What does the Pancreas do?

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The pancreas produces chemicals that are crucial to proper digestion and blood sugar regulation. It is an abdominal gland, and is situated in the abdominal cavity, behind the stomach, close to the duodenum with its head pointed toward the small intestine. Both the exocrine and endocrine systems utilize this organ. Our body's endocrine system regulates hormones and other substances through its direct access to the bloodstream, cells, and organs. The exocrine system works via ducts to digest food in the intestinal tract.

Important hormones secreted by the pancreas include insulin and glucagons, which maintain the appropriate levels of sugar throughout our body. The parts of the pancreas responsible for the production of hormones are called the Islets of Langerhans, which are small clusters of cells separated from the exocrine functions. When unprocessed sugar needs to be converted into the kind of energy our cells use, it travels to the liver. There, glucagon breaks down the glycogen variety of sugar and releases its components into the blood. Insulin then appears at the site of cells to help them easily absorb the sugar. This is the process that maintains a non-diabetic's blood sugar at healthy levels.

In its second function, the pancreas creates digestive juices as a member of the exocrine system. These fluids must break down nutrients that the stomach's acids weren't effective at metabolizing. Since the pancreas is so close to the small intestine, there are many ducts streaming from its head to carry the enzymes to the duodenum, which is the beginning of the intestine. The juices start out alkaline in the pancreas, but when they meet substances bathed in stomach acid in the duodenum, they become acidic. These enzymes include lipase, which digests fat, trypsin, or protein, and one that works on carbohydrates, amylase. The resulting nutrients are distributed further down the small intestine.

Diseases associated with the pancreas include diabetes, pancreatic cancer, pancreatitis, and cystic fibrosis, among many others. Any interference with our insulin or enzyme levels wreaks havoc on our well being, whether it is due to genes or diet.

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Posted by: anon2478
That sounds like a textbook reaction to Crestor. Crestor is a "statin" which can cause muscle cramping and elevated liver enzymes in some people. You may or may need a med for your cholesterol... but you can try other statins, there may be one that you do not react to. If your doctor is ignoring your complaints, get a copy of your medical records and go see someone else!
Posted by: anon210
I am a 61 year old woman who had a (probably stress induced) heart attack eight months ago. Luckily it occurred in hospital and, because of immediate treatment, it is believed that I suffered little damage. I have a stent in the right conary artery. I am presently on several drugs: Crestor, coated Aspirin, Prevacid, Metoprolol, Altace, Plavix and Imovane. I have been increasing my heart healthy excercise to the point where I can do 80 minute bike rides or two hour walks with no ill effects and a relatively low heart rate (compared to when I first started excercising). My first follow-up appointment was at the seven month mark, with blood tests. My cholesterol is at 2.7 which I am told is very low and a good reading, but there are slight elevations in glucose and a liver enzyme. I have experienced frequent but mild muscle weakness which seems to be increasing and two major attacks after some extended excercise, in both arms on one occasion in November, and recently in both thighs after climbing stairs. I will add that my heart function seems to be very good and I am worried that I am reacting adversely to Crestor and or another of my medications. My doctor does not seem to share my concern and has not ordered follow-up bloodwork to confirm the results or to see if those levels decrease or increase. I am waiting for a call from an internist and am afraid that the call may come too late to see him before a planned trip in May. Is it dangerous for me to wait until June for any follow-up and change in my dosages of these medications?

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