Why avoid an ercp test?

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mom4321
Regular Member


Date Joined Aug 2008
Total Posts : 107
   Posted 10/16/2008 2:35 PM (GMT -6)   
Im supposed to get one and Im wondering why i have read here to avoid that test?
Ive had a ultrasound, mrcp, hidascan and ct scan . My lipase and alymase are still going way high so he wants this ercp to try tp figure out whats going on.  Before he didnt want to do this test because he said it was very invasive and had complications but now he wants to send me to seattle to get it done.
Any advice ?  if youve had it how bad is the actual procedure? 
 asocol 2- 3 times a day
dr, oharas probotics
astaxanthin  
vitamin d
calcium
magnesium
multi vitamin
biotin
colagon tablets
 


mh53mike
Regular Member


Date Joined Aug 2008
Total Posts : 149
   Posted 10/16/2008 4:35 PM (GMT -6)   
Way high ? How high? Mine where 3x the max and i didnt have crap done. Maybe yours are higher i dont know. But lipase and amylase increases are very common with UC and IBD. Even more when you are flaring or have been flaring. Good GI's are aware of this and will monitor it but most of the time it settles down on its own when you get your inflammation under control. I guess my advice would be wiegh things out...whats the procedure going to accomplish?
26y old male medically disharged USAF veteran.Diagnosed with UC (lower proctitis) in 2004.
 
Current daily treatment:                               Probiotics & supplements:
2400mg oral asacol                                      Digestive enzymes
5mg prednisone tapering                               50 Billion CFU's acidopholis&Bifidobacterium daily
75mg azathioprine                                        folic acid & calcuim with V-D
20mg Nexum                                               VSL#3 450billion bacteria packets
 
Diet:Little/no sugars, fats, carbs, caffine,yeast,breads. Stay natural as possible.  
 
Results:1 Bowel movement in the morning no blood! Remission since 08Sept08


UC Dude
Regular Member


Date Joined Aug 2005
Total Posts : 438
   Posted 10/16/2008 5:47 PM (GMT -6)   
mom4321 said...
Im supposed to get one and Im wondering why i have read here to avoid that test?
Ive had a ultrasound, mrcp, hidascan and ct scan . My lipase and alymase are still going way high so he wants this ercp to try tp figure out whats going on. Before he didnt want to do this test because he said it was very invasive and had complications but now he wants to send me to seattle to get it done.

Any advice ? if youve had it how bad is the actual procedure?


good mayo article here...

http://www.mayoclinicproceedings.com/inside.asp?Aid=102&Uid=
 


jasperthedog
Regular Member


Date Joined Mar 2008
Total Posts : 68
   Posted 10/16/2008 6:02 PM (GMT -6)   
I've had it done twice because I have chronic pancreatitis. I didn't have a problem during or after either time. The procedure is a piece of cake. They sedate you and then put the tube down your throat to see your pancreas. You don't feel anything and it is a quick procedure. hope this helps and your dr figures out what is wrong. Let me know if you have noymore questions.
Cara
CARA  31 years  (female)
Medications:
Humira
Lialda 2 pills a day
Prilosec OTC
Vicodin/Tramadol as needed
Phenergran/Zofran as needed
Cortifoam
Viactiv Calcium Chews
Digestive Advantage


mom4321
Regular Member


Date Joined Aug 2008
Total Posts : 107
   Posted 10/16/2008 8:44 PM (GMT -6)   
thanks cara I was thinking it might be a bad test but you make it sound easy.

My lipase count was almost 1500 but now dropped again to 495 I think I cant remember the almaye number but it was also high.
 asocol 2- 3 times a day
dr, oharas probotics
astaxanthin  
vitamin d
calcium
magnesium
multi vitamin
biotin
colagon tablets
 


quincy
Elite Member


Date Joined May 2003
Total Posts : 30601
   Posted 10/16/2008 11:04 PM (GMT -6)   
Hi...it's always me who suggests to nix the ERCP before the other tests are done to diagnose PSC because of the fact that it can trigger the disease if it's in its early stages as well as causing pancreatitis.

Considering how many tests you've already had...I think possibly an ERCP might be in order since the doctor is still guessing.

There are other possible reasons for both the lipase and amylase to be high, but an ERCP might be needed to see what's going on if blood tests don't garner any leads.

Yes, there are possible complications/side effects....definitely do the homework and if possible could you get referred to an endocrinologist?   Sometimes readings could mean one thing for the specialists.  Especially since yours has increased and then dropped.
This is a good site regarding blood tests, etc.  Check out the lipase and amylase and other possiblities that could lead to other blood tests.
 
 
I sure hope they find out what's going on..you've been through most of the tests already.
 
Keep us posted.
quincy


*Heather* Status..Asacol 6 (3 twice daily); enemas every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 4(Natural Factors Protec) bedtime + Primadophilus Reuteri Pearls occasionally
~multi-digestive enzymes as needed
~Ranitidine,Pariet (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!
 

Post Edited (quincy) : 10/16/2008 11:09:26 PM (GMT-6)


quincy
Elite Member


Date Joined May 2003
Total Posts : 30601
   Posted 10/16/2008 11:10 PM (GMT -6)   
UC Dude...great article. I've put it in one of my Faves folders.
Thanks..
q
*Heather* Status..Asacol 6 (3 twice daily); enemas every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 4(Natural Factors Protec) bedtime + Primadophilus Reuteri Pearls occasionally
~multi-digestive enzymes as needed
~Ranitidine,Pariet (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!
 

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