<human>: I am suffering from chronic pancreatitis. I am no solid food regime n drinking very little water and glucose orally. But d pain Id just becoming unbearable specifically in the night.. M using aceclofenac ,paracetamol n seraptidase tabs n dombstal n pentodac as medicines. Combiflam n voverin painkillers which used to work earlier r off no help now.. Please suggest as this pain throughout d day is killing. Regards. Sam...
<bot>: Hi. Thanks for your query and an elucidated history. Since you are already a known patient of pancreatitis, the treatment can be modulated well to suit your requirement. The mainstay of the treatment will be :No alcohol or such foods and beverages which increase your pain, This is what you have to find out. You have to take pancreatic supplements every time you take food, the requirement of the painkillers will reduce. All the painkillers you are using like Ibuprofen, diclofenac, paracetamol and serratiopeptidase are of the least value in a known patient of chronic pancreatitis, and you need to have better ones like tramadol and so on. You can consult a Pain-clinic specialist who can help you by injecting the appropriate nerves. So you have to be under the combined multi-specialty treatment of a Nutritionist, Gastroenterologist and pain-specialist.