Pancreatic Issues: Causes of Abdominal and Back Pain - Gastroenterology and Hepatology

More Info

---

When considering the potential causes of abdominal and back pain, particularly in relation to pancreatic issues, it's important to understand the anatomy and function of the pancreas, as well as the common symptoms associated with pancreatic diseases. The pancreas is located deep in the abdomen, behind the stomach, and plays a crucial role in digestion and blood sugar regulation.
Pancreatic diseases, such as acute pancreatitis, chronic pancreatitis, and pancreatic cancer, typically present with upper abdominal pain that may radiate to the back. However, the pain is usually more pronounced in the upper abdomen rather than the lower abdomen. In your case, you mentioned experiencing lower abdominal pain that radiates to the left back, which is less typical for pancreatic issues.
The pain you are experiencing could be related to several factors. For instance, conditions affecting the gastrointestinal tract, such as irritable bowel syndrome (IBS), diverticulitis, or even gynecological issues like endometriosis, could manifest as lower abdominal pain. Given that you have had a gallbladder removal, it is also possible that you may experience post-cholecystectomy syndrome, which can lead to ongoing abdominal discomfort.

Regarding your question about whether pancreatic issues can cause lower abdominal pain: while it is less common, it is not impossible. The pancreas can refer pain to different areas of the abdomen, and in some cases, inflammation or irritation of the pancreas can lead to discomfort that may be felt in the lower abdomen. However, this is usually accompanied by other symptoms such as nausea, vomiting, or changes in bowel habits.

You mentioned that you have undergone an abdominal ultrasound focusing on the liver and gallbladder, which did not reveal any issues. While ultrasound is a useful tool for assessing the liver, gallbladder, and kidneys, it may not always provide a clear view of the pancreas, especially if there is significant overlying bowel gas. If there is a suspicion of pancreatic disease, further imaging such as a CT scan or MRI may be warranted to provide a more detailed view of the pancreas and surrounding structures.

In terms of your symptoms, if you are experiencing persistent pain, it is crucial to follow up with your healthcare provider. They may recommend additional tests, such as blood tests to check pancreatic enzymes (amylase and lipase), or imaging studies to rule out any pancreatic abnormalities.
Additionally, if you have concerns about your symptoms being related to pancreatic issues, it would be beneficial to consult with a gastroenterologist who specializes in pancreatic diseases. They can provide a comprehensive evaluation and determine if further investigation is necessary.

In summary, while pancreatic diseases typically present with upper abdominal pain, they can occasionally cause lower abdominal discomfort. Given your history and the nature of your symptoms, it is essential to continue working with your healthcare provider to explore all potential causes of your pain and to ensure that any necessary diagnostic tests are performed to rule out serious conditions.