Treatment for PANCREATITIS during LATE PREGNANCY.

Resolved question:
I am 30, female, otherwise healthy. I gave birth 10 days ago. The day before the birth I had an attack of acute pancreatitis. The scan showed no stones in the ducts but uncomplicated gallstones left in my gall bladder. I was told the gallstone that had blocked my pancreatic duct must now have passed. I had had pancreatitis type pain a few times intermittently in late pregnancy but i thought it was just related to the pregnancy. Each time the pain was preceded by me having an orgasm. I didn't have many orgasms in pregnancy. There did seem to be a correlation. I gave birth naturally with gas and air, had a third degree tear, lost 900ml blood and required a blood transfusion which brought by hg back up. My CT scan showed inflammation fluid around the pancreas. I continued to have a rising and falling temperature for a week afterwards, sweating and still slight tightness of the muscles under the ribs. I feel almost back to normal today - just a bit weak. I am TERRIFIED that overnight a gallstone will come out of my gall bladder and give me another attack of pancreatitis. I don't know how to not be scared about this. I am going to see someone tomorrow about getting my gallbladder removed, but feel like i am going to be terrified until i do. I don't want to scar my pancreas any further. Please help! Please also note I had bloods taken yesterday. My amylase is back to normal. My CRP continues to fall. It is now at 88. 

Submitted: 4 Days
Category: Gastroenterologist, Medical

Expert:  Dr. Ratnakar Kini replied 4 Days.

Hi,
Thanks for posting your query at DoctorSpring.com
I am Dr.R.K and I am pleased to assist you.
You have had biliary pancreatitis.
Usually the smaller stones move out of the gallbladder and move down the bileduct to cause obstruction and pancreatitis.
If the gallbladder now contains only larger stones, it is less likely that you will get another attack of pancreatitis.
Early removal of the gallbladder laparascopically would the ideal treatment.
Good to see that your amylase and CRP are retruning to baseline.
I hope that answers your query.
Let me know if I can assist you further.
Regards,
Dr.R.K

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