Is it Immunoglobulin G4- related disease (IgG4-RD) or Pancreatitis?

My brother 16 yrs old had abdominal pain for about 6 weeks. Early diagnosis was pancreatitis. As the pain didnt go, we had post contrast CT scan. It revealed:
1. Diffussely swollen pancreatic head, body and tail showing homogenous hypo-enhancing parenchyma.
2. Smudging of the peri-pancreatic fat planes.
3. Enlarged celiac, porto-caval, aorto-caval, paraaortic, per-pancreatic and mesenteric lymph nodes.
4. Mild fatty hepatomegaly.
Lipase and Amylase levels are high(about 300 in value)
His doctors recommended IgG4, but results are after 15 days. What should I do now or at least until results came?
For family history, I had Ulcerative colitis ten years ago. Sometimes it revisits me, but it gets better on taking Sulfasalazine medications.





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Dr Mahaveer
Member
Dr Mahaveer

hi
it does seem to be pancreatitis to me. Above it the liver functions are also deranged significantly. He needs to take iv fluids and iv antibiotics. Better he gets hospitalised and get the future treatment. Only oral medicines wont help. High carbohydrate diet is recommended.
see a gastroenterologist.
Thanks

Dr. Ayman Darrag
Member
Dr. Ayman Darrag

Hi and welcome to questiondoctors.com
The symptoms abd lab investigations suggest pancreatitis …the case needs hospital admission and intensive care…
He must In addition to hospital treatment, the following lifestyle changes are recommended to help aid recover from pancreatitis.

Drink plenty of water
Stop or reduce alcohol consumption
Stop smoking because the habit increases your risk of pancreatitis, according to the Gastroenterology article
Refrain from eating a high-fat diet

shw12
Member
shw12

HI
THOUGH IT SEEMS TO BE MORE OF PANCREATITIS, PANCREATIC AMYLASE AND SIMILAR BLOOD TESTS RELATED TO PANCREAS SHOULD BE DONE TO RULE OUT PANCREATIC MALIGNANCY. FATTY LIVER CAN BE TREATED BY RESTRICTING THE FATTY AND OILY DIET.
SPICY DIET SHOULD BE AVOIDED. A GASTROENTEROLOGIST SHOULD BE CONSULTED IMMEDIATELY

mrsshalini14
Member
mrsshalini14

hello there
This is a pancreatitis for sure but its not full blown yet. There are still good chances for recovery. Admission in a hospital and medicines infused by iv means will show immediate effects.

Ulcerative colitis doesn’t seem to be a possibility

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