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Message: <blockquote data-quote="Claire Lak" data-source="post: 2646088" data-attributes="member: 517136">Hi yes this is common after cancer treatment I was going to have mine at the royal free but went to Oxford instead.There is lots to learn about EPI so I hope I can help.Firstly epi is determined on a FET and severity of Epi and body weight.People tend to increase there pert as there symptoms return, pain when eating, bloating, heartburn and steatorrhea and fatigue.I became really unwell and found that I need ppis in order for my pert to work correctly.a FET test should be done yearly as this will help you understand how your are managing your condition and if your pert is at the correct level.it’s a difficult one as one man’s snack is any man’s meal, a persons body weight and fat contents and juggling diabetes, if that wasn’t enough.so how do you know if your taking too much ?what I have found is you can become constipated, your bowel movements with become bigger, you might get a irritated anus feels like you haven’t wiped properly, headaches that persist.what if you’re increased you dose and your symptoms are not improving,I would speak to you GI and it needs to be a GI as pert comes under the exocrine system not endocrine.ask to be tested for a small bowel bacterial overgrowth, bile acid malabsorption and or coeliac disease.</blockquote>

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