Understanding Pancreatitis

[@ThePaultaylor200]

Cannot believe how good and how clear these videos are, after finding the podcasts earlier today. Absolutely fascinating and make learning easy. This from someone who has been in hospital for the last week with acute pancreatitis. These videos help fill gaps in understanding, noting that the treating doctors have limited time. Very reassuring indeed. You can probably tell I'm impressed. Thanks very much Tom.

[@nooralhoda8529]

it's literally from zero to finals this video has everything we need to have an approach to pancreatitis.thank you for this amazing work!

[@TheIncompleteFusion]

My grandpa, who was a legend, died today. He died from pancreatitis. He only had barely less then 2 days to live & on the first day was already knocked out in a bed in the hospital. I got all the prayers I could get from all over my family & friends & I just didn’t do enough, he still never got to hear me say I love him. Last thing he went to before the hospital was my sophomore football game to which I killed & locked up somebody that game which I hoped made him proud & excited him. He was a religious man, never drank or smoked &never did that stuff..he most likely got pancreatitis from nightquil he took for sleep. He worked hard & long just for us so we could be happy. I wish I could hug him one more time again. Right now he’s in heaven playing with his 3 dogs, Charlie, Moose, & Astro. It’s October 13, Sunday in 2024. I miss him, I don’t feel like I did enough, & I love him, with all I got. Hit a home run Pooh. Make it Fly high.

[@evonne315]

❤❤❤

[@AuburnPrepper]

​@@evonne315 prayers lifted.

[@rohanchaudhary1578]

My favourite medicine channel. The best

[@magical8013]

Since I was 15, maybe even younger. I started drinking. It has got me in so much trouble. I remember I was working this construction job and every day after work I would drink and sometimes I would have to drink a little bit in the morning just to get rid of the shakes. This went on for a while and sometimes you throw up when you don't have alcohol. It's weird because when you drink in the morning and you throw up you just figure it's the alcohol hitting your body because it happens a lot. Well one morning I was at work drinking to feel better and I just couldn't stop throwing up, on top of it I was having an extreme pain in my stomach. I know this was not normal. I called the day off and drove myself to the hospital. I had to stop multiple times just to throw up and I was sitting sideways in my driver seat because of the pain in my stomach. I remember going into the hospital saying my name and having to run out of the hospital and throw up on the sidewalk and then go back in and tell them I can't stop throwing up. Come to find out it was pancreatitis. Those four days in the hospital were some of the most painful days I've ever experienced. After getting out of the hospital. I was told not to drink again. Try telling that to an alcoholic. Anyways I started to drink a little bit again not anywhere close to what it was before. But I started noticing after I would drink I would have the same pain in my stomach and feel weak and dizzy. It was like an extremely bad hangover with extra symptoms . I know exactly what it was because I felt this pain before. I decided to never drink again because of how bad it was destroying my body. I haven't touched a drink in 2 years. I started to research and found out that alcohol is the worst drug you can't take for your body. Out of all the drugs! Alcohol does the most damage.

[@tyreetw]

thats a super fact, it been 2 years since i stop drinking, didnt even need any help to stop drinking, but once u go through a health problem, your body will tell you to put that drink down and drink more water, orange juice, etc......its so amazing how the body works

[@RachelSurridge]

Just want to note for anyone studying for board exams...Lipase is actually more specific in evaluating for pancreatitis than Amylase! They will ask this question!

[@alexusharris1375]

Thank u for this gem

[@moonb2108]

was going to say this. Lipase is preferred b/c rises earlier and lasts longer; more useful in pts who present later, and more sensitive than amylase in pts with pancreatitis due to ETOH

[@antoniocognato5023]

​@@moonb2108 so high lipase and amylase indicates pancreatitus?

[@j4d7s8]

Spent 4 days in the ER with this awful pain! Worst experience of my life. Haven’t had a drink since.

[@HolliNiesen]

Thanks for this! My mother-in-law developed acute pancreatitis a couple of years ago. Her doctors kept trying to tell her it was because of all the alcohol she drinks, even though she said she hadn't had any in over 20 years

[@juantelle1]

What happened? Is she ok?

[@HolliNiesen]

@@juantelle1 She's okay. Every now and then she has problems with food causing pain, but she can eat some of the things she enjoys most days

[@sue5770]

I had several flair ups after my first experience I guess I was in denial I was a drinker for years I'm now 66 yrs old I did stop drinking two years sober no flair ups for six months I feel so much better now don't miss or want alcohol my health is more important. It's not something to play with it's horrible.

[@ladycdquah3271]

Thanks Dr. I'm an ANP and lm learning so much from your videos and notes.

[@rodolfoayalajr.8589]

Thank you Dr. Great educational video. Can you live without one.

[@ben005dr]

I was following your page for podcasts, and they were very valuable notes, please add some senarios at the end of videos or in seperate videos so they help in exam questions Thank you so much for all the hard work and keeping them free🙏.

[@ZeroToFinals]

This is a great suggestion. There is a testing section to the website that you could use for this purpose!

[@user-je7bp4uh1m]

Thank you so much for those videos! I really appreciate it! I'm a med student. Your videos make it a lot easier to study!!! Thanks!!!

[@ericasibande8247]

I feel the same 😂

[@pharmacybyasim]

*Pancreatitis* is the inflammation of the pancreas, *caused by* gallstones, alcohol, or other factors. *Symptoms include* severe abdominal pain, nausea, and vomiting. *Treatment involves* hospitalization, pain management, and addressing underlying causes. *_Chronic cases can lead to diabetes._*

[@elizavetarakhmanova1231]

Lipase is a far better blood test to diagnose pancreatitis...

[@ZeroToFinals]

you are right!

[@nidhisindhwani9871]

Is a blood test ??

[@bazza9760]

Not necessarily. I've been having a flare up before and my lipase came back as only slightly elevated... went for an ultrasound and yep, an acute flare.

[@nidhisindhwani9871]

@@bazza9760 ultrasound can be helpful ?

[@ericasibande8247]

@@nidhisindhwani9871if the cause is a Gall stone maybe?

[@hineighbor]

after two trips to the hospital for alcohol induced acute pancreatitis after two decades of hard drinking, i have given up booze forever. 7 months sober! now I smoke weed

[@giokoolinxdkoolingangxd1590]

Does smoking weed flare anything up or cause you pain? I'm in the hospital rn for the same thing,drinking too much

[@hineighbor]

@@giokoolinxdkoolingangxd1590 No harmful effects to my pancreas at all. Been smoking since April. A lot, too. Nothing quite like an alcohol buzz, but it's better than nothing. Helps with anxiety a lot, but I'm much less talkative than when I drank. I do miss that.

[@ReapingTheHarvest]

​@@hineighbor Good to hear you quit while still ahead healthwise. I think I waited too long to quit. Constant pain for a year now.

[@nathansmith6365]

I'm on my 2nd trip....I'm ready to quit booze

[@danbless6842]

It's better you stop all of them, weed may still take you to the hospital for lungs disease

[@IK_59]

Very nice work tom,keep it up the good work,hatt's off to ur work.

[@ZeroToFinals]

Thanks, will do!

[@BallyBoy95]

Epidemiology: 80% of causes of chronic pancreatitis are due to alcohol, the remaining 20% are typically idiopathic.

[@BallyBoy95]

And yes, everybody remembers the 'scorpion sting' paha!

[@gothafloxacin]

I have something called exocrine pancreatic insufficiency and was recently diagnosed. We're not entirely sure why i have this problem but its been going on for a while (years) and im finally luckily on treatment and hoping things improve.

[@sufferinsucotash7713]

What are your symptoms? If you don’t mind me asking..

[@gothafloxacin]

@@sufferinsucotash7713 nausea, vomiting, abdominal pain, severe diarrhea to the point of causing cardiac arrhythmias due to severely low potassium as well as clinical malnutrition.

[@luismontero9029]

The video has an error. Lipase is more specific than amylase for acute pancreatitis.

[@vladimirovna26]

Agree!

[@LifeWithAutism]

I had this 5 days ago and went to surgery. While all the systems are correct I still can't for the life of me figure out why I got it. I never drink alcohol, simply because I don't like the taste. I am not on drugs, and the ones prescribed by my doctor should have nothing to do with that side. It was mostly livers. I do blood tests every year just to make sure I have all the stuff I need. And then bam! The pain was there, they took a scan and found my pancreas was in an abces and close to bursting open. Which it did when I went under apparently. I don't real want to take precautions in the future on what to eat because I love food and at a healthy weight. But the pain is something you will never feel even the same again even after birthing. Anyhow I'm told to stay for 5 days longer because the first antibiotic does not work for me. So need to start another.

[@sphenoidjjj]

Do you smoke or have gallstones?

[@LifeWithAutism]

@@sphenoidjjj no i don't smoke and they checked if i had galstones first before they figured out i had pancreatitis. I was in the hospital for two weeks and while i may never know what the cause was, at least our medicine has come a long way you be treated. Still would love to Know how, but it may very Well be just bad luck

[@Darkening14]

Did the doctors say which type of pancreatitis you have?

[@LifeWithAutism]

@@Darkening14 not sure anymore. I remember when i Came out of the scan they saw a big abces. But apperantly when i was under it bursted. Im sure it had a name but it was a big word and only can remember the pancreatis one.

[@darkening4910]

​@LifeWithAutism I dont know if this is true,but I feel I got the same thing just I found out about thos much earlier. I am 18 and felt the pain mainly in my back. When to see doctor they told me some tube is inflamed and building up. Which might have happened to you when it got too swelled up. I never drank or smoked as well. We just unlucky they say.

[@MrOgge50]

I’ve had acute pancreatitis before, but not caused by gallstones, Alcohol or Post-ERCP

[@KingSeven007]

I feel like if I watch all your videos I would have an amazing education. Good work mate!

[@WenJo659]

I’m just about to have an ERCP..I am concerned that I will suffer pancreatitis as the risk is high.. this video explains it all clearly.. I’m having an appointment with my gastro surgeon this week after suffering Sphincter of Oddi Dysfunction for ten years ! Hopefully the pain won’t be any worse than the 10/10 pain I have with SOD attacks..

[@PegaPorco]

How did it go? My wife developed pancreatitis after an ERCP and later fluid collections. 3 weeks in the hospital so far and they haven't drained it yet

[@saramahmoud9710]

very organized and usefully video !!! thank youu

[@divinemgn]

Good summary though the nil by mouth is disputed. Recent studies show better outcomes if enteral feeding is resumed as soon as possible.

[@Mamta9]

Thanks... from India 🇮🇳 💕🙏🏻

[@craterus-ii9im]

I have been thru some painful things or thought i had, let me tell you a inflamed pancretitis was hell on this earth. To what degree mine was i dont know i do know i could not have taken any more suffering. It felt like my insides were being microwaved i was also hot temp wise, finding cool air was hard to come by in ER. the thing that was scary i couldnt see where pain meds would have helped this kind of dis comfort after some tlc from docs it subsided, god dont let this happen to you.

[@emchammer1815]

Just had a bout last week of acute. It was torture beyond belief. I'll never drink a drop of alcohol again. It really is a horrible consequence of drinking but one that I needed to stop the excessive drinking. My description is: feels like being punched in the stomach everytime I breathed.

[@mnash4674]

I felt like my body was in a vice which was being tightened making breathing difficult and extremely painful. I had gallstone grit blocking the bile duct causing the acidic pancreatic enzymes to back up into the pancreas causing necrotising and pseudo cysts. I eventually had 70% of my pancreas removed. Told I’d be diabetic and on insulin before leaving the hospital - I was diagnosed 10 years later. If I’d known then what I know now I could have put the diagnosis off maybe another 10 years and I haven’t needed any digestive enzymes that they said I’d need either.

[@nihaalkrishnadasavaram]

I got it in 2018 when I was 13 years old.... It was genetical 🧬...I was just a kid... crying in hospital...begging God why was this happening to me...some nights to wanted to kill myself and end this pain...

[@tunjiola8140]

Was your stomach getting HOT??

[@tunjiola8140]

​@mnash4674 were you using digestive enzymes before the surgery or after??

[@hypebeastuchiha9229]

This happened to me when I was given Codeine which turns out to be such a rare reaction that most doctors are unaware. I've taken Codeine multiple times and the result was the same each time.

[@patfondren6013]

Codeine, steroids and ACE-inhibitors do this to me. I am 80 years old and have had pancreatitis off and on all my life. Been to some of the best doctors in the USA. Fortunately and take enzymes.

[@Slapp3]

They just gave me codeine and Tylenol mix to fight the pain of pancreatist

[@struck1999]

@@Slapp3same, they gave me dilaudid. Never heard of codeine induced pancreatitis.. 🧐

[@freebutterfly102]

Could be sphincter of oddi dysfunction, similar to gallbladder attack , digestive juices back up and sphincter spasms and causes pain, morphine and norco can cause them too

[@ianstewartorr8455]

Hi I’m interested in medicine but not connected to it at all in 2012 acute pancreatitis nearly killed me and I have been ten years sober wishes general saved my life greetings from Scotland thanks 🇬🇧🇬🇧🇬🇧 I was in the hospital for eighteen days and lost two and a half stone in that time after that I went back to the gym when I got enough strength back I don’t look nothing like I did say fifteen years ago I’ve never smoked

[@davidkoojo7964]

Thanks, surgery we are on standby waiting

[@nandhininatarajan6047]

I got pancretitis from genetic also i my first experience of pancretitis was when I was 3 unbareble pain almost want kms when things got too painful

[@dZaq]

There's no mention of Lipase?

[@mohammedhussainkhan6688]

Nice work , 👏 really good video

[@johnfarmyguy1]

I have a pseudocyst.. found on a random CT scan. But have never had any symptoms and blood markers are all normal. Confused

[@margaretel8243]

Thanks so much for this Video! One Question: In Europe, Lipase is used as the specific marker for Pancreatitis since Amylase can also indicate an inflammation of salivatory glands. However Lipase is not mentioned in your video. Could you maybe explain? Thanks!

[@marthaashworth8374]

I was diagnosed acute pancreatitis. I don't drink, I don't have a gallbladder. Not sure why it flared up. Only thing I was told is to go on a liquid diet for a 12-24 hours, then bland foods. If I start hurting again, either see my doctor or the ER. I would like to know why it happened. Don't think the video answer the cause for me 😢

[@ReapingTheHarvest]

Sorry to hear you're going through that. I hope you heal and never have future pancreas issues 🙏

[@romans1229]

Same for my daughter. She’s on the way to the ER right now. We have no ideas why this keeps happening but we’re praying for healing.

[@terryc4883]

Have you had any antibiotics? I have no gallbladder either. I know that sounds weird however I don’t smoke my alcohol intake is lit like once every five months. So when I got Covid I had antibiotics then I had a double dose because I had Covid earlier….So I have acute pancreatitis I have had Covid first a uti and the pancreatitis. Throwing up November 2nd then saw my doc. On the 11th she scripted me blood work when I look at the states over two it has gotten better I feel better. I didn’t think I had pancreatitis cause I tried to think maybe I am hunger so I will shove this slice of pizza. 1/2 later the vomiting began and it didn’t stop but I went to the ER dehydrated….and to find out I have acute pancreatitis on top of a UTI. I have to follow a strict diet blandBRAT…. Long story sorry you feel like sick you aren’t alone. It sucks…. Feel better… it is normally good that does you in

[@ZzzBliss]

Sometimes it is Idiopathic and there is no known corelated causation.

[@jackcroydon2772]

I belive I have issues with my pancreas from eating too much sugar and smoking. Going on a keto diet helps

[@tyreetw]

you better take over the counter excedrin, knock that pain out, but it will come back, see your GI doctor, never think or believe, see the doctor

[@8kmar]

Ive been having a dull pain under my left rib for over 1 year now, ive quit alcohol (wasnt a big drinker) and fried foods, Ive had 4 ultrasounds but nothing there.

[@markbrown8268]

COVID jab? Myocarditis.

[@nmc9929]

I also get this pain. My lipase is high but my ultrasound was fine. Not sure what's going on.

[@8kmar]

@@markbrown8268 ive had 2 phizer jabs unfortunately 😔

[@georgeprochnow7330]

Could be a pancreatic duct or common bile duct stricture.

[@Darkening14]

So 18 years old just got autoimmune pancreatitis having not drinking or smoking ever. They say I'm just unlucky. Anyone else seen something like this for young age?

[@ReapingTheHarvest]

Ouch. I wonder if vaccines have anything to do with it.

[@sNNNNNable]

I had it when I was 21. . 12 years later I've had zero problems so I wouldn't worry about it

[@georgearevalo1]

Isn't it (lipase) not amylase

[@Anushkaposla19]

Thanks for the wonderful explanation

[@nmc9929]

My lipase is high but my ultrasound is fine. So not sure whats happening here? I get pain under left side rib and right side rib like sudden sharp pains. Is there any other causes that can raise lipase levels other than pancreatitis? Thanks.

[@acethemcacethemc1491]

I do too.. But its not really a pain its like a soreness. Have you found out any other information ? Thank you. What was your number on Lipase? Mine was 81.

[@nmc9929]

@acethemcacethemc1491 hello, I haven't found out much more info but my lipase was 95 and then went down to 83.

[@JustinAdkins87]

Those numbers are relatively normal. Baseline is around 70. Once you start getting around 400 shit get real. My lipase and amylase enzymes hit 17,000. Lay off any fatty foods, zero booze, and get some genetic testing to make sure it’s not related to something worse. Turns out I had a genetic mutation that caused this at 17 years old for me. I drank until I was 33. I’m 36. Good luck fellas!! Hope I get another decade here.

[@gwillis01]

Thank you for a detailed video

[@florindalucero3236]

Why can’t I find any information regarding pancreatitis in people who DON’T drink? I don’t drink, have never been a drinker of any level, eat healthfully, exercise, and still have pancreatitis. I have gone on long long searches, in respected academic journals, trusted hospitals and universities, and all of them say, stop drinking. Nobody seems to ever consider even the possibility that it can happen in people who don’t drink alcohol.

[@timurrahaman5494]

I stands for idiopathic, that’s what you have

[@micahlincoln2204]

Look into pancreas divisum.

[@demaris7598]

9:02 3-7 days like you said, or 3-5 like written?

[@ZeroToFinals]

oooops! 3-7 is more accurate

[@Whitewillow221]

How long would someone have a root cause to have it be linked to pancreatitis? for example, if someone had a scorpion sting...does it matter how long ago? if someone had the mumps, would it be as a child or only as an adult? is there a connection between event cause and then issue ie. pancreatitis?

[@Prettysusssss]

I have familial hypertryglyceridemia and I’ve had pancreatitis three times because of it

[@sadafmemon5262]

Why we use rl solution in acute pancreatitis and not normal saline??

[@taoshto6006]

Super helpful. Thank you

[@Packrat9080]

my gf is in the hospital due to this and it was from drinking. i just hope she can make it out, if she does recover, me and her vowed to stay sober from alcohol. id like some advice or comments. itll def help my mental

[@jorgeignacioacuna3371]

Hello Tom! you are my heroe my idol. Do you not use Ranson citeria?

[@wonder_of_y0u]

Tom, you are my idol man

[@ayulilyana2911]

Your video is amazing:") thanks a lot

[@victoriadiazmateo8863]

Muchas gracias doctor me ll explicas muy bueno en por favor

[@chrisk2734]

I think i had it and toughed it out at home over a weekend. I probably won't do it again.

[@joshuamayer-qc3kk]

You would know. It's pain relatable to childbirth

[@Iamnobodybutyourdad]

My best friend died due pancreas burst I Don't know he died due mistreatment or not but still feeling that something is missing

[@prashantsawant6969]

What role does divisum play in causing acute pancreatitis?

[@ALEXMTENDETUNGARAZYA]

Thanks I catched more knowledge

[@LNR-Y]

You have represented this happens with alcohol. But my brother is vegan and no smoke no drink. He got this, what is cause of that?. He had gall stones

[@jyotipandeyy241]

Why cullen sign and turner sign occurs in pancreatitis

[@h.l.asolomonov7674]

For none drinkers could it occurs owing to an infection?

[@isoufacker]

are perfumes a cause of pancreatic dysfunction ?

[@Herbalist-Pak]

Good knowledge, thank you

[@zoz99_1]

Hi doctor can you explain medicine nephrology Easy ways Such this video plz 🙏🏽

[@ZeroToFinals]

Thanks for the suggestion. I will add it to the long list.

[@padmajaramanujakutam5457]

Excellent explanation.thank you sir

[@Faujiami]

Then why it occurs while patient never drinks alcohol in his or her life time?

[@Darkening14]

Happened to me at just 18

[@kadimetsamagi6417]

i have low lipease, to low and chronic hives and reflux, nightmare

[@DrBilly90210]

Still remember the acute pancreatitis mnemonic from med school: BAD $HIT Biliary disease Alcohol Drugs Scorpion sting, Sepsis Hypertriglycerides Idiopathic Trauma

[@mrs.s8855]

What is the normal range?

[@amalbvas5793]

Regarding 🦂 sting wt u said is 💯 correct

[@ashrafantar8920]

Thank you for this amazing effort

[@thabitamoschdi6028]

Thank you for sharing

[@ameliac504]

What about hereditary causes?

[@LocalFloridaMan24]

Hello MF"s!!! Good luck to anyone taking their exams next week!

[@BaltazaryEdes-gv7sk]

Respect for you🎉🎉🎉

[@lauretateodosio1648]

hindi ako naniniwsla na sa alcohol nakukuha yan ang aking anak 11/2days lang nabuhay buhat ng sumakiy tyan nya ,alam ko nakuha nya yon sa pagkain ng baka na yong sabaw ay milalagyan ng sebo ng baka tapos umiinom sya ng super lamig na tubig baka doon nya nakuha yon

[@AbelAdames-r9n]

The most painful surge for relief 😮‍💨🤕 ouch

[@lola-mo5sh]

thank u! i subscribed and liked

[@hammettchemistry2914]

Love u Tom.....many herats

[@kapiljoshi9503]

Very nice video

[@tariqsurrani]

Thanks sir for sharing great knowledge. My daughter (15) is suffering from Acute Pancreatitis since 17 months. Admitted several times in Hospital. After severe attack, pain and omitting she fall ill and recover after 5/6 days fully. But after 30/35 days, it repeats. Have any medical suggestion, please.

[@GeauxCarnivore]

A carnivore diet cured my pancreatitis.

[@Darkening14]

Hello I'm a 18 year old boy who is going through this now. I've been diagnosed with autoimmune pancreatitis that can relapse at time maybe this is something to suggest to the doctors.

[@GeauxCarnivore]

@@Darkening14 Do not suggest this to your doctors. They will say no. Just try it on your own. It cured mine within one week, and it has not come back in almost 3 months.

[@burtbak-jv9go]

just to mention diabetic medication can cause pancreatitis

[@kadimetsamagi6417]

i dont have gallstones, but i use to drink heavily in past

[@aga5897]

Awesome ! I have every single condition you explain. ISTR that is normal xD

[@KangenAlec]

To fight inflammation drink Kangen water

[@JackReynolds-w7g]

You didn't mention the worst of possible complications. Death. Be vigilant with your health.

[@jlmlgzslzr5542]

Not even a doctor would tell you that personally. Come on, man!

[@anneKARANJA-d7c]

😂😂😂 remembering scorpion stings which is irrelevant 🤣i Also don't think I will forget it 😂

[@Ali_Abdelrahman]

Nice video Thank you for sharing

[@ZeroToFinals]

Thanks!

[@stevensims3342]

If you never drink alcohol and are already very healthy. You will remain very healthy.

[@mobiustrip1400]

We all got to go one way or another 😂

[@istahsz2617]

Lipase not Amilase

[@angeljo6020]

My mother got it when she had dengue

[@topkorean5230]

Thank you.

[@dcfreerewards]

Sir can you see my report

[@uptodate6533]

Love you 💞

[@Abbahaintmhare]

Love you too❤❤

[@TXIGRescue]

Can you get pancreatic pains if you don’t have a gallbladder?

[@ViringLorenzo]

HI from San diego

[@ZeroToFinals]

Hello there!

[@studytricksbyishu5587]

Love from kashmir

[@NabaaMohammed-v7e]

Thanks 🥹🥹🥹

[@deborahlehman8617]

And then you have asymptomatic pancreatitis, going through that right now-immunity problems?!