No, you're not just gassy.
The most common treatment for exocrine pancreatic insufficiency is pancreatic enzyme replacement therapy . This is a prescription oral medication that helps replace your body’s lack of digestive enzymes, according to the Cleveland Clinic.
Here’s how it works: Your doctor will recommend a certain amount of PERT based on the results of your lab work. Once you have your prescription, you take PERT with meals to help your body break down the nutrients in the food you eat. “I generally recommend that my patients have a full dose of pancreatic enzymes at the beginning of a meal,” Dr. Hart says. “It’s simple that way.”
While taking PERT should help you regain any weight you may have lost, your doctor may also recommend that you eat more calories and fat to bridge any other gaps in the meantime, the Cleveland Clinic says. You may also need to take certain supplements to help compensate for possible nutritional deficiencies, which your doctor can help you identify.
Whether you’ve been diagnosed with EPI or you suspect you might have EPI, Dr. Hart recommends having honest and constant communication with your doctor about your symptoms. “Many patients do not feel comfortable discussing GI-related symptoms with their health care providers, but it’s important,” he says. “EPI is highly treatable and manageable. We’re a team and we’ll work together.”
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