What is acute pancreatitis?
The pancreas is an organ located behind the stomach and near the
small intestine. It produces and distributes insulin, digestive enzymes, and
other necessary hormones.
Acute pancreatitis (AP) is inflammation of the pancreas. It
occurs suddenly and causes pain in the upper abdominal (or epigastric) region. The
pain often radiates to your back.
AP can also involve other organs. It can also develop into
chronic pancreatitis if you have continued episodes.
causes acute pancreatitis?
Acute pancreatitis is caused directly or indirectly. Direct
causes affect the pancreas itself, its tissues, or its ducts. Indirect causes
result from diseases or conditions that originate somewhere else in your body.
Gallstones are one of the major causes of acute pancreatitis.
Gallstones can lodge in the common bile duct and block the pancreatic duct.
This impairs fluid from flowing to and from the pancreas and causes damage.
direct causes of acute pancreatitis include:
- sudden immune system attacks on
the pancreas, or autoimmune pancreatitis
- pancreatic or gallbladder damage
from surgery or injury
- excessive fats called
triglycerides in your blood
causes of acute pancreatitis include:
- alcohol abuse
- cystic fibrosis, a serious condition that affects your lungs, liver, and
- Kawasaki disease, a disease that occurs in children younger than 5 years
- viral infections like mumps and bacterial infections like mycoplasma
- Reye’s syndrome, a complication from certain viruses that can also affect
- certain medications containing estrogen, corticosteroids, or certain antibiotics
is at risk for acute pancreatitis?
Drinking too much alcohol can put you at risk for pancreatic
inflammation. The National Institutes of Health (NIH) defines “too much” as more than
one drink a day for women and a maximum of two drinks a day for men. Men are
more at risk than women for developing alcohol-related pancreatitis.
Smoking tobacco also increases your chance of AP. Smoking and
drinking rates are similar in black and white Americans, but black Americans
are more than two times as likely to develop AP. A family history of cancer, inflammation, or
another pancreatic condition also puts you at risk.
the symptoms of acute pancreatitis
predominant symptom of acute pancreatitis is abdominal pain.
may vary depending on certain factors. These include:
- pain within minutes of drinking or eating food
- pain spreading from your abdomen to your back or left shoulder blade
- pain that lasts for several days at a time
- pain when you lie on your back, more so than when sitting up
symptoms can also increase the pain and discomfort. These include:
- jaundice (yellowing of the skin)
When any of
these symptoms are accompanied by abdominal pain, you should seek immediate
doctor can diagnose AP by using blood tests and scans. The blood test looks for
enzymes (amylase and lipase) leaking from the pancreas. An ultrasound, CT, or
MRI scan allows your doctor to see any abnormalities in or around your
pancreas. Your doctor will also ask about your medical history and ask you to
describe your discomfort.
you will be admitted to the hospital for more testing and to make sure you get
enough fluids, usually intravenously. Your doctor may order medications to reduce
pain and treat any possible infections. If these treatments don’t work, you may
need surgery to remove damaged tissue, drain fluid, or correct blocked ducts.
If gallstones caused the problem, you may need surgery to remove the
your doctor concludes that a medication is causing your acute pancreatitis,
stop using that medication right away. If a traumatic injury caused your
pancreatitis, avoid the activity until you’re fully recovered from treatment. Check
with your doctor before increasing your activity.
may experience a lot of pain after acute pancreatitis, surgery, or other
treatments. If prescribed pain medication, be sure to follow your doctor’s plan
to reduce your discomfort once you get home. Avoid smoking completely, and
drink a lot of fluids to make sure you don’t get dehydrated.
pain or discomfort is still unbearable, it is important to check back with your
doctor for a follow-up evaluation.
pancreatitis is sometimes linked with type 2 diabetes, which affects your
insulin production. Eating foods like lean protein, leafy vegetables, and whole
grains can help your pancreas produce insulin more regularly and gently.
Lifestyle and diet
hydrated at all times. Keep a water bottle or an electrolyte-infused drink like
Help prevent AP by limiting the amount of
alcohol you drink. If you’ve already had pancreatitis and haven’t made
lifestyle changes, it’s possible to develop it again. Children, and teens under
the age of 19, should not take aspirin unless their doctor prescribes it.
Aspirin can cause Reye’s syndrome, which is a known trigger for acute
Complications of acute
pancreatitis can cause pseudocysts in your pancreas. These fluid-filled sacks can
lead to infections and even internal bleeding. Acute pancreatitis can also
disrupt the balance of your body chemistry. This can lead to more
might also face the possibility of diabetes or kidney issues that lead to
dialysis. Or malnutrition, if your acute
pancreatitis is severe, or if you develop chronic pancreatitis over time.
some people, acute pancreatitis can be the first sign of pancreatic cancer. Talk
to your doctor about treatment as soon as you’re diagnosed with acute pancreatitis
to avoid complications. Quick and effective treatment reduces your risk of
can cause serious short-term pain. Untreated cases and recurrences can lead to
chronic problems. Most cases can be treated. If you’re admitted to the hospital
for acute pancreatitis, how long you will need to stay is based on the severity
of your episode. Avoid drinking alcohol, strenuous exercise, and follow a diet
plan that allows your pancreas to heal before returning to your normal diet.
symptoms can be confusing. Abdominal pain and back pain can have other causes.
If you notice these symptoms see your doctor.
pancreatitis can be treated successfully, and usually lifestyle changes will allow
you to live your life comfortably, even if you have flare-ups now and then.
Talk to your doctor to make sure you’re following the right treatment plan and
lifestyle changes to lessen your risk of future bouts of acute pancreatitis.