Causes Alcohol abuse (most common in adults) Genetic mutations (PRSS1, SPINK1, CFTR) Smoking Autoimmune pancreatitis Obstructive causes (strictures, tumors) Idiopathic (unknown) Symptoms Persistent/recurrent upper abdominal pain (radiates to back) Indigestion, bloating, diarrhea Steatorrhea (oily, foul-smelling stools) Unexplained weight loss Diabetes in later stages Diagnosis CT, MRI, MRCP: Show scarring, duct dilation, calcifications Endoscopic ultrasound (EUS): Detects early fibrosis Stool elastase test: Measures enzyme deficiency Blood sugar tests: Screen for diabetes Treatment There is no cure, but management includes: No alcohol, no smoking Pancreatic enzyme supplements (PERT) Pain management (medications, nerve blocks, surgery) Nutritional support (high-protein, low-fat diet, vitamins) Diabetes management (insulin or oral agents) Complications Severe malnutrition Osteoporosis Chronic pain and opioid dependence Pancreatic cancer risk Takeaway Chronic pancreatitis is lifelong, but with the right care, many patients live well
His bat would be a welcome addition to an overwhelmingly left-handed Mets lineup
These biological processes imply that smoking may play a role in the development of breast cancer
We can assume that the lungs on the left, the tarry, almost charred-looking air bags, from a smoker, led to their premature demise through COPD (chronic obstructive pulmonary disease, a condition that used to go by the name of chronic bronchitis with emphysema, also occasionally referred to as COLD, chronic obstructive lung disease and chronic obstructive airway disease, COAD), or perhaps they succumbed to lung cancer, cancer of the oral cavity, the throat, the trachea, the oesophagus, the stomach, the live, the pancreas, the kidneys, all of which have raised incidence in smokers
When taken together, they reinforce each others effects, making the brain associate the chai sutta combo with relaxation and focus, explains Dr Prashant Sinha, Head of Emergency at PSRI Hospital.
