Pain that radiates through to your back — This is the number one symptom of pancreatic problems Pain that is located on the upper middle part of your abdomen Pain that is worse after eating
The term ‘acute pancreatitis’ is used to describe the first few episodes of pancreatitis that you might have. If the problem continues, it’s considered ‘chronic pancreatitis. ‘[3] X Expert Source Roy Nattiv, MDBoard Certified Gastroenterologist Expert Interview. 14 October 2020.
You might also have diarrhea, especially after you eat something fatty. That happens because if you have pancreatitis, your pancreas won’t be able to help your body process fat. [5] X Expert Source Roy Nattiv, MDBoard Certified Gastroenterologist Expert Interview. 14 October 2020.
Another major risk factor for acute pancreatitis is a history of gallstones. If you have had gallstones once (or more times) in the past, it is more likely for them to return, and they can provoke an episode of acute pancreatitis.
Elevated serum amylase and lipase in your blood point toward pancreatitis as the underlying cause. This is the number on symptom for pancreatic problems. Amylase and lipase are the pancreatic enzymes that leak out into the blood of the pancreas when it becomes inflamed. Elevated amylase levels can can be seen in other problems with the stomach and liver, but lipase is very specific to the pancreas. [8] X Trustworthy Source PubMed Central Journal archive from the U. S. National Institutes of Health Go to source Other results that are important when testing for acute pancreatitis include elevations in C reactive protein and interleukins. [9] X Trustworthy Source PubMed Central Journal archive from the U. S. National Institutes of Health Go to source
An EUS also evaluates the upper GI tract (esophagus, stomach, and upper part of the small intestine) en route to getting to the pancreas. Therefore, an EUS can help to include or rule out other upper GI causes that could be the reason for your abdominal pain.
Acute pancreatitis may present with gallstones on the CT scan (as this is a common cause for pancreatitis). The CT scan will likely also show generalized pancreas inflammation.
In severe cases of pancreatitis, a feeding tube may be necessary to get you the nutrients and calories you need while your pancreas recovers. [15] X Trustworthy Source PubMed Central Journal archive from the U. S. National Institutes of Health Go to source You will always be given IV fluids to stay hydrated during acute pancreatitis, and basic calories (sugars) can be given through the IV line as well. [16] X Research source
Gallstones — These can be removed surgically, and your gallbladder may need to be removed as well. Your doctor may also prescribe antibiotics. [19] X Expert Source Roy Nattiv, MDBoard Certified Gastroenterologist Expert Interview. 14 October 2020. Bile duct obstructions — You will likely receive a procedure (called ERCP) to open or widen your bile duct, and to repair any damage that is found. Damaged or dead pancreas tissue may also need to be removed, and this may require surgery. This will be completed after the inflammation resolves and you are healed. Alcohol dependence — Excess alcohol consumption is the number one risk factor for developing acute pancreatitis. If alcohol problems are the issue, it is key to receive treatment for this. Talk to your doctor there are rehabilitation clinics and 12 Step programs that are available if you have a serious problem with drinking.
