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If you’re experiencing severe abdominal pain, fever, or heavy bleeding, call 911.

Pancreatitis

Pancreatitis Explained

In pancreatitis, digestive enzymes become active inside the pancreas and start to damage the gland. Acute pancreatitis usually presents with sudden, severe upper abdominal pain and may require hospitalization. Chronic pancreatitis is long-term inflammation that can lead to permanent damage, pain, and difficulty digesting food. Common causes include gallstones, heavy alcohol use, high triglycerides, and certain medications, but sometimes no cause is found.

Symptoms

The hallmark symptom is upper abdominal pain that may radiate to the back, often with nausea and vomiting. Severe cases can lead to serious complications.

Symptoms include:
Sudden upper abdominal pain, often severe and constant
Pain that may improve by leaning forward
Nausea and vomiting
Fever and rapid pulse in more serious cases
With chronic disease: long-standing pain, weight loss, oily stools

When to call

Call the office promptly if you have recurrent upper abdominal pain, especially if it radiates to the back, or if you’ve had pancreatitis before and notice similar symptoms returning.

Seek emergency care immediately for sudden severe upper abdominal pain, persistent vomiting, high fever, or if you feel very ill, as pancreatitis can be life-threatening.

Evaluation & Tests
Management & Treatment

Diagnosis is based on symptoms, elevated pancreatic enzymes in blood tests, and imaging (such as CT or ultrasound) to look for inflammation, gallstones, and complications.

History focused on pain pattern, alcohol use, gallstones, medications, and triglycerides
Blood tests for amylase and lipase (typically elevated in acute pancreatitis)
Ultrasound and/or CT scan to confirm pancreatitis and look for gallstones or complications
Evaluation of triglyceride and calcium levels, and other potential causes
For chronic cases, additional imaging and function tests of the pancreas

Treatment of acute pancreatitis usually requires hospital care with IV fluids, pain control, and treatment of the cause (such as removing gallstones). Chronic pancreatitis management focuses on pain control, enzyme replacement, and addressing risk factors.

Hospitalization for moderate to severe acute pancreatitis
Aggressive IV fluids, pain control, and careful monitoring
Addressing gallstones (often with cholecystectomy) or other causes
No alcohol and smoking cessation
For chronic disease: pancreatic enzyme replacement, nutrition support, and pain management
This information is for general educational purposes only and is not a diagnosis or personalized medical advice. It does not replace a visit with your own healthcare provider. Always follow the specific recommendations given by your medical team. If you have urgent or worsening symptoms, contact your provider or seek emergency care right away.

At-a-glance

Abdominal painNausea / vomitingWeight loss / anemia

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Information on this website is for education only and not a substitute for medical advice.

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