Expert Treatment for Chronic Pancreatitis by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He reviews your symptoms-especially epigastric pain that radiates to the back-along with weight changes, steatorrhea, alcohol/tobacco use, medications, and family history of pancreatic disease.
Blood Tests
We measure pancreatic enzymes (amylase, lipase), check nutritional markers, and screen blood sugar to evaluate endocrine and exocrine function.
Imaging Studies
- CT Scan: Detects calcifications, ductal dilation, and tissue changes.
- MRI/MRCP: Visualizes pancreatic ducts and surrounding structures without radiation.
- Endoscopic Ultrasound (EUS): Offers high-resolution images of glandular tissue and allows fine-needle sampling if needed.
Advanced Testing (if needed)
Endoscopic Retrograde Cholangiopancreatography (ERCP) can both confirm ductal strictures or stones and provide therapeutic drainage or stent placement in the same session.
Frequently Asked Questions
How is chronic pancreatitis different from acute pancreatitis?
Acute pancreatitis comes on suddenly and often resolves completely, while chronic pancreatitis develops gradually, leads to permanent damage, and may cause ongoing pain and digestive issues.
What is the ICD-10 code for chronic pancreatitis?
The medical code is K86.1. We include this in your records to ensure accurate billing and insurance coverage.
Will I feel better?
Yes. Most patients experience significant relief with pancreatic enzyme supplements, dietary changes, and targeted procedures when needed.
Can I stop flare-ups?
Many people prevent or reduce flare-ups by avoiding alcohol, following a low-fat meal plan, staying hydrated, and taking prescribed medications on schedule.
What is the long-term outlook?
With proper care, including lifestyle adjustments and medical treatment, most patients manage symptoms well and maintain a good quality of life.
How soon will I feel better?
Some patients notice less pain and improved digestion within days of starting enzymes and diet changes. Others may see relief after endoscopic treatments or stent placement.