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What diet is suitable for acute idiopathic pancreatitis with pseudocyst?

Monday, 21 November 2005
Answered by: Dr. B.S. Anand
Gastroenterologist,
Houston,
USA
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Q. I am 21 years old. Four years back, I was treated for acute pancreatitis with a pseudocyst (severity midex 6 Grade C) for 18 days. It occurred with acute pain in the upper abdomen, which lasted for 24 hours and vomiting. No cause was found for it (Idiopathic). I have never taken alcohol but used to eat heavy and spicy food. Is this the reason for pancreatitis?. My tests showed Amylase – 1491 U/L, Lipase – 1910 U/L, T Bilirubin – 1.02 mg/dl, D Bilirubin – 1.33 mg/dl. I was prescribed Pantocid and Antoxid for a year. My last Ultrasound revealed Pseudocyst* in the tail of pancreas (size 7.0×6.7×5.6 cm). But it is creating no problems for me. Is there a need of surgery? What kind of surgery is required? After the 1st attack, I have had two mild attacks within a year, even though I was not taking any heavy food. But I am not having any problems for the past 2 years. My weight has reduced from 80 to 64 kg. I am 172 cm tall. I am doing my exercises and also building my body now a days. I always have a problem with diet. I don’t know what diet should I take. Please suggest a correct diet for me? Can I eat boiled eggs, fish and chicken?. Do you think a regular follow up is needed?

A.  It appears you had acute idiopathic pancreatitis with pseudocyst formation. Usually these cysts gradually resolve. However, if they do not, further treatment may be required. I suggest you consult a gastroenterologist with experience in pancreatic disease. There are several good centres in India with such experience. With regard to diet you can eat a normal diet and there is no need for any restrictions. Avoid alcohol and keep your lipid levels within the normal range.

A.  It appears you had acute idiopathic pancreatitis with pseudocyst formation. Usually these cysts gradually resolve. However, if they do not, further treatment may be required. I suggest you consult a gastroenterologist with experience in pancreatic disease. There are several good centres in India with such experience. With regard to diet you can eat a normal diet and there is no need for any restrictions. Avoid alcohol and keep your lipid levels within the normal range.

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