A forum to focus on treatment related issues and side effects from treatment

Moderator: volmod

Forum rules
Please see the messages in our "Rules" section

The posts on this discussion board are made by members of the General Public and are not intended to constitute medical advice
liverbird
Posts: 1
Joined: Thu Mar 03, 2011 5:26 pm

Enzyme replacement after Whipple's surgery

Postby liverbird » Thu Mar 03, 2011 9:03 pm

My husband underwent a Whipple's resection in June 2010, followed by six months chemotherapy, taking part in the ESPAC4 trial. His chemo finished at the end of January but throughout this period he has been unable to take any of the enzyme replacements (Creon, Pancrease or Pancrex). He is now over two stones underweight, suffers from almost constant lower bowel discomfort or if he takes a low dose Creon, severe ulcer-like stomach pains and is becoming quite frail. While concerned, our doctors can only suggest a period of trial and error with enzyme dosage and various painkillers.
Has anyone else suffered these side affects and have any useful advice on how to improve the situation?
We had hoped to have a period of normality once the chemo finished but unfortunately that does not seem to be happening.
With thanks
Liverbird.

PCUK Nurse Jeni
Posts: 1084
Joined: Mon Jun 14, 2010 1:30 pm

Re: Enzyme replacement after Whipple's surgery

Postby PCUK Nurse Jeni » Fri Mar 04, 2011 4:31 pm

Hi Liverbird,

I work for PCUK. I can be contacted at support@pancreaticcancer.org.uk of you have any other queries.

There are documented side effects for creon and pancrex of nausea, vomiting and abdominal discomfort.
Has he tried Nutrizym 10? it is another form of enzymes, and might suit him better?

Or, has he had an examination of his bowel, to out-rule any other problems?

Is he eating? Has the dietician been involved? If he is eating, then the problem is likely to be due to the enzymes, and unless he can take these, then it may carry on. It needs sorting, but not sure of the answer due to the sensitivity to the enzymes. Has he tried anti-spasmodics for the pain, such as buscopan?

Please email if you need further information.

Jeni.