 With EPI, the pancreas doesn't release enough enzymes to break down food, but EPI is manageable. Use the symptom checker on identifyepi.com and speak with your doctor. That's identifyepi.com. Sponsored by AbbVie. Getting on a ladder and trying to figure out what's going on with your gutters yourself is going to be a really daunting task. Cleaning out leaves yourself a dangerous proposition.