RE: frequent pancreatitis in a non-drinker

[Guest guest]

Hi ,

Few questions if I may:1. Did any one r/o-ed pancreatic CA? I hope it was2. Did

he lose significant/continuous unplanned wt?3. Any CT/PET scans done?4. Is s/he

a smoker?5. Your friend mentions to be in the hospital for his/her 4th attack.

Is that the 4th attack that week? in one month? how frequent or how long ago was

the first one?

As for the NPO/clear liq diet - it is the common practice in many places, but it

is not alway any more. Pt should eat what is tolerated. Yes, at the time of

flare-up - if pt does not vomit/nauseated - keep a low fat high prot diet,

small frequent meals as tolerated. If diarrhea/steatorrhea is present restrict

fat even more or try the clear liquids for few days and try low fat high protein

diet again when vomiting stops. What I am getting from the e-mail is that your

friend does not suffer with vomiting/nausea/diarrhea (or maybe I am wrongly

interpreting) yet the pain could be terrible at meal time - so as I said - all

per tolerance. It used to be also PN for acute pancreatitis but again, if pt is

able to tolerate PO to sustain self -that is the way to go. Of course - if

PN/npo was initiated and was prescribed for more then 5 days we have to be

cautious about re-feeding and therefore clear liquids may be the first step (but

I didn't get that this what happened to your friend).

Let me know what you think.

Merav Levi, RD, MS, CDNA dietitian, not the food police.

http://www.linkedin.com/in/meravlevi

" Life is not measured by the number of breath you take, but by the moments that

take your breath away. " - Carlin " People don't forget the truth, they just

become better in lying " (Revolutionary Road)

To: rd-usa

From: nrord1@...

Date: Fri, 4 Feb 2011 18:15:59 -0500

Subject: frequent pancreatitis in a non-drinker

A friend has had this happen - any other thoughts what could be causing

it?

Any GI RDs?

" I've had four attacks of pancreatitis in the past two years and they don't

know the cause ( idiopathic ). It's amazing how the doctors disagree, one

saying hypercalcemia (mine is slightly high and has been for years) could be

a factor, others saying not. I have pancreatic divisim and some say it's a

possible cause and others say it can't be. I got diet advice from a doctor

while two were standing in the room. When he left, the other doctor said

that I could ignore his advice--diet would make no difference in preventing

future attacks.

I know why some people get so frustrated with doctors. I'm not frustrated

with them, per se, just with the fact that the cause of my pancreatitis is

so elusive. They ruled out the two most common causes: gall bladder

disease and excessive alcohol intake. I will be seeing a pancreatic

specialist soon and also had blood tests run to check parathyroid

hormones to diagnose the hypercalcemia .

I was in the hospital just this week with my 4th attack (lipase 30,000,

amylase 450)and was amazed when my attending physician ordered a clears diet

for me right after admission. I consumed some of it and got a lot sicker.

The protocol is NPO until enzyme levels approach normal. What was he

thinking? "

--

Ortiz, MS, RD

*The FRUGAL Dietitian* <http://www.thefrugaldietitian.com>

Check out my blog: mixture of deals and nutrition

Groupon: $10 for $20 Worth of Toys and Games, Books and More at &

Noble exp. 2/6 <http://thefrugaldietitian.com/?p=13918> $1 for a $10 Credit

to Spend on DealPulp.com! 2/4 ONLY <http://thefrugaldietitian.com/?p=13994>

*Healthy Diet at any Age: We are NOT just looking

*

*at the years people have behind them but also the

*

*quality of the years ahead of them.*

[Guest guest]

Hi ,

Few questions if I may:1. Did any one r/o-ed pancreatic CA? I hope it was2. Did

he lose significant/continuous unplanned wt?3. Any CT/PET scans done?4. Is s/he

a smoker?5. Your friend mentions to be in the hospital for his/her 4th attack.

Is that the 4th attack that week? in one month? how frequent or how long ago was

the first one?

As for the NPO/clear liq diet - it is the common practice in many places, but it

is not alway any more. Pt should eat what is tolerated. Yes, at the time of

flare-up - if pt does not vomit/nauseated - keep a low fat high prot diet,

small frequent meals as tolerated. If diarrhea/steatorrhea is present restrict

fat even more or try the clear liquids for few days and try low fat high protein

diet again when vomiting stops. What I am getting from the e-mail is that your

friend does not suffer with vomiting/nausea/diarrhea (or maybe I am wrongly

interpreting) yet the pain could be terrible at meal time - so as I said - all

per tolerance. It used to be also PN for acute pancreatitis but again, if pt is

able to tolerate PO to sustain self -that is the way to go. Of course - if

PN/npo was initiated and was prescribed for more then 5 days we have to be

cautious about re-feeding and therefore clear liquids may be the first step (but

I didn't get that this what happened to your friend).

Let me know what you think.

Merav Levi, RD, MS, CDNA dietitian, not the food police.

http://www.linkedin.com/in/meravlevi

" Life is not measured by the number of breath you take, but by the moments that

take your breath away. " - Carlin " People don't forget the truth, they just

become better in lying " (Revolutionary Road)

To: rd-usa

From: nrord1@...

Date: Fri, 4 Feb 2011 18:15:59 -0500

Subject: frequent pancreatitis in a non-drinker

A friend has had this happen - any other thoughts what could be causing

it?

Any GI RDs?

" I've had four attacks of pancreatitis in the past two years and they don't

know the cause ( idiopathic ). It's amazing how the doctors disagree, one

saying hypercalcemia (mine is slightly high and has been for years) could be

a factor, others saying not. I have pancreatic divisim and some say it's a

possible cause and others say it can't be. I got diet advice from a doctor

while two were standing in the room. When he left, the other doctor said

that I could ignore his advice--diet would make no difference in preventing

future attacks.

I know why some people get so frustrated with doctors. I'm not frustrated

with them, per se, just with the fact that the cause of my pancreatitis is

so elusive. They ruled out the two most common causes: gall bladder

disease and excessive alcohol intake. I will be seeing a pancreatic

specialist soon and also had blood tests run to check parathyroid

hormones to diagnose the hypercalcemia .

I was in the hospital just this week with my 4th attack (lipase 30,000,

amylase 450)and was amazed when my attending physician ordered a clears diet

for me right after admission. I consumed some of it and got a lot sicker.

The protocol is NPO until enzyme levels approach normal. What was he

thinking? "

--

Ortiz, MS, RD

*The FRUGAL Dietitian* <http://www.thefrugaldietitian.com>

Check out my blog: mixture of deals and nutrition

Groupon: $10 for $20 Worth of Toys and Games, Books and More at &

Noble exp. 2/6 <http://thefrugaldietitian.com/?p=13918> $1 for a $10 Credit

to Spend on DealPulp.com! 2/4 ONLY <http://thefrugaldietitian.com/?p=13994>

*Healthy Diet at any Age: We are NOT just looking

*

*at the years people have behind them but also the

*

*quality of the years ahead of them.*

[Guest guest]

Hi ,

Few questions if I may:1. Did any one r/o-ed pancreatic CA? I hope it was2. Did

he lose significant/continuous unplanned wt?3. Any CT/PET scans done?4. Is s/he

a smoker?5. Your friend mentions to be in the hospital for his/her 4th attack.

Is that the 4th attack that week? in one month? how frequent or how long ago was

the first one?

As for the NPO/clear liq diet - it is the common practice in many places, but it

is not alway any more. Pt should eat what is tolerated. Yes, at the time of

flare-up - if pt does not vomit/nauseated - keep a low fat high prot diet,

small frequent meals as tolerated. If diarrhea/steatorrhea is present restrict

fat even more or try the clear liquids for few days and try low fat high protein

diet again when vomiting stops. What I am getting from the e-mail is that your

friend does not suffer with vomiting/nausea/diarrhea (or maybe I am wrongly

interpreting) yet the pain could be terrible at meal time - so as I said - all

per tolerance. It used to be also PN for acute pancreatitis but again, if pt is

able to tolerate PO to sustain self -that is the way to go. Of course - if

PN/npo was initiated and was prescribed for more then 5 days we have to be

cautious about re-feeding and therefore clear liquids may be the first step (but

I didn't get that this what happened to your friend).

Let me know what you think.

Merav Levi, RD, MS, CDNA dietitian, not the food police.

http://www.linkedin.com/in/meravlevi

" Life is not measured by the number of breath you take, but by the moments that

take your breath away. " - Carlin " People don't forget the truth, they just

become better in lying " (Revolutionary Road)

To: rd-usa

From: nrord1@...

Date: Fri, 4 Feb 2011 18:15:59 -0500

Subject: frequent pancreatitis in a non-drinker

A friend has had this happen - any other thoughts what could be causing

it?

Any GI RDs?

" I've had four attacks of pancreatitis in the past two years and they don't

know the cause ( idiopathic ). It's amazing how the doctors disagree, one

saying hypercalcemia (mine is slightly high and has been for years) could be

a factor, others saying not. I have pancreatic divisim and some say it's a

possible cause and others say it can't be. I got diet advice from a doctor

while two were standing in the room. When he left, the other doctor said

that I could ignore his advice--diet would make no difference in preventing

future attacks.

I know why some people get so frustrated with doctors. I'm not frustrated

with them, per se, just with the fact that the cause of my pancreatitis is

so elusive. They ruled out the two most common causes: gall bladder

disease and excessive alcohol intake. I will be seeing a pancreatic

specialist soon and also had blood tests run to check parathyroid

hormones to diagnose the hypercalcemia .

I was in the hospital just this week with my 4th attack (lipase 30,000,

amylase 450)and was amazed when my attending physician ordered a clears diet

for me right after admission. I consumed some of it and got a lot sicker.

The protocol is NPO until enzyme levels approach normal. What was he

thinking? "

--

Ortiz, MS, RD

*The FRUGAL Dietitian* <http://www.thefrugaldietitian.com>

Check out my blog: mixture of deals and nutrition

Groupon: $10 for $20 Worth of Toys and Games, Books and More at &

Noble exp. 2/6 <http://thefrugaldietitian.com/?p=13918> $1 for a $10 Credit

to Spend on DealPulp.com! 2/4 ONLY <http://thefrugaldietitian.com/?p=13994>

*Healthy Diet at any Age: We are NOT just looking

*

*at the years people have behind them but also the

*

*quality of the years ahead of them.*

[Guest guest]

When I worked inpatient I met a young male that had recurrent pancreatitis

secondary to familial hypertriglyceridemia. We put him on a calorie controlled,

consistent cho diet, with low fat/sat fats. He also took omega3s.

Hope they figure it out!

Sent from my iPhone

Hi ,

Few questions if I may:1. Did any one r/o-ed pancreatic CA? I hope it was2. Did

he lose significant/continuous unplanned wt?3. Any CT/PET scans done?4. Is s/he

a smoker?5. Your friend mentions to be in the hospital for his/her 4th attack.

Is that the 4th attack that week? in one month? how frequent or how long ago was

the first one?

As for the NPO/clear liq diet - it is the common practice in many places, but it

is not alway any more. Pt should eat what is tolerated. Yes, at the time of

flare-up - if pt does not vomit/nauseated - keep a low fat high prot diet,

small frequent meals as tolerated. If diarrhea/steatorrhea is present restrict

fat even more or try the clear liquids for few days and try low fat high protein

diet again when vomiting stops. What I am getting from the e-mail is that your

friend does not suffer with vomiting/nausea/diarrhea (or maybe I am wrongly

interpreting) yet the pain could be terrible at meal time - so as I said - all

per tolerance. It used to be also PN for acute pancreatitis but again, if pt is

able to tolerate PO to sustain self -that is the way to go. Of course - if

PN/npo was initiated and was prescribed for more then 5 days we have to be

cautious about re-feeding and therefore clear liquids may be the first step (but

I didn't get that this what

happened to your friend).

Let me know what you think.

Merav Levi, RD, MS, CDNA dietitian, not the food police.

http://www.linkedin.com/in/meravlevi

" Life is not measured by the number of breath you take, but by the moments that

take your breath away. " - Carlin " People don't forget the truth, they just

become better in lying " (Revolutionary Road)

To: rd-usa

From: nrord1@...

Date: Fri, 4 Feb 2011 18:15:59 -0500

Subject: frequent pancreatitis in a non-drinker

A friend has had this happen - any other thoughts what could be causing it?

Any GI RDs?

" I've had four attacks of pancreatitis in the past two years and they don't

know the cause ( idiopathic ). It's amazing how the doctors disagree, one

saying hypercalcemia (mine is slightly high and has been for years) could be

a factor, others saying not. I have pancreatic divisim and some say it's a

possible cause and others say it can't be. I got diet advice from a doctor

while two were standing in the room. When he left, the other doctor said

that I could ignore his advice--diet would make no difference in preventing

future attacks.

I know why some people get so frustrated with doctors. I'm not frustrated

with them, per se, just with the fact that the cause of my pancreatitis is

so elusive. They ruled out the two most common causes: gall bladder

disease and excessive alcohol intake. I will be seeing a pancreatic

specialist soon and also had blood tests run to check parathyroid

hormones to diagnose the hypercalcemia .

I was in the hospital just this week with my 4th attack (lipase 30,000,

amylase 450)and was amazed when my attending physician ordered a clears diet

for me right after admission. I consumed some of it and got a lot sicker.

The protocol is NPO until enzyme levels approach normal. What was he

thinking? "

--

Ortiz, MS, RD

*The FRUGAL Dietitian* <http://www.thefrugaldietitian.com>

Check out my blog: mixture of deals and nutrition

Groupon: $10 for $20 Worth of Toys and Games, Books and More at &

Noble exp. 2/6 <http://thefrugaldietitian.com/?p=13918> $1 for a $10 Credit

to Spend on DealPulp.com! 2/4 ONLY <http://thefrugaldietitian.com/?p=13994>

*Healthy Diet at any Age: We are NOT just looking

*

*at the years people have behind them but also the

*

*quality of the years ahead of them.*

[Guest guest]

When I worked inpatient I met a young male that had recurrent pancreatitis

secondary to familial hypertriglyceridemia. We put him on a calorie controlled,

consistent cho diet, with low fat/sat fats. He also took omega3s.

Hope they figure it out!

Sent from my iPhone

Hi ,

Few questions if I may:1. Did any one r/o-ed pancreatic CA? I hope it was2. Did

he lose significant/continuous unplanned wt?3. Any CT/PET scans done?4. Is s/he

a smoker?5. Your friend mentions to be in the hospital for his/her 4th attack.

Is that the 4th attack that week? in one month? how frequent or how long ago was

the first one?

As for the NPO/clear liq diet - it is the common practice in many places, but it

is not alway any more. Pt should eat what is tolerated. Yes, at the time of

flare-up - if pt does not vomit/nauseated - keep a low fat high prot diet,

small frequent meals as tolerated. If diarrhea/steatorrhea is present restrict

fat even more or try the clear liquids for few days and try low fat high protein

diet again when vomiting stops. What I am getting from the e-mail is that your

friend does not suffer with vomiting/nausea/diarrhea (or maybe I am wrongly

interpreting) yet the pain could be terrible at meal time - so as I said - all

per tolerance. It used to be also PN for acute pancreatitis but again, if pt is

able to tolerate PO to sustain self -that is the way to go. Of course - if

PN/npo was initiated and was prescribed for more then 5 days we have to be

cautious about re-feeding and therefore clear liquids may be the first step (but

I didn't get that this what

happened to your friend).

Let me know what you think.

Merav Levi, RD, MS, CDNA dietitian, not the food police.

http://www.linkedin.com/in/meravlevi

" Life is not measured by the number of breath you take, but by the moments that

take your breath away. " - Carlin " People don't forget the truth, they just

become better in lying " (Revolutionary Road)

To: rd-usa

From: nrord1@...

Date: Fri, 4 Feb 2011 18:15:59 -0500

Subject: frequent pancreatitis in a non-drinker

A friend has had this happen - any other thoughts what could be causing it?

Any GI RDs?

" I've had four attacks of pancreatitis in the past two years and they don't

know the cause ( idiopathic ). It's amazing how the doctors disagree, one

saying hypercalcemia (mine is slightly high and has been for years) could be

a factor, others saying not. I have pancreatic divisim and some say it's a

possible cause and others say it can't be. I got diet advice from a doctor

while two were standing in the room. When he left, the other doctor said

that I could ignore his advice--diet would make no difference in preventing

future attacks.

I know why some people get so frustrated with doctors. I'm not frustrated

with them, per se, just with the fact that the cause of my pancreatitis is

so elusive. They ruled out the two most common causes: gall bladder

disease and excessive alcohol intake. I will be seeing a pancreatic

specialist soon and also had blood tests run to check parathyroid

hormones to diagnose the hypercalcemia .

I was in the hospital just this week with my 4th attack (lipase 30,000,

amylase 450)and was amazed when my attending physician ordered a clears diet

for me right after admission. I consumed some of it and got a lot sicker.

The protocol is NPO until enzyme levels approach normal. What was he

thinking? "

--

Ortiz, MS, RD

*The FRUGAL Dietitian* <http://www.thefrugaldietitian.com>

Check out my blog: mixture of deals and nutrition

Groupon: $10 for $20 Worth of Toys and Games, Books and More at &

Noble exp. 2/6 <http://thefrugaldietitian.com/?p=13918> $1 for a $10 Credit

to Spend on DealPulp.com! 2/4 ONLY <http://thefrugaldietitian.com/?p=13994>

*Healthy Diet at any Age: We are NOT just looking

*

*at the years people have behind them but also the

*

*quality of the years ahead of them.*

[Guest guest]

Thanks ladies - I will have to go back and ask her (female) those questions

>

>

> When I worked inpatient I met a young male that had recurrent pancreatitis

> secondary to familial hypertriglyceridemia. We put him on a calorie

> controlled, consistent cho diet, with low fat/sat fats. He also took

> omega3s.

> Hope they figure it out!

>

> Sent from my iPhone

>

>

> On Feb 4, 2011, at 9:39 PM, Merav Levi <meravls@...<meravls%40msn.com>>

> wrote:

>

> Hi ,

> Few questions if I may:1. Did any one r/o-ed pancreatic CA? I hope it was2.

> Did he lose significant/continuous unplanned wt?3. Any CT/PET scans done?4.

> Is s/he a smoker?5. Your friend mentions to be in the hospital for his/her

> 4th attack. Is that the 4th attack that week? in one month? how frequent or

> how long ago was the first one?

> As for the NPO/clear liq diet - it is the common practice in many places,

> but it is not alway any more. Pt should eat what is tolerated. Yes, at the

> time of flare-up - if pt does not vomit/nauseated - keep a low fat high prot

> diet, small frequent meals as tolerated. If diarrhea/steatorrhea is present

> restrict fat even more or try the clear liquids for few days and try low fat

> high protein diet again when vomiting stops. What I am getting from the

> e-mail is that your friend does not suffer with vomiting/nausea/diarrhea (or

> maybe I am wrongly interpreting) yet the pain could be terrible at meal time

> - so as I said - all per tolerance. It used to be also PN for acute

> pancreatitis but again, if pt is able to tolerate PO to sustain self -that

> is the way to go. Of course - if PN/npo was initiated and was prescribed for

> more then 5 days we have to be cautious about re-feeding and therefore clear

> liquids may be the first step (but I didn't get that this what

> happened to your friend).

> Let me know what you think.

>

> Merav Levi, RD, MS, CDNA dietitian, not the food police.

> http://www.linkedin.com/in/meravlevi

>

> " Life is not measured by the number of breath you take, but by the moments

> that take your breath away. " - Carlin " People don't forget the truth,

> they just become better in lying " (Revolutionary Road)

>

> To: rd-usa <rd-usa%40yahoogroups.com>

> From: nrord1@... <nrord1%40gmail.com>

> Date: Fri, 4 Feb 2011 18:15:59 -0500

> Subject: frequent pancreatitis in a non-drinker

>

> A friend has had this happen - any other thoughts what could be causing it?

>

> Any GI RDs?

>

> " I've had four attacks of pancreatitis in the past two years and they don't

>

> know the cause ( idiopathic ). It's amazing how the doctors disagree, one

>

> saying hypercalcemia (mine is slightly high and has been for years) could

> be

>

> a factor, others saying not. I have pancreatic divisim and some say it's a

>

> possible cause and others say it can't be. I got diet advice from a doctor

>

> while two were standing in the room. When he left, the other doctor said

>

> that I could ignore his advice--diet would make no difference in preventing

>

> future attacks.

>

> I know why some people get so frustrated with doctors. I'm not frustrated

>

> with them, per se, just with the fact that the cause of my pancreatitis is

>

> so elusive. They ruled out the two most common causes: gall bladder

>

> disease and excessive alcohol intake. I will be seeing a pancreatic

>

> specialist soon and also had blood tests run to check parathyroid

>

> hormones to diagnose the hypercalcemia .

>

> I was in the hospital just this week with my 4th attack (lipase 30,000,

>

> amylase 450)and was amazed when my attending physician ordered a clears

> diet

>

> for me right after admission. I consumed some of it and got a lot sicker.

>

> The protocol is NPO until enzyme levels approach normal. What was he

>

> thinking? "

>

> --

>

> Ortiz, MS, RD

>

> *The FRUGAL Dietitian* <http://www.thefrugaldietitian.com>

>

> Check out my blog: mixture of deals and nutrition

>

> Groupon: $10 for $20 Worth of Toys and Games, Books and More at &

>

> Noble exp. 2/6 <http://thefrugaldietitian.com/?p=13918> $1 for a $10

> Credit

>

> to Spend on DealPulp.com! 2/4 ONLY <http://thefrugaldietitian.com/?p=13994

> >

>

> *Healthy Diet at any Age: We are NOT just looking

>

> *

>

> *at the years people have behind them but also the

>

> *

>

> *quality of the years ahead of them.*

>

>

[Guest guest]

Thanks ladies - I will have to go back and ask her (female) those questions

>

>

> When I worked inpatient I met a young male that had recurrent pancreatitis

> secondary to familial hypertriglyceridemia. We put him on a calorie

> controlled, consistent cho diet, with low fat/sat fats. He also took

> omega3s.

> Hope they figure it out!

>

> Sent from my iPhone

>

>

> On Feb 4, 2011, at 9:39 PM, Merav Levi <meravls@...<meravls%40msn.com>>

> wrote:

>

> Hi ,

> Few questions if I may:1. Did any one r/o-ed pancreatic CA? I hope it was2.

> Did he lose significant/continuous unplanned wt?3. Any CT/PET scans done?4.

> Is s/he a smoker?5. Your friend mentions to be in the hospital for his/her

> 4th attack. Is that the 4th attack that week? in one month? how frequent or

> how long ago was the first one?

> As for the NPO/clear liq diet - it is the common practice in many places,

> but it is not alway any more. Pt should eat what is tolerated. Yes, at the

> time of flare-up - if pt does not vomit/nauseated - keep a low fat high prot

> diet, small frequent meals as tolerated. If diarrhea/steatorrhea is present

> restrict fat even more or try the clear liquids for few days and try low fat

> high protein diet again when vomiting stops. What I am getting from the

> e-mail is that your friend does not suffer with vomiting/nausea/diarrhea (or

> maybe I am wrongly interpreting) yet the pain could be terrible at meal time

> - so as I said - all per tolerance. It used to be also PN for acute

> pancreatitis but again, if pt is able to tolerate PO to sustain self -that

> is the way to go. Of course - if PN/npo was initiated and was prescribed for

> more then 5 days we have to be cautious about re-feeding and therefore clear

> liquids may be the first step (but I didn't get that this what

> happened to your friend).

> Let me know what you think.

>

> Merav Levi, RD, MS, CDNA dietitian, not the food police.

> http://www.linkedin.com/in/meravlevi

>

> " Life is not measured by the number of breath you take, but by the moments

> that take your breath away. " - Carlin " People don't forget the truth,

> they just become better in lying " (Revolutionary Road)

>

> To: rd-usa <rd-usa%40yahoogroups.com>

> From: nrord1@... <nrord1%40gmail.com>

> Date: Fri, 4 Feb 2011 18:15:59 -0500

> Subject: frequent pancreatitis in a non-drinker

>

> A friend has had this happen - any other thoughts what could be causing it?

>

> Any GI RDs?

>

> " I've had four attacks of pancreatitis in the past two years and they don't

>

> know the cause ( idiopathic ). It's amazing how the doctors disagree, one

>

> saying hypercalcemia (mine is slightly high and has been for years) could

> be

>

> a factor, others saying not. I have pancreatic divisim and some say it's a

>

> possible cause and others say it can't be. I got diet advice from a doctor

>

> while two were standing in the room. When he left, the other doctor said

>

> that I could ignore his advice--diet would make no difference in preventing

>

> future attacks.

>

> I know why some people get so frustrated with doctors. I'm not frustrated

>

> with them, per se, just with the fact that the cause of my pancreatitis is

>

> so elusive. They ruled out the two most common causes: gall bladder

>

> disease and excessive alcohol intake. I will be seeing a pancreatic

>

> specialist soon and also had blood tests run to check parathyroid

>

> hormones to diagnose the hypercalcemia .

>

> I was in the hospital just this week with my 4th attack (lipase 30,000,

>

> amylase 450)and was amazed when my attending physician ordered a clears

> diet

>

> for me right after admission. I consumed some of it and got a lot sicker.

>

> The protocol is NPO until enzyme levels approach normal. What was he

>

> thinking? "

>

> --

>

> Ortiz, MS, RD

>

> *The FRUGAL Dietitian* <http://www.thefrugaldietitian.com>

>

> Check out my blog: mixture of deals and nutrition

>

> Groupon: $10 for $20 Worth of Toys and Games, Books and More at &

>

> Noble exp. 2/6 <http://thefrugaldietitian.com/?p=13918> $1 for a $10

> Credit

>

> to Spend on DealPulp.com! 2/4 ONLY <http://thefrugaldietitian.com/?p=13994

> >

>

> *Healthy Diet at any Age: We are NOT just looking

>

> *

>

> *at the years people have behind them but also the

>

> *

>

> *quality of the years ahead of them.*

>

>

[Guest guest]

Thanks ladies - I will have to go back and ask her (female) those questions

>

>

> When I worked inpatient I met a young male that had recurrent pancreatitis

> secondary to familial hypertriglyceridemia. We put him on a calorie

> controlled, consistent cho diet, with low fat/sat fats. He also took

> omega3s.

> Hope they figure it out!

>

> Sent from my iPhone

>

>

> On Feb 4, 2011, at 9:39 PM, Merav Levi <meravls@...<meravls%40msn.com>>

> wrote:

>

> Hi ,

> Few questions if I may:1. Did any one r/o-ed pancreatic CA? I hope it was2.

> Did he lose significant/continuous unplanned wt?3. Any CT/PET scans done?4.

> Is s/he a smoker?5. Your friend mentions to be in the hospital for his/her

> 4th attack. Is that the 4th attack that week? in one month? how frequent or

> how long ago was the first one?

> As for the NPO/clear liq diet - it is the common practice in many places,

> but it is not alway any more. Pt should eat what is tolerated. Yes, at the

> time of flare-up - if pt does not vomit/nauseated - keep a low fat high prot

> diet, small frequent meals as tolerated. If diarrhea/steatorrhea is present

> restrict fat even more or try the clear liquids for few days and try low fat

> high protein diet again when vomiting stops. What I am getting from the

> e-mail is that your friend does not suffer with vomiting/nausea/diarrhea (or

> maybe I am wrongly interpreting) yet the pain could be terrible at meal time

> - so as I said - all per tolerance. It used to be also PN for acute

> pancreatitis but again, if pt is able to tolerate PO to sustain self -that

> is the way to go. Of course - if PN/npo was initiated and was prescribed for

> more then 5 days we have to be cautious about re-feeding and therefore clear

> liquids may be the first step (but I didn't get that this what

> happened to your friend).

> Let me know what you think.

>

> Merav Levi, RD, MS, CDNA dietitian, not the food police.

> http://www.linkedin.com/in/meravlevi

>

> " Life is not measured by the number of breath you take, but by the moments

> that take your breath away. " - Carlin " People don't forget the truth,

> they just become better in lying " (Revolutionary Road)

>

> To: rd-usa <rd-usa%40yahoogroups.com>

> From: nrord1@... <nrord1%40gmail.com>

> Date: Fri, 4 Feb 2011 18:15:59 -0500

> Subject: frequent pancreatitis in a non-drinker

>

> A friend has had this happen - any other thoughts what could be causing it?

>

> Any GI RDs?

>

> " I've had four attacks of pancreatitis in the past two years and they don't

>

> know the cause ( idiopathic ). It's amazing how the doctors disagree, one

>

> saying hypercalcemia (mine is slightly high and has been for years) could

> be

>

> a factor, others saying not. I have pancreatic divisim and some say it's a

>

> possible cause and others say it can't be. I got diet advice from a doctor

>

> while two were standing in the room. When he left, the other doctor said

>

> that I could ignore his advice--diet would make no difference in preventing

>

> future attacks.

>

> I know why some people get so frustrated with doctors. I'm not frustrated

>

> with them, per se, just with the fact that the cause of my pancreatitis is

>

> so elusive. They ruled out the two most common causes: gall bladder

>

> disease and excessive alcohol intake. I will be seeing a pancreatic

>

> specialist soon and also had blood tests run to check parathyroid

>

> hormones to diagnose the hypercalcemia .

>

> I was in the hospital just this week with my 4th attack (lipase 30,000,

>

> amylase 450)and was amazed when my attending physician ordered a clears

> diet

>

> for me right after admission. I consumed some of it and got a lot sicker.

>

> The protocol is NPO until enzyme levels approach normal. What was he

>

> thinking? "

>

> --

>

> Ortiz, MS, RD

>

> *The FRUGAL Dietitian* <http://www.thefrugaldietitian.com>

>

> Check out my blog: mixture of deals and nutrition

>

> Groupon: $10 for $20 Worth of Toys and Games, Books and More at &

>

> Noble exp. 2/6 <http://thefrugaldietitian.com/?p=13918> $1 for a $10

> Credit

>

> to Spend on DealPulp.com! 2/4 ONLY <http://thefrugaldietitian.com/?p=13994

> >

>

> *Healthy Diet at any Age: We are NOT just looking

>

> *

>

> *at the years people have behind them but also the

>

> *

>

> *quality of the years ahead of them.*

>

>

[Guest guest]

Answers:

1. Yes, pancreatic CA ruled out; also cysts. The pancreas itself is in

pretty good shape, they said.

2. I did not lose significant weight--only about 5 pounds

3. CT scans were done 3 times

4. Not a smoker since 1999

5. Attacks requiring emergency treatment:

1st attack in July 2009;

2nd April 2010 (improved while in emergency room and sent home);

3rd attack May 2010;

4th attack Jan 29 2011.

Accompanied by nausea and vomiting each time. Initial pain a 9-10 on a

scale of 1-10.

- Attacks #1,2, and 4 required hospitalization for four days each and were

similar in length and treatment: Dilaudid q 4 hrs prn, NPO first 3 days

(until enzymes levels approached normal),

- Rapid improvement and return to work within a week each time.

- No diarrhea normally or during attack

- No pain at meal time or any other time-- only when experiencing an acute

attack that requires emergency treatment

- I adhere to a relatively low fat diet with small frequent meals, and take

Omega 3s.

- Prior to each attack, I did consume much more fat than usual. In one

case, burger and fries, in another, egg salad consisting of five eggs eaten

all at once, in another case, lots of pulled pork left over from a work food

event. Doctors did not pay much attention to that fact.

Blood work showed normal triglycerides and liver function. No gall stones.

> Thanks ladies - I will have to go back and ask her (female) those questions

>

>

>

>

>>

>>

>> When I worked inpatient I met a young male that had recurrent pancreatitis

>> secondary to familial hypertriglyceridemia. We put him on a calorie

>> controlled, consistent cho diet, with low fat/sat fats. He also took

>> omega3s.

>> Hope they figure it out!

>>

>> Sent from my iPhone

>>

>>

>> On Feb 4, 2011, at 9:39 PM, Merav Levi <meravls@...<meravls%40msn.com>>

>> wrote:

>>

>> Hi ,

>> Few questions if I may:1. Did any one r/o-ed pancreatic CA? I hope it

>> was2. Did he lose significant/continuous unplanned wt?3. Any CT/PET scans

>> done?4. Is s/he a smoker?5. Your friend mentions to be in the hospital for

>> his/her 4th attack. Is that the 4th attack that week? in one month? how

>> frequent or how long ago was the first one?

>> As for the NPO/clear liq diet - it is the common practice in many places,

>> but it is not alway any more. Pt should eat what is tolerated. Yes, at the

>> time of flare-up - if pt does not vomit/nauseated - keep a low fat high prot

>> diet, small frequent meals as tolerated. If diarrhea/steatorrhea is present

>> restrict fat even more or try the clear liquids for few days and try low fat

>> high protein diet again when vomiting stops. What I am getting from the

>> e-mail is that your friend does not suffer with vomiting/nausea/diarrhea (or

>> maybe I am wrongly interpreting) yet the pain could be terrible at meal time

>> - so as I said - all per tolerance. It used to be also PN for acute

>> pancreatitis but again, if pt is able to tolerate PO to sustain self -that

>> is the way to go. Of course - if PN/npo was initiated and was prescribed for

>> more then 5 days we have to be cautious about re-feeding and therefore clear

>> liquids may be the first step (but I didn't get that this what

>> happened to your friend).

>> Let me know what you think.

>>

>> Merav Levi, RD, MS, CDNA dietitian, not the food police.

>> http://www.linkedin.com/in/meravlevi

>>

>> " Life is not measured by the number of breath you take, but by the moments

>> that take your breath away. " - Carlin " People don't forget the truth,

>> they just become better in lying " (Revolutionary Road)

>>

>> To: rd-usa <rd-usa%40yahoogroups.com>

>> From: nrord1@... <nrord1%40gmail.com>

>> Date: Fri, 4 Feb 2011 18:15:59 -0500

>> Subject: frequent pancreatitis in a non-drinker

>>

>> A friend has had this happen - any other thoughts what could be causing

>> it?

>>

>> Any GI RDs?

>>

>> " I've had four attacks of pancreatitis in the past two years and they

>> don't

>>

>> know the cause ( idiopathic ). It's amazing how the doctors disagree, one

>>

>> saying hypercalcemia (mine is slightly high and has been for years) could

>> be

>>

>> a factor, others saying not. I have pancreatic divisim and some say it's a

>>

>> possible cause and others say it can't be. I got diet advice from a doctor

>>

>> while two were standing in the room. When he left, the other doctor said

>>

>> that I could ignore his advice--diet would make no difference in

>> preventing

>>

>> future attacks.

>>

>> I know why some people get so frustrated with doctors. I'm not frustrated

>>

>> with them, per se, just with the fact that the cause of my pancreatitis is

>>

>> so elusive. They ruled out the two most common causes: gall bladder

>>

>> disease and excessive alcohol intake. I will be seeing a pancreatic

>>

>> specialist soon and also had blood tests run to check parathyroid

>>

>> hormones to diagnose the hypercalcemia .

>>

>> I was in the hospital just this week with my 4th attack (lipase 30,000,

>>

>> amylase 450)and was amazed when my attending physician ordered a clears

>> diet

>>

>> for me right after admission. I consumed some of it and got a lot sicker.

>>

>> The protocol is NPO until enzyme levels approach normal. What was he

>>

>> thinking? "

>>

>> --

>>

>> Ortiz, MS, RD

>>

>> *The FRUGAL Dietitian* <http://www.thefrugaldietitian.com>

>>

>> Check out my blog: mixture of deals and nutrition

>>

>> Groupon: $10 for $20 Worth of Toys and Games, Books and More at &

>>

>> Noble exp. 2/6 <http://thefrugaldietitian.com/?p=13918> $1 for a $10

>> Credit

>>

>> to Spend on DealPulp.com! 2/4 ONLY <

>> http://thefrugaldietitian.com/?p=13994>

>>

>> *Healthy Diet at any Age: We are NOT just looking

>>

>> *

>>

>> *at the years people have behind them but also the

>>

>> *

>>

>> *quality of the years ahead of them.*

>>

>>

[Guest guest]

Answers:

1. Yes, pancreatic CA ruled out; also cysts. The pancreas itself is in

pretty good shape, they said.

2. I did not lose significant weight--only about 5 pounds

3. CT scans were done 3 times

4. Not a smoker since 1999

5. Attacks requiring emergency treatment:

1st attack in July 2009;

2nd April 2010 (improved while in emergency room and sent home);

3rd attack May 2010;

4th attack Jan 29 2011.

Accompanied by nausea and vomiting each time. Initial pain a 9-10 on a

scale of 1-10.

- Attacks #1,2, and 4 required hospitalization for four days each and were

similar in length and treatment: Dilaudid q 4 hrs prn, NPO first 3 days

(until enzymes levels approached normal),

- Rapid improvement and return to work within a week each time.

- No diarrhea normally or during attack

- No pain at meal time or any other time-- only when experiencing an acute

attack that requires emergency treatment

- I adhere to a relatively low fat diet with small frequent meals, and take

Omega 3s.

- Prior to each attack, I did consume much more fat than usual. In one

case, burger and fries, in another, egg salad consisting of five eggs eaten

all at once, in another case, lots of pulled pork left over from a work food

event. Doctors did not pay much attention to that fact.

Blood work showed normal triglycerides and liver function. No gall stones.

> Thanks ladies - I will have to go back and ask her (female) those questions

>

>

>

>

>>

>>

>> When I worked inpatient I met a young male that had recurrent pancreatitis

>> secondary to familial hypertriglyceridemia. We put him on a calorie

>> controlled, consistent cho diet, with low fat/sat fats. He also took

>> omega3s.

>> Hope they figure it out!

>>

>> Sent from my iPhone

>>

>>

>> On Feb 4, 2011, at 9:39 PM, Merav Levi <meravls@...<meravls%40msn.com>>

>> wrote:

>>

>> Hi ,

>> Few questions if I may:1. Did any one r/o-ed pancreatic CA? I hope it

>> was2. Did he lose significant/continuous unplanned wt?3. Any CT/PET scans

>> done?4. Is s/he a smoker?5. Your friend mentions to be in the hospital for

>> his/her 4th attack. Is that the 4th attack that week? in one month? how

>> frequent or how long ago was the first one?

>> As for the NPO/clear liq diet - it is the common practice in many places,

>> but it is not alway any more. Pt should eat what is tolerated. Yes, at the

>> time of flare-up - if pt does not vomit/nauseated - keep a low fat high prot

>> diet, small frequent meals as tolerated. If diarrhea/steatorrhea is present

>> restrict fat even more or try the clear liquids for few days and try low fat

>> high protein diet again when vomiting stops. What I am getting from the

>> e-mail is that your friend does not suffer with vomiting/nausea/diarrhea (or

>> maybe I am wrongly interpreting) yet the pain could be terrible at meal time

>> - so as I said - all per tolerance. It used to be also PN for acute

>> pancreatitis but again, if pt is able to tolerate PO to sustain self -that

>> is the way to go. Of course - if PN/npo was initiated and was prescribed for

>> more then 5 days we have to be cautious about re-feeding and therefore clear

>> liquids may be the first step (but I didn't get that this what

>> happened to your friend).

>> Let me know what you think.

>>

>> Merav Levi, RD, MS, CDNA dietitian, not the food police.

>> http://www.linkedin.com/in/meravlevi

>>

>> " Life is not measured by the number of breath you take, but by the moments

>> that take your breath away. " - Carlin " People don't forget the truth,

>> they just become better in lying " (Revolutionary Road)

>>

>> To: rd-usa <rd-usa%40yahoogroups.com>

>> From: nrord1@... <nrord1%40gmail.com>

>> Date: Fri, 4 Feb 2011 18:15:59 -0500

>> Subject: frequent pancreatitis in a non-drinker

>>

>> A friend has had this happen - any other thoughts what could be causing

>> it?

>>

>> Any GI RDs?

>>

>> " I've had four attacks of pancreatitis in the past two years and they

>> don't

>>

>> know the cause ( idiopathic ). It's amazing how the doctors disagree, one

>>

>> saying hypercalcemia (mine is slightly high and has been for years) could

>> be

>>

>> a factor, others saying not. I have pancreatic divisim and some say it's a

>>

>> possible cause and others say it can't be. I got diet advice from a doctor

>>

>> while two were standing in the room. When he left, the other doctor said

>>

>> that I could ignore his advice--diet would make no difference in

>> preventing

>>

>> future attacks.

>>

>> I know why some people get so frustrated with doctors. I'm not frustrated

>>

>> with them, per se, just with the fact that the cause of my pancreatitis is

>>

>> so elusive. They ruled out the two most common causes: gall bladder

>>

>> disease and excessive alcohol intake. I will be seeing a pancreatic

>>

>> specialist soon and also had blood tests run to check parathyroid

>>

>> hormones to diagnose the hypercalcemia .

>>

>> I was in the hospital just this week with my 4th attack (lipase 30,000,

>>

>> amylase 450)and was amazed when my attending physician ordered a clears

>> diet

>>

>> for me right after admission. I consumed some of it and got a lot sicker.

>>

>> The protocol is NPO until enzyme levels approach normal. What was he

>>

>> thinking? "

>>

>> --

>>

>> Ortiz, MS, RD

>>

>> *The FRUGAL Dietitian* <http://www.thefrugaldietitian.com>

>>

>> Check out my blog: mixture of deals and nutrition

>>

>> Groupon: $10 for $20 Worth of Toys and Games, Books and More at &

>>

>> Noble exp. 2/6 <http://thefrugaldietitian.com/?p=13918> $1 for a $10

>> Credit

>>

>> to Spend on DealPulp.com! 2/4 ONLY <

>> http://thefrugaldietitian.com/?p=13994>

>>

>> *Healthy Diet at any Age: We are NOT just looking

>>

>> *

>>

>> *at the years people have behind them but also the

>>

>> *

>>

>> *quality of the years ahead of them.*

>>

>>

[Guest guest]

Very interesting.All I can add from what you sent, as per Pancreatic CA seminar

I just attended - sometime it is missed in CT scan and requires PET scan. If

that would be me or someone I cared about I would insist on a PET scan,

especially since 3 CT scans didn't show anything. One last thought - what are

the possibilities of binge-eating d/o? One of the complications is GI problems

and your friend did mention that it happened after bigger high-fat meals.

referring to this part: " prior to each attack, I did consume much more fat than

usual. In one> case, burger and fries, in another, egg salad consisting of five

eggs eaten> all at once, in another case, lots of pulled pork left over from a

work food> event. Doctors did not pay much attention to that fact. "

BEDO pts would be " dieting " most of the time and have episodes of bingeing,

therefore no diarrhea involved in-spite of 30,000 Lipase (?) and would normally

not use much wt or at all. Hope not - but, just a thought.

Merav Levi, RD, MS, CDNA dietitian, not the food police.

http://www.linkedin.com/in/meravlevi

" Life is not measured by the number of breath you take, but by the moments that

take your breath away. " - Carlin " People don't forget the truth, they just

become better in lying " (Revolutionary Road)

> To: rd-usa

> From: nrord1@...

> Date: Sat, 5 Feb 2011 08:01:56 -0500

> Subject: Re: frequent pancreatitis in a non-drinker

>

> Answers:

>

> 1. Yes, pancreatic CA ruled out; also cysts. The pancreas itself is in

> pretty good shape, they said.

>

> 2. I did not lose significant weight--only about 5 pounds

>

> 3. CT scans were done 3 times

>

> 4. Not a smoker since 1999

> 5. Attacks requiring emergency treatment:

>

> 1st attack in July 2009;

>

> 2nd April 2010 (improved while in emergency room and sent home);

>

> 3rd attack May 2010;

>

> 4th attack Jan 29 2011.

>

> Accompanied by nausea and vomiting each time. Initial pain a 9-10 on a

> scale of 1-10.

>

>

>

> - Attacks #1,2, and 4 required hospitalization for four days each and were

> similar in length and treatment: Dilaudid q 4 hrs prn, NPO first 3 days

> (until enzymes levels approached normal),

>

> - Rapid improvement and return to work within a week each time.

>

> - No diarrhea normally or during attack

>

> - No pain at meal time or any other time-- only when experiencing an acute

> attack that requires emergency treatment

>

> - I adhere to a relatively low fat diet with small frequent meals, and take

> Omega 3s.

>

> - Prior to each attack, I did consume much more fat than usual. In one

> case, burger and fries, in another, egg salad consisting of five eggs eaten

> all at once, in another case, lots of pulled pork left over from a work food

> event. Doctors did not pay much attention to that fact.

>

>

>

> Blood work showed normal triglycerides and liver function. No gall stones.

>

>

>

>

> > Thanks ladies - I will have to go back and ask her (female) those questions

> >

> >

> >

> >

> >>

> >>

> >> When I worked inpatient I met a young male that had recurrent pancreatitis

> >> secondary to familial hypertriglyceridemia. We put him on a calorie

> >> controlled, consistent cho diet, with low fat/sat fats. He also took

> >> omega3s.

> >> Hope they figure it out!

> >>

> >> Sent from my iPhone

> >>

> >>

> >> On Feb 4, 2011, at 9:39 PM, Merav Levi <meravls@...<meravls%40msn.com>>

> >> wrote:

> >>

> >> Hi ,

> >> Few questions if I may:1. Did any one r/o-ed pancreatic CA? I hope it

> >> was2. Did he lose significant/continuous unplanned wt?3. Any CT/PET scans

> >> done?4. Is s/he a smoker?5. Your friend mentions to be in the hospital for

> >> his/her 4th attack. Is that the 4th attack that week? in one month? how

> >> frequent or how long ago was the first one?

> >> As for the NPO/clear liq diet - it is the common practice in many places,

> >> but it is not alway any more. Pt should eat what is tolerated. Yes, at the

> >> time of flare-up - if pt does not vomit/nauseated - keep a low fat high

prot

> >> diet, small frequent meals as tolerated. If diarrhea/steatorrhea is present

> >> restrict fat even more or try the clear liquids for few days and try low

fat

> >> high protein diet again when vomiting stops. What I am getting from the

> >> e-mail is that your friend does not suffer with vomiting/nausea/diarrhea

(or

> >> maybe I am wrongly interpreting) yet the pain could be terrible at meal

time

> >> - so as I said - all per tolerance. It used to be also PN for acute

> >> pancreatitis but again, if pt is able to tolerate PO to sustain self -that

> >> is the way to go. Of course - if PN/npo was initiated and was prescribed

for

> >> more then 5 days we have to be cautious about re-feeding and therefore

clear

> >> liquids may be the first step (but I didn't get that this what

> >> happened to your friend).

> >> Let me know what you think.

> >>

> >> Merav Levi, RD, MS, CDNA dietitian, not the food police.

> >> http://www.linkedin.com/in/meravlevi

> >>

> >> " Life is not measured by the number of breath you take, but by the moments

> >> that take your breath away. " - Carlin " People don't forget the truth,

> >> they just become better in lying " (Revolutionary Road)

> >>

> >> To: rd-usa <rd-usa%40yahoogroups.com>

> >> From: nrord1@... <nrord1%40gmail.com>

> >> Date: Fri, 4 Feb 2011 18:15:59 -0500

> >> Subject: frequent pancreatitis in a non-drinker

> >>

> >> A friend has had this happen - any other thoughts what could be causing

> >> it?

> >>

> >> Any GI RDs?

> >>

> >> " I've had four attacks of pancreatitis in the past two years and they

> >> don't

> >>

> >> know the cause ( idiopathic ). It's amazing how the doctors disagree, one

> >>

> >> saying hypercalcemia (mine is slightly high and has been for years) could

> >> be

> >>

> >> a factor, others saying not. I have pancreatic divisim and some say it's a

> >>

> >> possible cause and others say it can't be. I got diet advice from a doctor

> >>

> >> while two were standing in the room. When he left, the other doctor said

> >>

> >> that I could ignore his advice--diet would make no difference in

> >> preventing

> >>

> >> future attacks.

> >>

> >> I know why some people get so frustrated with doctors. I'm not frustrated

> >>

> >> with them, per se, just with the fact that the cause of my pancreatitis is

> >>

> >> so elusive. They ruled out the two most common causes: gall bladder

> >>

> >> disease and excessive alcohol intake. I will be seeing a pancreatic

> >>

> >> specialist soon and also had blood tests run to check parathyroid

> >>

> >> hormones to diagnose the hypercalcemia .

> >>

> >> I was in the hospital just this week with my 4th attack (lipase 30,000,

> >>

> >> amylase 450)and was amazed when my attending physician ordered a clears

> >> diet

> >>

> >> for me right after admission. I consumed some of it and got a lot sicker.

> >>

> >> The protocol is NPO until enzyme levels approach normal. What was he

> >>

> >> thinking? "

> >>

> >> --

> >>

> >> Ortiz, MS, RD

> >>

> >> *The FRUGAL Dietitian* <http://www.thefrugaldietitian.com>

> >>

> >> Check out my blog: mixture of deals and nutrition

> >>

> >> Groupon: $10 for $20 Worth of Toys and Games, Books and More at &

> >>

> >> Noble exp. 2/6 <http://thefrugaldietitian.com/?p=13918> $1 for a $10

> >> Credit

> >>

> >> to Spend on DealPulp.com! 2/4 ONLY <

> >> http://thefrugaldietitian.com/?p=13994>

> >>

> >> *Healthy Diet at any Age: We are NOT just looking

> >>

> >> *

> >>

> >> *at the years people have behind them but also the

> >>

> >> *

> >>

> >> *quality of the years ahead of them.*

> >>

> >>

[Guest guest]

Very interesting.All I can add from what you sent, as per Pancreatic CA seminar

I just attended - sometime it is missed in CT scan and requires PET scan. If

that would be me or someone I cared about I would insist on a PET scan,

especially since 3 CT scans didn't show anything. One last thought - what are

the possibilities of binge-eating d/o? One of the complications is GI problems

and your friend did mention that it happened after bigger high-fat meals.

referring to this part: " prior to each attack, I did consume much more fat than

usual. In one> case, burger and fries, in another, egg salad consisting of five

eggs eaten> all at once, in another case, lots of pulled pork left over from a

work food> event. Doctors did not pay much attention to that fact. "

BEDO pts would be " dieting " most of the time and have episodes of bingeing,

therefore no diarrhea involved in-spite of 30,000 Lipase (?) and would normally

not use much wt or at all. Hope not - but, just a thought.

Merav Levi, RD, MS, CDNA dietitian, not the food police.

http://www.linkedin.com/in/meravlevi

" Life is not measured by the number of breath you take, but by the moments that

take your breath away. " - Carlin " People don't forget the truth, they just

become better in lying " (Revolutionary Road)

> To: rd-usa

> From: nrord1@...

> Date: Sat, 5 Feb 2011 08:01:56 -0500

> Subject: Re: frequent pancreatitis in a non-drinker

>

> Answers:

>

> 1. Yes, pancreatic CA ruled out; also cysts. The pancreas itself is in

> pretty good shape, they said.

>

> 2. I did not lose significant weight--only about 5 pounds

>

> 3. CT scans were done 3 times

>

> 4. Not a smoker since 1999

> 5. Attacks requiring emergency treatment:

>

> 1st attack in July 2009;

>

> 2nd April 2010 (improved while in emergency room and sent home);

>

> 3rd attack May 2010;

>

> 4th attack Jan 29 2011.

>

> Accompanied by nausea and vomiting each time. Initial pain a 9-10 on a

> scale of 1-10.

>

>

>

> - Attacks #1,2, and 4 required hospitalization for four days each and were

> similar in length and treatment: Dilaudid q 4 hrs prn, NPO first 3 days

> (until enzymes levels approached normal),

>

> - Rapid improvement and return to work within a week each time.

>

> - No diarrhea normally or during attack

>

> - No pain at meal time or any other time-- only when experiencing an acute

> attack that requires emergency treatment

>

> - I adhere to a relatively low fat diet with small frequent meals, and take

> Omega 3s.

>

> - Prior to each attack, I did consume much more fat than usual. In one

> case, burger and fries, in another, egg salad consisting of five eggs eaten

> all at once, in another case, lots of pulled pork left over from a work food

> event. Doctors did not pay much attention to that fact.

>

>

>

> Blood work showed normal triglycerides and liver function. No gall stones.

>

>

>

>

> > Thanks ladies - I will have to go back and ask her (female) those questions

> >

> >

> >

> >

> >>

> >>

> >> When I worked inpatient I met a young male that had recurrent pancreatitis

> >> secondary to familial hypertriglyceridemia. We put him on a calorie

> >> controlled, consistent cho diet, with low fat/sat fats. He also took

> >> omega3s.

> >> Hope they figure it out!

> >>

> >> Sent from my iPhone

> >>

> >>

> >> On Feb 4, 2011, at 9:39 PM, Merav Levi <meravls@...<meravls%40msn.com>>

> >> wrote:

> >>

> >> Hi ,

> >> Few questions if I may:1. Did any one r/o-ed pancreatic CA? I hope it

> >> was2. Did he lose significant/continuous unplanned wt?3. Any CT/PET scans

> >> done?4. Is s/he a smoker?5. Your friend mentions to be in the hospital for

> >> his/her 4th attack. Is that the 4th attack that week? in one month? how

> >> frequent or how long ago was the first one?

> >> As for the NPO/clear liq diet - it is the common practice in many places,

> >> but it is not alway any more. Pt should eat what is tolerated. Yes, at the

> >> time of flare-up - if pt does not vomit/nauseated - keep a low fat high

prot

> >> diet, small frequent meals as tolerated. If diarrhea/steatorrhea is present

> >> restrict fat even more or try the clear liquids for few days and try low

fat

> >> high protein diet again when vomiting stops. What I am getting from the

> >> e-mail is that your friend does not suffer with vomiting/nausea/diarrhea

(or

> >> maybe I am wrongly interpreting) yet the pain could be terrible at meal

time

> >> - so as I said - all per tolerance. It used to be also PN for acute

> >> pancreatitis but again, if pt is able to tolerate PO to sustain self -that

> >> is the way to go. Of course - if PN/npo was initiated and was prescribed

for

> >> more then 5 days we have to be cautious about re-feeding and therefore

clear

> >> liquids may be the first step (but I didn't get that this what

> >> happened to your friend).

> >> Let me know what you think.

> >>

> >> Merav Levi, RD, MS, CDNA dietitian, not the food police.

> >> http://www.linkedin.com/in/meravlevi

> >>

> >> " Life is not measured by the number of breath you take, but by the moments

> >> that take your breath away. " - Carlin " People don't forget the truth,

> >> they just become better in lying " (Revolutionary Road)

> >>

> >> To: rd-usa <rd-usa%40yahoogroups.com>

> >> From: nrord1@... <nrord1%40gmail.com>

> >> Date: Fri, 4 Feb 2011 18:15:59 -0500

> >> Subject: frequent pancreatitis in a non-drinker

> >>

> >> A friend has had this happen - any other thoughts what could be causing

> >> it?

> >>

> >> Any GI RDs?

> >>

> >> " I've had four attacks of pancreatitis in the past two years and they

> >> don't

> >>

> >> know the cause ( idiopathic ). It's amazing how the doctors disagree, one

> >>

> >> saying hypercalcemia (mine is slightly high and has been for years) could

> >> be

> >>

> >> a factor, others saying not. I have pancreatic divisim and some say it's a

> >>

> >> possible cause and others say it can't be. I got diet advice from a doctor

> >>

> >> while two were standing in the room. When he left, the other doctor said

> >>

> >> that I could ignore his advice--diet would make no difference in

> >> preventing

> >>

> >> future attacks.

> >>

> >> I know why some people get so frustrated with doctors. I'm not frustrated

> >>

> >> with them, per se, just with the fact that the cause of my pancreatitis is

> >>

> >> so elusive. They ruled out the two most common causes: gall bladder

> >>

> >> disease and excessive alcohol intake. I will be seeing a pancreatic

> >>

> >> specialist soon and also had blood tests run to check parathyroid

> >>

> >> hormones to diagnose the hypercalcemia .

> >>

> >> I was in the hospital just this week with my 4th attack (lipase 30,000,

> >>

> >> amylase 450)and was amazed when my attending physician ordered a clears

> >> diet

> >>

> >> for me right after admission. I consumed some of it and got a lot sicker.

> >>

> >> The protocol is NPO until enzyme levels approach normal. What was he

> >>

> >> thinking? "

> >>

> >> --

> >>

> >> Ortiz, MS, RD

> >>

> >> *The FRUGAL Dietitian* <http://www.thefrugaldietitian.com>

> >>

> >> Check out my blog: mixture of deals and nutrition

> >>

> >> Groupon: $10 for $20 Worth of Toys and Games, Books and More at &

> >>

> >> Noble exp. 2/6 <http://thefrugaldietitian.com/?p=13918> $1 for a $10

> >> Credit

> >>

> >> to Spend on DealPulp.com! 2/4 ONLY <

> >> http://thefrugaldietitian.com/?p=13994>

> >>

> >> *Healthy Diet at any Age: We are NOT just looking

> >>

> >> *

> >>

> >> *at the years people have behind them but also the

> >>

> >> *

> >>

> >> *quality of the years ahead of them.*

> >>

> >>

[Guest guest]

Will run it past her...thanks Merav. I do want to add that she did throw

out a compliment out about Dietitians always being so thoughtful and

helpful. She is a lay person and has always been impressed with Dietitians.

>

>

>

> Very interesting.All I can add from what you sent, as per Pancreatic CA

> seminar I just attended - sometime it is missed in CT scan and requires PET

> scan. If that would be me or someone I cared about I would insist on a PET

> scan, especially since 3 CT scans didn't show anything. One last thought -

> what are the possibilities of binge-eating d/o? One of the complications is

> GI problems and your friend did mention that it happened after bigger

> high-fat meals. referring to this part: " prior to each attack, I did consume

> much more fat than usual. In one> case, burger and fries, in another, egg

> salad consisting of five eggs eaten> all at once, in another case, lots of

> pulled pork left over from a work food> event. Doctors did not pay much

> attention to that fact. "

> BEDO pts would be " dieting " most of the time and have episodes of bingeing,

> therefore no diarrhea involved in-spite of 30,000 Lipase (?) and would

> normally not use much wt or at all. Hope not - but, just a thought.

>

>

> Merav Levi, RD, MS, CDNA dietitian, not the food police.

> http://www.linkedin.com/in/meravlevi

>

> " Life is not measured by the number of breath you take, but by the moments

> that take your breath away. " - Carlin " People don't forget the truth,

> they just become better in lying " (Revolutionary Road)

>

> > To: rd-usa <rd-usa%40yahoogroups.com>

> > From: nrord1@... <nrord1%40gmail.com>

> > Date: Sat, 5 Feb 2011 08:01:56 -0500

> > Subject: Re: frequent pancreatitis in a non-drinker

>

> >

> > Answers:

> >

> > 1. Yes, pancreatic CA ruled out; also cysts. The pancreas itself is in

> > pretty good shape, they said.

> >

> > 2. I did not lose significant weight--only about 5 pounds

> >

> > 3. CT scans were done 3 times

> >

> > 4. Not a smoker since 1999

> > 5. Attacks requiring emergency treatment:

> >

> > 1st attack in July 2009;

> >

> > 2nd April 2010 (improved while in emergency room and sent home);

> >

> > 3rd attack May 2010;

> >

> > 4th attack Jan 29 2011.

> >

> > Accompanied by nausea and vomiting each time. Initial pain a 9-10 on a

> > scale of 1-10.

> >

> >

> >

> > - Attacks #1,2, and 4 required hospitalization for four days each and

> were

> > similar in length and treatment: Dilaudid q 4 hrs prn, NPO first 3 days

> > (until enzymes levels approached normal),

> >

> > - Rapid improvement and return to work within a week each time.

> >

> > - No diarrhea normally or during attack

> >

> > - No pain at meal time or any other time-- only when experiencing an

> acute

> > attack that requires emergency treatment

> >

> > - I adhere to a relatively low fat diet with small frequent meals, and

> take

> > Omega 3s.

> >

> > - Prior to each attack, I did consume much more fat than usual. In one

> > case, burger and fries, in another, egg salad consisting of five eggs

> eaten

> > all at once, in another case, lots of pulled pork left over from a work

> food

> > event. Doctors did not pay much attention to that fact.

> >

> >

> >

> > Blood work showed normal triglycerides and liver function. No gall

> stones.

> >

> >

> > On Fri, Feb 4, 2011 at 10:30 PM, Ortiz

<nrord1@...<nrord1%40gmail.com>>

> wrote:

> >

> > > Thanks ladies - I will have to go back and ask her (female) those

> questions

> > >

> > >

> > > On Fri, Feb 4, 2011 at 10:23 PM, Lori Wyble

<lowyble@...<lowyble%40yahoo.com>>

> wrote:

> > >

> > >>

> > >>

> > >> When I worked inpatient I met a young male that had recurrent

> pancreatitis

> > >> secondary to familial hypertriglyceridemia. We put him on a calorie

> > >> controlled, consistent cho diet, with low fat/sat fats. He also took

> > >> omega3s.

> > >> Hope they figure it out!

> > >>

> > >> Sent from my iPhone

> > >>

> > >>

> > >> On Feb 4, 2011, at 9:39 PM, Merav Levi

<meravls@...<meravls%40msn.com>

> <meravls%40msn.com>>

>

> > >> wrote:

> > >>

> > >> Hi ,

> > >> Few questions if I may:1. Did any one r/o-ed pancreatic CA? I hope it

> > >> was2. Did he lose significant/continuous unplanned wt?3. Any CT/PET

> scans

> > >> done?4. Is s/he a smoker?5. Your friend mentions to be in the hospital

> for

> > >> his/her 4th attack. Is that the 4th attack that week? in one month?

> how

> > >> frequent or how long ago was the first one?

> > >> As for the NPO/clear liq diet - it is the common practice in many

> places,

> > >> but it is not alway any more. Pt should eat what is tolerated. Yes, at

> the

> > >> time of flare-up - if pt does not vomit/nauseated - keep a low fat

> high prot

> > >> diet, small frequent meals as tolerated. If diarrhea/steatorrhea is

> present

> > >> restrict fat even more or try the clear liquids for few days and try

> low fat

> > >> high protein diet again when vomiting stops. What I am getting from

> the

> > >> e-mail is that your friend does not suffer with

> vomiting/nausea/diarrhea (or

> > >> maybe I am wrongly interpreting) yet the pain could be terrible at

> meal time

> > >> - so as I said - all per tolerance. It used to be also PN for acute

> > >> pancreatitis but again, if pt is able to tolerate PO to sustain self

> -that

> > >> is the way to go. Of course - if PN/npo was initiated and was

> prescribed for

> > >> more then 5 days we have to be cautious about re-feeding and therefore

> clear

> > >> liquids may be the first step (but I didn't get that this what

> > >> happened to your friend).

> > >> Let me know what you think.

> > >>

> > >> Merav Levi, RD, MS, CDNA dietitian, not the food police.

> > >> http://www.linkedin.com/in/meravlevi

> > >>

> > >> " Life is not measured by the number of breath you take, but by the

> moments

> > >> that take your breath away. " - Carlin " People don't forget the

> truth,

> > >> they just become better in lying " (Revolutionary Road)

> > >>

> > >> To: rd-usa <rd-usa%40yahoogroups.com> <rd-usa%

> 40yahoogroups.com>

> > >> From: nrord1@... <nrord1%40gmail.com> <nrord1%40gmail.com>

>

> > >> Date: Fri, 4 Feb 2011 18:15:59 -0500

> > >> Subject: frequent pancreatitis in a non-drinker

> > >>

> > >> A friend has had this happen - any other thoughts what could be

> causing

> > >> it?

> > >>

> > >> Any GI RDs?

> > >>

> > >> " I've had four attacks of pancreatitis in the past two years and they

> > >> don't

> > >>

> > >> know the cause ( idiopathic ). It's amazing how the doctors disagree,

> one

> > >>

> > >> saying hypercalcemia (mine is slightly high and has been for years)

> could

> > >> be

> > >>

> > >> a factor, others saying not. I have pancreatic divisim and some say

> it's a

> > >>

> > >> possible cause and others say it can't be. I got diet advice from a

> doctor

> > >>

> > >> while two were standing in the room. When he left, the other doctor

> said

> > >>

> > >> that I could ignore his advice--diet would make no difference in

> > >> preventing

> > >>

> > >> future attacks.

> > >>

> > >> I know why some people get so frustrated with doctors. I'm not

> frustrated

> > >>

> > >> with them, per se, just with the fact that the cause of my

> pancreatitis is

> > >>

> > >> so elusive. They ruled out the two most common causes: gall bladder

> > >>

> > >> disease and excessive alcohol intake. I will be seeing a pancreatic

> > >>

> > >> specialist soon and also had blood tests run to check parathyroid

> > >>

> > >> hormones to diagnose the hypercalcemia .

> > >>

> > >> I was in the hospital just this week with my 4th attack (lipase

> 30,000,

> > >>

> > >> amylase 450)and was amazed when my attending physician ordered a

> clears

> > >> diet

> > >>

> > >> for me right after admission. I consumed some of it and got a lot

> sicker.

> > >>

> > >> The protocol is NPO until enzyme levels approach normal. What was he

> > >>

> > >> thinking? "

> > >>

> > >> --

> > >>

> > >> Ortiz, MS, RD

> > >>

> > >> *The FRUGAL Dietitian* <http://www.thefrugaldietitian.com>

> > >>

> > >> Check out my blog: mixture of deals and nutrition

> > >>

> > >> Groupon: $10 for $20 Worth of Toys and Games, Books and More at

> &

> > >>

> > >> Noble exp. 2/6 <http://thefrugaldietitian.com/?p=13918> $1 for a $10

> > >> Credit

> > >>

> > >> to Spend on DealPulp.com! 2/4 ONLY <

> > >> http://thefrugaldietitian.com/?p=13994>

> > >>

> > >> *Healthy Diet at any Age: We are NOT just looking

> > >>

> > >> *

> > >>

> > >> *at the years people have behind them but also the

> > >>

> > >> *

> > >>

> > >> *quality of the years ahead of them.*

> > >>

> > >>

[Guest guest]

This may be a little off but what about pancreatic insufficiency borderline or

intermittent duct spasms that come and go.

Jackie Chase RD

Dillingham AK

> Answers:

>

> 1. Yes, pancreatic CA ruled out; also cysts. The pancreas itself is in

> pretty good shape, they said.

>

> 2. I did not lose significant weight--only about 5 pounds

>

> 3. CT scans were done 3 times

>

> 4. Not a smoker since 1999

> 5. Attacks requiring emergency treatment:

>

> 1st attack in July 2009;

>

> 2nd April 2010 (improved while in emergency room and sent home);

>

> 3rd attack May 2010;

>

> 4th attack Jan 29 2011.

>

> Accompanied by nausea and vomiting each time. Initial pain a 9-10 on a

> scale of 1-10.

>

>

>

> - Attacks #1,2, and 4 required hospitalization for four days each and were

> similar in length and treatment: Dilaudid q 4 hrs prn, NPO first 3 days

> (until enzymes levels approached normal),

>

> - Rapid improvement and return to work within a week each time.

>

> - No diarrhea normally or during attack

>

> - No pain at meal time or any other time-- only when experiencing an acute

> attack that requires emergency treatment

>

> - I adhere to a relatively low fat diet with small frequent meals, and take

> Omega 3s.

>

> - Prior to each attack, I did consume much more fat than usual. In one

> case, burger and fries, in another, egg salad consisting of five eggs eaten

> all at once, in another case, lots of pulled pork left over from a work food

> event. Doctors did not pay much attention to that fact.

>

>

>

> Blood work showed normal triglycerides and liver function. No gall stones.

>

>

>

>

[Guest guest]

This may be a little off but what about pancreatic insufficiency borderline or

intermittent duct spasms that come and go.

Jackie Chase RD

Dillingham AK

> Answers:

>

> 1. Yes, pancreatic CA ruled out; also cysts. The pancreas itself is in

> pretty good shape, they said.

>

> 2. I did not lose significant weight--only about 5 pounds

>

> 3. CT scans were done 3 times

>

> 4. Not a smoker since 1999

> 5. Attacks requiring emergency treatment:

>

> 1st attack in July 2009;

>

> 2nd April 2010 (improved while in emergency room and sent home);

>

> 3rd attack May 2010;

>

> 4th attack Jan 29 2011.

>

> Accompanied by nausea and vomiting each time. Initial pain a 9-10 on a

> scale of 1-10.

>

>

>

> - Attacks #1,2, and 4 required hospitalization for four days each and were

> similar in length and treatment: Dilaudid q 4 hrs prn, NPO first 3 days

> (until enzymes levels approached normal),

>

> - Rapid improvement and return to work within a week each time.

>

> - No diarrhea normally or during attack

>

> - No pain at meal time or any other time-- only when experiencing an acute

> attack that requires emergency treatment

>

> - I adhere to a relatively low fat diet with small frequent meals, and take

> Omega 3s.

>

> - Prior to each attack, I did consume much more fat than usual. In one

> case, burger and fries, in another, egg salad consisting of five eggs eaten

> all at once, in another case, lots of pulled pork left over from a work food

> event. Doctors did not pay much attention to that fact.

>

>

>

> Blood work showed normal triglycerides and liver function. No gall stones.

>

>

>

>

[Guest guest]

Since that is new to me what would happen during those times? I would want

explain to her more about that (she is a lay person). I think at this point

she wants a list to take to the MD even if it is just a slight chance.

On Sun, Feb 6, 2011 at 2:44 PM, Jackie Chase wrote:

>

>

> This may be a little off but what about pancreatic insufficiency borderline

> or intermittent duct spasms that come and go.

>

> Jackie Chase RD

> Dillingham AK

>

>

> > Answers:

> >

> > 1. Yes, pancreatic CA ruled out; also cysts. The pancreas itself is in

> > pretty good shape, they said.

> >

> > 2. I did not lose significant weight--only about 5 pounds

> >

> > 3. CT scans were done 3 times

> >

> > 4. Not a smoker since 1999

> > 5. Attacks requiring emergency treatment:

> >

> > 1st attack in July 2009;

> >

> > 2nd April 2010 (improved while in emergency room and sent home);

> >

> > 3rd attack May 2010;

> >

> > 4th attack Jan 29 2011.

> >

> > Accompanied by nausea and vomiting each time. Initial pain a 9-10 on a

> > scale of 1-10.

> >

> >

> >

> > - Attacks #1,2, and 4 required hospitalization for four days each and

> were

> > similar in length and treatment: Dilaudid q 4 hrs prn, NPO first 3 days

> > (until enzymes levels approached normal),

> >

> > - Rapid improvement and return to work within a week each time.

> >

> > - No diarrhea normally or during attack

> >

> > - No pain at meal time or any other time-- only when experiencing an

> acute

> > attack that requires emergency treatment

> >

> > - I adhere to a relatively low fat diet with small frequent meals, and

> take

> > Omega 3s.

> >

> > - Prior to each attack, I did consume much more fat than usual. In one

> > case, burger and fries, in another, egg salad consisting of five eggs

> eaten

> > all at once, in another case, lots of pulled pork left over from a work

> food

> > event. Doctors did not pay much attention to that fact.

> >

> >

> >

> > Blood work showed normal triglycerides and liver function. No gall

> stones.

> >

> >

> >

> >

>

>

[Guest guest]

Thanks for passing it on.you are welcome, I hope it helps.

Merav Levi, RD, MS, CDNA dietitian, not the food police.

http://www.linkedin.com/in/meravlevi

" Life is not measured by the number of breath you take, but by the moments that

take your breath away. " - Carlin " People don't forget the truth, they just

become better in lying " (Revolutionary Road)

> To: rd-usa

> From: nrord1@...

> Date: Sat, 5 Feb 2011 18:59:18 -0500

> Subject: Re: frequent pancreatitis in a non-drinker

>

> Will run it past her...thanks Merav. I do want to add that she did throw

> out a compliment out about Dietitians always being so thoughtful and

> helpful. She is a lay person and has always been impressed with Dietitians.

>

>

>

> >

> >

> >

> > Very interesting.All I can add from what you sent, as per Pancreatic CA

> > seminar I just attended - sometime it is missed in CT scan and requires PET

> > scan. If that would be me or someone I cared about I would insist on a PET

> > scan, especially since 3 CT scans didn't show anything. One last thought -

> > what are the possibilities of binge-eating d/o? One of the complications is

> > GI problems and your friend did mention that it happened after bigger

> > high-fat meals. referring to this part: " prior to each attack, I did consume

> > much more fat than usual. In one> case, burger and fries, in another, egg

> > salad consisting of five eggs eaten> all at once, in another case, lots of

> > pulled pork left over from a work food> event. Doctors did not pay much

> > attention to that fact. "

> > BEDO pts would be " dieting " most of the time and have episodes of bingeing,

> > therefore no diarrhea involved in-spite of 30,000 Lipase (?) and would

> > normally not use much wt or at all. Hope not - but, just a thought.

> >

> >

> > Merav Levi, RD, MS, CDNA dietitian, not the food police.

> > http://www.linkedin.com/in/meravlevi

> >

> > " Life is not measured by the number of breath you take, but by the moments

> > that take your breath away. " - Carlin " People don't forget the truth,

> > they just become better in lying " (Revolutionary Road)

> >

> > > To: rd-usa <rd-usa%40yahoogroups.com>

> > > From: nrord1@... <nrord1%40gmail.com>

> > > Date: Sat, 5 Feb 2011 08:01:56 -0500

> > > Subject: Re: frequent pancreatitis in a non-drinker

> >

> > >

> > > Answers:

> > >

> > > 1. Yes, pancreatic CA ruled out; also cysts. The pancreas itself is in

> > > pretty good shape, they said.

> > >

> > > 2. I did not lose significant weight--only about 5 pounds

> > >

> > > 3. CT scans were done 3 times

> > >

> > > 4. Not a smoker since 1999

> > > 5. Attacks requiring emergency treatment:

> > >

> > > 1st attack in July 2009;

> > >

> > > 2nd April 2010 (improved while in emergency room and sent home);

> > >

> > > 3rd attack May 2010;

> > >

> > > 4th attack Jan 29 2011.

> > >

> > > Accompanied by nausea and vomiting each time. Initial pain a 9-10 on a

> > > scale of 1-10.

> > >

> > >

> > >

> > > - Attacks #1,2, and 4 required hospitalization for four days each and

> > were

> > > similar in length and treatment: Dilaudid q 4 hrs prn, NPO first 3 days

> > > (until enzymes levels approached normal),

> > >

> > > - Rapid improvement and return to work within a week each time.

> > >

> > > - No diarrhea normally or during attack

> > >

> > > - No pain at meal time or any other time-- only when experiencing an

> > acute

> > > attack that requires emergency treatment

> > >

> > > - I adhere to a relatively low fat diet with small frequent meals, and

> > take

> > > Omega 3s.

> > >

> > > - Prior to each attack, I did consume much more fat than usual. In one

> > > case, burger and fries, in another, egg salad consisting of five eggs

> > eaten

> > > all at once, in another case, lots of pulled pork left over from a work

> > food

> > > event. Doctors did not pay much attention to that fact.

> > >

> > >

> > >

> > > Blood work showed normal triglycerides and liver function. No gall

> > stones.

> > >

> > >

> > > On Fri, Feb 4, 2011 at 10:30 PM, Ortiz

<nrord1@...<nrord1%40gmail.com>>

> > wrote:

> > >

> > > > Thanks ladies - I will have to go back and ask her (female) those

> > questions

> > > >

> > > >

> > > > On Fri, Feb 4, 2011 at 10:23 PM, Lori Wyble

<lowyble@...<lowyble%40yahoo.com>>

> > wrote:

> > > >

> > > >>

> > > >>

> > > >> When I worked inpatient I met a young male that had recurrent

> > pancreatitis

> > > >> secondary to familial hypertriglyceridemia. We put him on a calorie

> > > >> controlled, consistent cho diet, with low fat/sat fats. He also took

> > > >> omega3s.

> > > >> Hope they figure it out!

> > > >>

> > > >> Sent from my iPhone

> > > >>

> > > >>

> > > >> On Feb 4, 2011, at 9:39 PM, Merav Levi

<meravls@...<meravls%40msn.com>

> > <meravls%40msn.com>>

> >

> > > >> wrote:

> > > >>

> > > >> Hi ,

> > > >> Few questions if I may:1. Did any one r/o-ed pancreatic CA? I hope it

> > > >> was2. Did he lose significant/continuous unplanned wt?3. Any CT/PET

> > scans

> > > >> done?4. Is s/he a smoker?5. Your friend mentions to be in the hospital

> > for

> > > >> his/her 4th attack. Is that the 4th attack that week? in one month?

> > how

> > > >> frequent or how long ago was the first one?

> > > >> As for the NPO/clear liq diet - it is the common practice in many

> > places,

> > > >> but it is not alway any more. Pt should eat what is tolerated. Yes, at

> > the

> > > >> time of flare-up - if pt does not vomit/nauseated - keep a low fat

> > high prot

> > > >> diet, small frequent meals as tolerated. If diarrhea/steatorrhea is

> > present

> > > >> restrict fat even more or try the clear liquids for few days and try

> > low fat

> > > >> high protein diet again when vomiting stops. What I am getting from

> > the

> > > >> e-mail is that your friend does not suffer with

> > vomiting/nausea/diarrhea (or

> > > >> maybe I am wrongly interpreting) yet the pain could be terrible at

> > meal time

> > > >> - so as I said - all per tolerance. It used to be also PN for acute

> > > >> pancreatitis but again, if pt is able to tolerate PO to sustain self

> > -that

> > > >> is the way to go. Of course - if PN/npo was initiated and was

> > prescribed for

> > > >> more then 5 days we have to be cautious about re-feeding and therefore

> > clear

> > > >> liquids may be the first step (but I didn't get that this what

> > > >> happened to your friend).

> > > >> Let me know what you think.

> > > >>

> > > >> Merav Levi, RD, MS, CDNA dietitian, not the food police.

> > > >> http://www.linkedin.com/in/meravlevi

> > > >>

> > > >> " Life is not measured by the number of breath you take, but by the

> > moments

> > > >> that take your breath away. " - Carlin " People don't forget the

> > truth,

> > > >> they just become better in lying " (Revolutionary Road)

> > > >>

> > > >> To: rd-usa <rd-usa%40yahoogroups.com> <rd-usa%

> > 40yahoogroups.com>

> > > >> From: nrord1@... <nrord1%40gmail.com> <nrord1%40gmail.com>

> >

> > > >> Date: Fri, 4 Feb 2011 18:15:59 -0500

> > > >> Subject: frequent pancreatitis in a non-drinker

> > > >>

> > > >> A friend has had this happen - any other thoughts what could be

> > causing

> > > >> it?

> > > >>

> > > >> Any GI RDs?

> > > >>

> > > >> " I've had four attacks of pancreatitis in the past two years and they

> > > >> don't

> > > >>

> > > >> know the cause ( idiopathic ). It's amazing how the doctors disagree,

> > one

> > > >>

> > > >> saying hypercalcemia (mine is slightly high and has been for years)

> > could

> > > >> be

> > > >>

> > > >> a factor, others saying not. I have pancreatic divisim and some say

> > it's a

> > > >>

> > > >> possible cause and others say it can't be. I got diet advice from a

> > doctor

> > > >>

> > > >> while two were standing in the room. When he left, the other doctor

> > said

> > > >>

> > > >> that I could ignore his advice--diet would make no difference in

> > > >> preventing

> > > >>

> > > >> future attacks.

> > > >>

> > > >> I know why some people get so frustrated with doctors. I'm not

> > frustrated

> > > >>

> > > >> with them, per se, just with the fact that the cause of my

> > pancreatitis is

> > > >>

> > > >> so elusive. They ruled out the two most common causes: gall bladder

> > > >>

> > > >> disease and excessive alcohol intake. I will be seeing a pancreatic

> > > >>

> > > >> specialist soon and also had blood tests run to check parathyroid

> > > >>

> > > >> hormones to diagnose the hypercalcemia .

> > > >>

> > > >> I was in the hospital just this week with my 4th attack (lipase

> > 30,000,

> > > >>

> > > >> amylase 450)and was amazed when my attending physician ordered a

> > clears

> > > >> diet

> > > >>

> > > >> for me right after admission. I consumed some of it and got a lot

> > sicker.

> > > >>

> > > >> The protocol is NPO until enzyme levels approach normal. What was he

> > > >>

> > > >> thinking? "

> > > >>

> > > >> --

> > > >>

> > > >> Ortiz, MS, RD

> > > >>

> > > >> *The FRUGAL Dietitian* <http://www.thefrugaldietitian.com>

> > > >>

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> > > >>

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> > > >>

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> > > >>

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> > > >>

> > > >> *Healthy Diet at any Age: We are NOT just looking

> > > >>

> > > >> *

> > > >>

> > > >> *at the years people have behind them but also the

> > > >>

> > > >> *

> > > >>

> > > >> *quality of the years ahead of them.*

> > > >>

> > > >>