating pain
*
Accompaning vomiting and/or retching is common
Examination usually shows:
*
Upper abdominal tenderness
*
Guarding
*
In addition, there is fever
*
Tachycardia
*
Leukocytosis
*
Shock may be profound because of
loss of fluid or blood into
retroperitoneum or abdominal cavity
*
Fluid deficiency is also a result of persistent vomiting
*
Ileus soon develops with extracellular fluid deficit
*
Renal insufficiency often occur as the ultimate outcome
*
Carpopedal spasms appear
due to loss of large
amount of
calcium from the blood
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Hi,
ReplyDeleteTook Onglyza off and on for a year. I have an enlarged adrenal gland. Still I await the outcome of that CT, but I know that much. Will find out more.
I had the CT because of chronic pancreatic pain that started out as "attacks" from a couple of times a month to finally after 3 months of use without interruption, "attacks" 2-3 times a week. My PA put Onglyza on my allergies list.
In the meantime, I lost almost 50 lbs in 5 months due to illness. Loss of appetite, pancreatic pain, chronic diarrhea, then eventually, inability to move my bowels. Severe back pain from the pancreas, and severe chest pain sent me to the ER where I was worked up for cardiac pain. I was cardiac cleared, but told my amylase was very low.
Still seeking a diagnosis, but I lay the blame squarely on Onglyza. I'd had pancreatic issues in the past, and argued with the PA that prescribed it, she was calling me non-compliant, and I feared repercussion from my insurance company.
I even took an article about the dangers of Onglyza, particularly in patients with a history, and she made me feel foolish.
I wish I had listened to my instincts, I fear not only damage to my pancreas that is irreversible, but also severe damage to my left kidney, though I have bilateral kidney pain.
I was off all diabetes meds, and control sugars strictly low to no carb. I can barely eat anymore, I have severe anorexia.
I would warn anyone taking Onglyza to consider a change and try Dr Itua Herbal Medicine, and anyone considering taking it, to select a different avenue. I have been suffering severely for about 9 months, but the past 7 months have been good with the help of Dr Itua herbal medicine which I took for 4 weeks.
I have been off Onglyza now, for 7 months, and simply 100% improvement with the help of Dr Itua. I had none of these issues except a history of pancreatitis in my distant past.
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