Guest guest Posted June 12, 2004 Report Share Posted June 12, 2004 Hi Kris, I'll try to share a little experience with you. It may or may not be helpful but at least I'm listening to you! Every case is different and the causes of CP, as well as the types and extent of damage to the pancreas, are many and varied, therefore the therapies vary in their type and efficacy. For me, Creon has been very effective in controlling both lower-abdominal symptoms of malabsorption (pain, gas, diarrhoea, steatorrhoea, bloating etc.) and the crippling upper-abdominal pain caused by inflammation of the pancreas itself. Heidi has just posted a very interesting article on enzyme therapy and pain management. I'm sure you'd find it interesting. My CP is hereditary....I've had symptoms since the age of 5 and am now 58!.....and the incontovertible evidence appeared in a CT scan in 2003 as atrophy and extensive calcifications throughout the pancreas. All my life I had attacks of very severe pain and in the 1980's, the same attacks of pain but now also with steatorrhoea and diarrhoea which became virtually constant by 1988. I then had a diagnosis of coeliac disease whilst tests for pancreatic disease seemed negative. The gluten-free diet, also supplemented by a lactose-free diet definitely helped me considerably but did not completely " cure " me. (I was advised a lactose-free diet by my then gastro because some severe cases of coeliac disease also have difficulty in digesting lactose because the condition can destroy or impair the ability to produce lactase which is the enzyme which digests lactose.) Attacks of severe upper-abdominal pain gradually became more frequent and more prolonged in the late 90's and up to 2002, although with less dreadful diarrhoea than in the 80's. I was still following religiously the gluten-free and lactose-free diet. From Dec. 2002, tests on the pancreas began again, thanks to a very young female doc who was standing in for my gastro one day at the hospital clinic. She really LISTENED to me and initiated the series of tests which culminated in my definitive CP diagnosis. Well, my pancreatic specialist to-day says that he believes the coeliac diagnosis was probably incorrect in 1988 as I definitely have CP which explains all my symptoms, but he is not 100% certain. I am not sure at all. Although my symptoms have improved significantly since I started the Creon/low-fat/no-alcohol-at-all therapy, I still do have symptoms so it is difficult, in this " patchy " situation, to be sure if reintroducing gluten causes problems or not. I have decided to wait until the summer hols (I'm a teacher) to conduct a prolonged experiment on this. My suspicion is that I still do better on a gluten-free diet but I have definitely been able to reintroduce lactose (low-fat cheese etc.) without ill effects. Naturally, I am VERY interested to meet someone who may also have both CP and coeliac disease. Kris, I know I haven't said anything terribly helpful but I do sympathise. I was frightened to find I had CP. However, I'm sure you will find ways of managing the condition reasonably and improving your sense of well-being. I know little personally about sandostatin but I know some patients who consider it a wonder drug. I expect someone with direct experience of it will tell you more and you can research it on the net as well. I hope that Creon will help you and that you will gradually come to terms with your condition. It is a shock to receive the diagnosis, I know. I was there this time last year. This site meant a great deal to me and helped me through the following months. It still is. The support you will receive from people here, together with the information, is outstanding. Try reading the article Heidi posted; it is very helpful and informative. With very good wishes and kind thoughts, Fliss (UK) Quote Link to comment Share on other sites More sharing options...
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