Understanding Acute Pancreatitis

A Comprehensive Guide for Patients

Gastroenterology

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Last updated: Mar 24, 2025

What is Acute Pancreatitis?

Acute pancreatitis is a sudden inflammation of the pancreas, an organ located behind the stomach that produces digestive enzymes and hormones.

Common Causes

  • Gallstones (40-70% of cases)
  • Excessive alcohol consumption
  • High triglyceride levels
  • Certain medications
  • Recent abdominal procedures
  • Viral infections

Key Symptoms

  • Severe upper abdominal pain
  • Pain that radiates to the back
  • Nausea and vomiting
  • Tender, swollen abdomen
  • Fever
  • Rapid pulse

Diagnosis

Tests typically include:

  • Blood tests (amylase and lipase levels)
  • Imaging studies (CT scan, ultrasound, MRI)
  • Physical examination

Treatment Approaches

Initial Management

  • NPO (nothing by mouth)
  • IV fluid replacement
  • Pain management
  • Monitoring vital signs

Further Treatment

  • Treating underlying causes
  • Antibiotics if infection present
  • Nutritional support
  • Surgery if complications develop

Recovery and Prevention

Lifestyle Changes

  • Avoiding alcohol
  • Low-fat diet
  • Regular exercise
  • Smoking cessation

Follow-up Care

  • Regular check-ups
  • Monitoring for complications
  • Dietary counseling

When to Seek Emergency Care

  • Severe abdominal pain
  • Persistent vomiting
  • High fever
  • Signs of dehydration
  • Difficulty breathing

Long-term Outlook

Most patients recover fully with appropriate treatment. However, some may develop chronic pancreatitis or other complications requiring ongoing care.

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