Abdominal Pain Radiating to the Back: Deeper Causes Of Chronic Pancreatitis – Dr.Berg | DrEricBergDC

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let’s talk about abdominal pain that radiates  to your back now you have several situations  

you have abdominal pain that’s more on the right  side or the left side or the center that can  

refer right into the back through here or it can  come up through the left upper back here or the  

right upper back through here so if it’s going  to the right side usually that’s going to be more  

liver because there’s a problem either in  the gallbladder the bile duct or the liver  

and it could be a gallstone it could be sludge  in here could be something that’s obstructing  

the flow that’s backing up creating pressure  hitting a little nerve right underneath your  

diaphragm that’s called the phrenic nerve that  goes all the way to your neck so if you press  

right here you’re going to feel it up here and  it can actually go up into the head through  

here it could be a headache it can actually  cause a spasm on the right part of your neck  

and your trap and literally pull that vertebra  to the right and pinch the nerve and that can  

refer down to the right arm and also when  people are diagnosed with fibromyalgia  

it’s usually on the right side it’s really a  problem with the gallbladder but if you have  

pain in the center right through in here or  to the left side that could be the pancreas  

because the pancreas extends beyond the  center sometimes all the way over here  

and that potentially could be something called  pancreatitis now the most common symptoms of  

pancreatitis is upper abdominal pain we’re talking  about right in the center right over your stomach  

area right here the second one would be upper  abdominal pain that radiates okay it could radiate  

around here or come up through here third one is  upper abdominal pain that’s worse after you eat  

because you’re straining the pancreas nausea  tenderness bloating but you could also have  

nausea tenderness bloating burping belching  if you have a problem over here as well  

now a couple main causes of pancreatitis which  is inflammation of the pancreas is alcohol  

gallstones or high calcium high calcium is not  very common alcohol could be common but stones  

having gallstones is a really big cause but those  gallstones could be lodged not necessarily even  

over here in the gallbladder but right in  the pancreatic area right through in here  

there’s certain ducts that drain through  here and if you obstruct that it’s going  

to balloon out and distend and cause pain and  bloating and pressure now there’s another cause  

of pancreatitis which occurs 30 of the time and  that is called idiopathic they call it idiopathic  

pancreatitis what does that mean it means  unknown cause so they don’t know what causes it  

but i found an interesting article that is talking  about the cause of idiopathic pancreatitis the  

actual cause of unknown cause pancreatitis which  is very interesting and they mentioned that 79 percent

of the cause of the idiopathic pancreatitis  is something called bilirary lithiasis or bile  

sludge now what does that mean this word means  a very very small gallstone that is not detected  

on ultrasound or a cat scan you would have to  stick a scope in the bile duct and look with  

a certain machine to pick this up or it could  be found when you’re doing surgery but it’s a  

stone that’s less than three millimeters okay  so it’s kind of like the the forming gallstone  

and what happens when these stones start to  crystallize they have calcium crystals they can  

form sludge and obstruct these ducts but it’s very  difficult to diagnose them sometimes all you have  

is nothing that shows up on a test other than a  patient with bloating that pain that might radiate  

to the back area so if we combine the percentage  of this with this we can see that gallstones or  

gall sludge is a big factor with pancreatitis  not to mention with pain that goes to the right  

side as well through this area right here so what  is the solution well you first have to understand  

what causes a gallstone or bile sludge what causes  it is a super concentration of cholesterol and the  

mechanism of that is this if you don’t have enough  bile to emulsify and break up that cholesterol and  

keep it thinned it can actually form into a stone  so in reality a stone a small stone bile sludge  

is caused by a deficiency of bile and this is  why one of the big treatments that you would get  

for a stone or bile sludge would be oral purified  bile salts so you would take that as a supplement  

and that would help to thin the bile break up  the stones and relieve the pressure this is also  

very good for another condition called the  sphincter of adi syndrome and really what that is  

is that when the bile ducts and the pancreatic  duct joins inside the small intestine there’s  

a little duct right here so if there’s a blockage  right here it’s going to create a lot of pressure  

they call that the sphincter body syndrome really  it’s just the same thing we have either a stone or  

sludge that’s obstructing this duct which is a  little tube creating a lot of pain now not only  

would you want to recommend purify bile salts but  you want to also make sure that you correct the  

cause of a bile deficiency and here’s  some causes low-fat diet because  

fat triggers the release of bile so if you cut the  fat down in the diet you don’t release the bile  

as well a high carb diet especially if you’re  doing fructose or refined carbohydrates  

can also deplete your bile reserve this is  why a diabetic has a higher risk of getting  

gallstones because of the high amount  of blood sugars they have if you have  

a decreased microbiome let’s say you had a series  of antibiotics that destroyed your good bacteria  

you might have a deficiency in bile because your  microbes also make bile so you have the liver that  

makes bile and your microbes so if you have liver  damage that can be one source of a bile deficiency  

or if you don’t have enough microbes that can  be another source and this leads to the next  

thing a fatty liver can inhibit the production  of bile high amounts of estrogen as in pregnancy  

can alter the production of bile and limit it  also high cortisol can inhibit the production  

of bile this comes from stress it could also come  from taking prednisone which is a steroid which is  

usually for like a type of arthritis or  an autoimmune disease now the best diet  

to prevent this in the first place is healthy  keto i’ll put a link down below if you’re new  

to my channel and especially intermittent  fasting because if you can actually not eat  

so frequently and let your system reset and let  the bowel concentrate by not eating so frequently  

you can greatly help to avoid this problem the  first place i put a link down below for those  

of you that are new to my channel thanks for  watching before you go if you have a question  

about a product or you’re new to keto and you want  to know how to begin keto or you’re on keto and  

you need a debug because it’s not going as smooth  i have a keto consultant standing by to help you  

this is just for the people in the u.s  hopefully in the future we’ll be able to  

answer everyone’s call but i put the number  down below so you can call and get some help