Dear Dr. Garner,I was wondering if you could tell us a little about pancreatitis. Both my husband and I have experienced the pains and were diagnosed with pancreatitis. we would really appreciate it if you could tell us about the disease. Our favorite uncle also has pancreatitis but we believe it is due to his love of mr. Johnny Walker (blue -expensive tastes) we read your column a couple of weeks ago on gall bladder disease and it sounded quite similar to pancreatitis. Could you please tell us some more about this disease?Pancreatic Problems and Relatives in Prospect Park West

Dear Pancreatic,While not the most exciting of diseases, pancreatitis causes hosptiatlzition of about 200,000 people a year in the U.S. about 80,000 Americans suffer from the disease.When someone comes to the office complaining of upper abdominal pain, pancreatitis should be considered. we look for hints, such as heavy alcohol intake and gall bladder disease as these are found to cause the majority of cases.the name makes a lot of sense – pancreas referring to the large gland that is located just behind the stomach, and “itis” referring to swelling or inflammation of the gland.the pancreas serves two main purposes:- It helps to regulate sugar levels in the body, as it makes and releases insulin into the blood stream.- It helps in the digestion of food. in this role it makes very strong chemicals to help dissolve food. the problem in pancreatitis occurs, when the chemicals back up in the pancreas itself instead of being released into the intestines and actually starts eating the pancreas, actually destroying it.There are many factors that can cause the pancreas to malfunction. in addition to alcohol intake and gall bladder disease, certain medications such as antibiotics, injuries (car accidents, for example) and infections and tumors may bring on the disease.the symptoms that would cause one to seek medical attention include, tender abdomen, nausea, vomiting fever and a rapid pulse.Severe pancreatitis can cause dehydration and low blood pressure. the heart, lungs or kidney can fail. If bleeding occurs in the pancreas, shock and even death may occur.the condition is diagnosed by medical history, and a physical exam, as well as blood tests, x-rays and sonograms.Treatment for acute pancreatitis requires a few days stay in the hospital for IV fluids, antibiotics, and medication to relieve pain. the person cannot eat or drink so the pancreas can rest and recover. unless there are complications, acute pancreatic usually resolves in a few days. the pancreas and gall bladder are closely related and gallstones and pancreatitis may exist at the same time. Actually the gallstones can cause pancreatitis by blocking the tubes carrying the chemicals that the pancreas uses to help in digestion.sometimes the inflammation of the pancreas may become chronic. in this situation the pancreas disease gets worse over time and leads to permanent damage. the most common cause of chronic pancreatitis is heavy alcohol use. Chronic pancreatitis can be triggered by one acute attack that damages the pancreas and its tubes, or multiple attacks. Treatment of chronic pancreatitits may require hospitaliztion, IV fluid and fasting may be necessary. It is critical that people who develop chronic pancreatitis stop drinking. Symptoms of chronic pancreatic include abdominal pain, nausea, vomiting, weight loss, diarrhea and oily stools.the bottom line is that while not as common as other causes of stomach pains, pancreatitis may be a very serious condition and can lead to death if not appropriately treated.Prompt diagnosis and treatment are critical in providing a good outcome. I hope this helps you better understand your condition.

* Reprinted with permission of the Tablet

Everytime we go to a relatives house who has cats/dogs, my 20 month old's cheeks get really red and he gets cranky, do you think it could be due to allergies? P.S. I have allergies to cats, dogs, seasonal and foods, so they run in my family.

that is one styome that the baby is alrgic to animals what you can do take him to his pedatrican and ask for him to get test of what he is a alrgic to it could be that he is take after what you have mabye it also that you can see the eyes water and yes cranky is tell you that he is uncotable there.

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Sara Capple Lawhorne accomplished a great deal during her 67 years and her children hope they can do as much in her name now that the former Nevada Regional Medical Center community relations director has fallen victim to pancreatic cancer.

Lawhorne died Oct. 22 after the city council proclaimed November Pancreatic Cancer Awareness Month, and her son Marc of Nevada and daughter Mary Katherine Wilson of Fayetteville, Ark., took part in the NRMC Foundation’s recent sale of symbolic purple bracelets to raise money for research.

“The doctors only gave Mother three or four months and she lived 16 months and three days,” Wilson said Tuesday. “There was no hope at all. But through all this, she never complained, kept high spirits and tried to live life the best she could.

“This disease is horrible. I never saw anyone suffer the way she did.”

Tragically and almost inexplicably, Lawhorne’s former husband Ron, of Lamar, was diagnosed with the same malady about the same time she was. He is still fighting it and was honored on Thanksgiving Day by his children and other relatives.

Wilson said her mom had shown signs of pancreatitis, an infection of the pancreas, two months before her true condition was ascertained. “My paternal grandfather died of colon cancer a long time ago, but we hadn’t had pancreatic cancer anywhere in our family,” she said.

“We’d like to get more funding to the Pancreatic Cancer Action Network at pancan.org. Something has to be done because only two percent of cancer funding goes to this.”

Known as “the silent killer,” the disease is so insidious largely because it is asymptomatic in the early stages and often isn’t discovered until after surgery becomes unfeasible, according to references. It is the fifth deadliest cancer after lung, colon-rectal, breast and prostate cancer.

A malignant neoplasm of the pancreas, the organ that produces insulin, it has been diagnosed in 43,140 Americans so far his year, 36,800 of whom will die before the year is out. fewer than five percent last five years.

Natalie Eberhard, NRMC assistant community relations director, remembers Lawhorne as “an amazing ball of light, always smiling, who put 110 percent into everything she did.

“Sara had good working relationships, clinical and non-clinical, with everybody,” said Eberhard. “She had made a great impression on the hospital staff, and her funeral was very touching.

“We would like to have more capability because we don’t have a lot here that is specific to cancer. a cancer center is something our community needs, but it’s a big deal to add one on.”

Lawhorne, whose parents Barney and Betty Lou owned Capple Hardware, was also a noted singer who had performed lead roles in operas and musicals with the Kansas City Philharmonic Orchestra, Kansas City Lyric Opera, Kansas State University Choir, Emory University Choir, Joplin little Theater and St. Joseph Community Performing Arts Council.

She became community relations director in 1993 at NRMC, where she was instrumental in forming the hospital foundation.

References say symptoms of advanced pancreatic cancer may include pain in the upper abdomen that radiates to the back; loss of appetite and-or nausea and vomiting; significant weight loss; painless jaundice with yellow skin and eyes and dark urine; Trousseau sign, in which blood clots form in the portal blood vessels, deep veins of the extremities or superficial veins anywhere on the body; diabetes mellitus, with many patients getting diabetes months or years before pancreatic cancer — an indication that new onset diabetes in an elderly person may be an early warning sign; and clinical depression before cancer diagnosis, although the nature of this association is as yet unknown.