Pancreatitis Support Group
Chronic pancreatitis can present as episodes of acute inflammation in a previously injured pancreas, or as chronic damage with persistent pain or malabsorption. Patients with chronic pancreatitis can present with persistent abdominal pain or steatorrhea, as well as severe nausea. Some patients with chronic pancreatitis often look very sick, while others don't appear to be...
There's a good doctor in Indiana who deals with this. His name is Dr. Lehman. You can google his name along with pancreatitis and you'll see a lot of hits. I too have gone all over the place in search of a diagnoses. I had some things show up on my last EUS that might be mild chronic pancreatitis. It's very frustrating.
With your positive ANA I wonder if it would be worth it to try a round of steroids. If its autoimmune pancreatitis, I believe it usually responds well to steroids.
There's another doctor in MN who I saw. His name is Dr. Martin Freeman. He advised that I have my gallbladder removed and see how I manage after that. I haven't been back to see him yet. Here's his info:
http://www.med.umn.edu/gi/faculty/hcmc/freeman/home.html
Sue I also have enlarged lymph nodes - mine are around my common bile duct and liver. I have had 2 endoscopies, the 2nd showed it had calmed down but my pain continues. I seen the pancreas specialist today who is going to do another CT scan and if not shows no change in lymph nodes he's going to do a laparoscopy to remove some to analyse. It is worrying having enlarged lymph nodes. I also wonder if I have some kind of infection going on - I had my appendix removed this time last year (gone gangerous) and have had problems ever since - gallbladder removed in July and been in pain ever since with elevated amylase levels.
Best of luck