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Hereditary Pancreatitis

Hereditary pancreatitis is a genetic condition causing recurrent pancreatic inflammation, severe pain, and digestive issues. At GastroDoxs in Houston, Dr. Scott specializes in genetic testing, advanced imaging, and personalized treatment plans, empowering patients to manage symptoms and improve pancreatic health.

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Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

Common Causes and Risk Factors

  • Gene mutations in PRSS1, SPINK1 or CFTR
  • Family history of pancreatitis
  • Smoking
  • Alcohol use

Signs and Symptoms

  • Recurrent upper abdominal pain
  • Nausea and vomiting during flare-ups
  • Unexplained weight loss
  • Steatorrhea (oily, foul-smelling stools)

How Dr. Scott Diagnoses This Condition?

Dr. Scott uses a step-by-step approach:

Medical and Family History

He reviews your history of epigastric pain, previous pancreatitis attacks, alcohol use, and any family members with pancreatitis or pancreatic cancer.

Blood Tests and Enzyme Levels

We measure serum amylase and lipase to confirm pancreatic inflammation and rule out other causes of upper-abdominal pain.

Genetic Testing

Analysis of PRSS1, SPINK1, and CFTR genes identifies mutations that underlie hereditary pancreatitis and helps tailor your care plan.

Imaging Studies

  • Magnetic Resonance Cholangiopancreatography (MRCP) - Non-invasive view of pancreatic ducts to spot strictures or stones.
  • Endoscopic Ultrasound (EUS) - High-resolution assessment of gland texture, early fibrosis, or ductal changes.
  • Computed Tomography (CT) Scan - Detects complications such as pseudocysts, calcifications, or fluid collections.

Additional Procedures (if needed)

Endoscopic Retrograde Cholangiopancreatography (ERCP) - Both diagnostic and therapeutic, allowing ductal sampling or stent placement to relieve obstruction.

Dr. Scott
Treatment

Our Team offers a full range of care for hereditary pancreatitis.

1. Lifestyle and Diet Modifications

  • Eat low-fat foods to ease stress on your pancreas
  • Quit smoking and avoid alcohol to reduce risk of flare-ups
  • Have small, frequent meals to improve nutrient absorption

2. Medications

  • Pancreatic enzyme supplements to aid digestion and prevent fatty stools
  • Pain management with Tylenol, NSAIDs, or targeted nerve blocks
  • Vitamin supplementation to address malabsorption and support overall health

3. Minimally Invasive or Advanced Procedures

  • ERCP (endoscopic retrograde cholangiopancreatography) to open blocked ducts
  • Stent placement to keep pancreatic ducts patent
  • Endoscopic fluid drainage for pseudocysts or localized collections
Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

Frequently Asked Questions

What causes hereditary pancreatitis?

Gene mutations (PRSS1, SPINK1, CFTR) passed down from parents.

What are the symptoms?

Recurrent upper belly pain, nausea, vomiting, weight loss, and fatty stools.

Is pancreatic cancer hereditary?

It can be. Family history and certain gene changes increase your risk.

Can I get pancreatic cancer from a grandparent?

Yes. Some gene mutations may skip a generation.

How can I avoid flare-ups?

Quit smoking and alcohol, eat low-fat foods, and take prescribed enzyme supplements.

Should I get tested?

Yes, especially if pancreatitis or pancreatic cancer runs in your family.

When should I see a specialist in Houston?

If you have recurrent belly pain or a family history of pancreatic problems, schedule a visit with Dr. Scott at GastroDoxs.

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