Conversation: The conversation between human and AI assistant.
[|Human|] Four months ago, I had radical surgery to remove 8 tumors, One was a pheochromacytoma on my left adrenal bed, the first pheo was removed two years previous, there were two tumors on my spleen, so they removed my whole spleen, there was a tumor on the tail of my pancreas, so they removed about a third of my pancreas and then there were two that were on my liver, so they removed them too. Since this surgery, I have been rehospitalized because of vomiting and diarrhea and severe abdominal pain. I was told that I have necrosis of the fatty tissue surrounding my liver, stomach and pancreas. Ok, I have been home from the hospital this time about two weeks and for the last week, I have developed a very rattly cough, and the vomiting and diarrhea has returned. The Diarrhea is constant and I don t always make it to the bathroom in time. It is orange with allot of mucus and very liquidy. Can you help me?
[|AI|]  Hello! Thank you for the query. Your symptoms seem to be caused by chronic pancreatitis. Due to partial pancreas removal sometimes the pancreas enzymes are secreted outside the pancreas (to the fatty tissue). This is the most probable reason of necrosis. Diarrhea with lots of mucus is characteristic for pancreas insufficiency. Due to lack of enzymes which normally digest fat, diarrhea appears. That is why you should try pancreas enzymes supplementation with every meal along with special diet (low carboy Chat Doctor. If it won't help, you may also have partial bowels' obstruction due to adhesions. To diagnose it, enterocolitis (abdominal CT with oral contrast) should be done. Cough can be caused by a connection between the abdominal and thoracic cavity or by metastases in the lungs. Please consult your doctor and consider chest CT. Hope this will help. Regards.