Expert Treatment for Pancreatic Insufficiency by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Physical Exam
He reviews your abdominal pain pattern (timing, triggers, radiation), weight changes, stool characteristics (steatorrhea), and risk factors such as alcohol use, smoking, diabetes, or family history of pancreatic disease.
Blood Tests
He orders serum amylase and lipase to detect pancreatic inflammation, liver function tests to rule out hepatobiliary causes, glucose/HbA1c to assess endocrine function, and fat-soluble vitamin levels (A, D, E, K) to check for malabsorption.
Stool Tests
Fecal elastase measurement evaluates exocrine pancreatic output, while quantitative stool fat testing confirms steatorrhea.
Imaging Studies
- Abdominal ultrasound screens for pancreatic calcifications, ductal dilation, or gallstones.
- CT scan or MRI/MRCP provides detailed views of gland morphology, ductal anatomy, inflammation, or masses.
Specialized Function Testing (if needed)
Secretin stimulation testing or endoscopic ultrasound (EUS) may be used to directly assess enzyme secretion and tissue integrity, and to guide therapeutic interventions like ERCP if blockages or stones are identified.
Frequently Asked Questions
What tests confirm pancreatic insufficiency?
Diagnosis is confirmed through stool elastase, blood vitamin levels, and imaging tests like ultrasound, CT, or MRI.
How soon will I feel better with enzyme pills?
Most patients notice symptom relief within 1-2 weeks of starting enzyme replacement therapy.
Can I manage this with diet alone?
Diet modifications help, but enzyme replacement therapy is usually necessary to ensure proper nutrient absorption.
Are there side effects with enzyme pills?
Most people tolerate enzyme supplements well; rare side effects include mild abdominal cramps or constipation.
Does insurance cover treatment?
Most insurance plans cover enzyme therapy and related tests. Our billing team can verify your benefits.
Can children get pancreatic insufficiency?
Yes. Conditions like cystic fibrosis can cause exocrine pancreatic insufficiency in children. Early diagnosis is key.