Hereditary pancreatitis, cancer risk, seeking advice

Messages
97
Hello everyone. I will summarise my condition as much as possible so as not to make the post too long.
I suffer from ME.MCAS, SFN; POTS; hereditary thrombophilia, pancreas inssuficiency , diabetes 2. And recently, after a lifetime of episodes of pancreatitis since childhood, I was not diagnosed (my parents did not take me to the doctor, they were both narcissists, if anyone finds that strange, narcissists sometimes deny their children medical care and isolate them), and pancreatic insufficiency diagnosed in 2016 by stool tests (low elastase), taking Kreon, I still have major increasing problems with fats.
I tried the ketogenic diet, which led to another major episode of pancreatitis that I feel has permanently affected my pancreas and my type 2 diabetes (my values are worse than before this diet, i still have yellow dhiarrea)
I recently found out by chance that I have the hereditary pancreatitis genePRSS1. This has scared me a lot because (I think this is common among many of us) even though I don't want to live with severe ME and this condition anymore, paradoxically I still want to live and get better, and seeing that I have a 60% chance of developing (if I don't already have it) pancreatic cancer discourages me a lot.
Especially after losing two members of this community to pancreatic cancer at a relatively young age, I wonder if anyone else here is affected by this, or can give me some support or advice on how to cope with this diagnosis, which feels like a death sentence to me.
The doctor also (and take this seriously!) said that there is a very high risk of cancer and that the worst thing I can do is eat fats (I also have familial hypercholesterolemia). That's what I tried with the ketogenic carnivore diet. I regret it so much and i read pancreas damage is premanent. it feels indeed for me like this.
 

bad1080

Senior Member
Messages
399
i am sorry, i have pancreatitis but idk if it's hereditary, just that it's not cancer (diagnosis was ok) and it is not autoimmune (diagnosis was not fun)... i don't know of anyone else in my family with pancreatitis though. i did not indulge in any of the major risk factors (smoking and alcohol) for at least the last 12 years and have been a modest drinker before that (1-2 drinks per year).
so a link to me-cfs seems likely to me but that's just an uneducated guess. a trial with steroids made my me-cfs symptoms considerably worse (even at half the recommended dose) and i had to discontinue (took me almost two months to recover to my baseline afterwards). https://me-pedia.org/wiki/Glucocorticoid
 
Messages
97
Hey bad1080, i am sorry for your pancreatitis. Its strange that steroids help some of us and make others worse, in my case, i get high pressure and adrenaline , but pain and flu like symptoms dissapear , but i just took cortisone for 3 days maximum so idk in the long term how would have affected me. What do you eat and do you take enzymes? Kreon?
 

bad1080

Senior Member
Messages
399
Hey bad1080, i am sorry for your pancreatitis. Its strange that steroids help some of us and make others worse, in my case, i get high pressure and adrenaline , but pain and flu like symptoms dissapear , but i just took cortisone for 3 days maximum so idk in the long term how would have affected me. What do you eat and do you take enzymes? Kreon?
i take plenty of enzymes, yes. 65k in the morning and midday and 50k in the evening. and 10k if i have a snack like a handful of nuts. the steroids made my brain fog so much worse, it was unbearable.

i switched my lunch to mainly ramen, i don't cook it from scratch though. i use shin ramyun and add a bunch of vegetables and stuff (i recommend dark sesame oil, so good!). it's quick and easy to make. in the morning i eat a spelt muesli with apple and nuts (i have to soak it though otherwise my intestines don't like it. adding psyllium husk powder helped too). in the evening i eat sandwiches (one savory, one sweet). i lost a lot of weight, so i try my best to add some calories with peanut butter and stuff but so far i only managed to stop the weight loss.

as an aside, it's best to use an @ before the username or use the reply function, otherwise i have no idea you replied to me.
 
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