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The cause of fatty liver is fat not getting digested properly and with PC, there's a darn good chance fat is not getting digested properly. First indication of this is a floating stool.
This fatty liver issue is in the forefront for me. My wife is having pain in the upper right abdomen and under the ribs in that location and going around the right side to the back. She has mentioned this many times to the doctors.
Here is the problem I think. The oncologists get so focused on the cancer, they don't pay enough attention or refer a pc patient to a GI doctor for another issue, which is likely a complication developed from the PC. In this case, I'm convinced my wife's fatty liver is due to the head of the pancreas getting very debilitated and maybe not even functional due to the focused radiation there.
I stopped her pancreatic enzymes many months ago because it was causing crippling pain in her abdomen when she took them. At that time, she also had about 10-12 sores in her stomach which we think were also caused by the radiation. I'm trying to convince her to start taking the enzymes again.
The pain got so bad today, she finally agreed to go see the GI doctor that found the blocked bile duct and put the stent in.
Just some advice for all pc patients and caregivers. Don't assume that your oncologist can adequately diagnose and help with GI issues. I have seen in the case with Duke and JH that they don't. Nothing against them but I sure wish they would have asked more questions about the fatty liver and tried relating it to the pain she has been having that they have not been able to figure out for months.
Frustrating, now I wish I had gone on to medical school like I wanted to but that was 40 years ago. Oh well, I'll just try to be a quasi-doctor.
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