The diagnosis of chronic pancreatitis is obvious in an advanced case with typical features: upper abdominal pains with weight loss; steatorrhea; and, diabetes. However, all of these features are seen only when the disease has been present for many years. Most patients present with pain only.
In acute (sudden onset) pancreatitis you may have sudden, severe, upper abdominal (tummy) pain spreading to your back, nausea and vomiting. In chronic (ongoing) pancreatitis you may have longstanding mid-abdominal pain. The two most common causes of pancreatitis are drinking too much alcohol and having gallstones.
The main symptom of acute pancreatitis is a severe, dull pain around the top of your stomach that develops suddenly. This aching pain often gets steadily worse and can travel along your back or below your left shoulder blade. Eating or drinking may also make you feel worse very quickly, especially fatty foods.
The most common symptom of both acute and chronic pancreatitis is pain in the upper abdominal area, usually under the ribs. This pain: May be mild at first and get worse after eating or drinking. May become constant, severe, and last for several days.
The pain is often worse 15 to 30 minutes after a meal. However, up to 20 percent of people with chronic pancreatitis do not have any pain at all. Poor pancreatic function — The pancreas normally helps to digest food and control blood sugar levels.
The main symptom of pancreatitis is pain felt in the upper left side or middle of the abdomen. The pain: May be worse within minutes after eating or drinking at first, more commonly if foods have a high fat content. Becomes constant and more severe, lasting for several days.
Chronic pancreatitis
feel pain in the upper abdomen, although some people have no pain at all.
The pain may come and go to start with but become constant as time goes on. People often say that the pain gets worse after meals or when they lie down. Some people have pain at night and it disturbs their sleep. The pain might be mistaken for a pulled muscle or as joint or bone pain.
Abdominal pain — Abdominal pain is the most common clinical symptom in chronic pancreatitis. The pain is most commonly felt in the epigastric region and often radiates to the back. It may be worse when recumbent and patients may experience postprandial exacerbation.
Abdominal pain from pancreatitis may be moderate to severe and may radiate to your back. Acute pancreatitis tends to be more severe, with a penetrating quality. Your abdomen may feel tender to the touch. With chronic pancreatitis, the pain may vary in intensity.
It's been described as a burning or shooting pain which comes and goes, but can last for several hours or days, in some cases. Some people also experience symptoms of nausea and vomiting during the pain. As chronic pancreatitis progresses, the painful episodes may become more frequent and severe.
People with chronic pancreatitis may have no symptoms until the condition has caused severe damage to the pancreas. However, abdominal pain that spreads to the back remains the most common warning sign. Chronic pancreatitis may also cause diarrhea, weight loss, or greasy, unusually foul-smelling stools.
The hallmark symptom of acute pancreatitis is the acute onset of persistent upper abdominal pain, usually with nausea and vomiting. The usual locations of the pain are the epigastric and periumbilical regions. The pain may radiate to the back, chest, flanks, and lower abdomen.
Chronic pancreatitis is a progressive condition in which long-standing inflammation leads to loss of pancreatic endocrine and exocrine function. Chronic pancreatitis often goes unnoticed for many years.
It is commonly brought on by food consumption and so patients may be afraid to eat. It is also commonly severe through the night. The pain varies in nature, being gnawing, stabbing, aching or burning, but it tends to be constant and not to come and go in waves.
Pain in the stomach, burning of the stomach, feeling of Nausea, vomiting loss of appetite are some of the symptoms of Gastritis. Abdominal pain (most common), fast heartbeat, fever, fast breathing, and low blood pressure are some symptoms of pancreatitis.
Tests and procedures used to diagnose pancreatitis include: Blood tests to look for elevated levels of pancreatic enzymes, along with white blood cells, kidney function and liver enzymes. Abdominal ultrasound to look for gallstones and pancreas inflammation.
The differential diagnosis for pancreatitis includes an ulcer of the stomach or duodenum, liver inflammation, small bowel obstruction, functional bowel disorders, abdominal aortic aneurysm, an obstruction of the intestine and pancreatic cancer.
Most patients with chronic pancreatitis have pain in the upper abdomen, which may also be felt in the back. This can be very severe and continuous, but is more often intermittent, and occurs in attacks, which are usually not sufficiently severe to require immediate treatment in hospital.
Acute pancreatitis may begin as either a gradual or sudden pain in the upper abdomen that may radiate through the back. It is often worse after eating. The pain can become severe, even constant, lasting for several days.
Pancreatic insufficiency is suspected in a patient who develops diabetes, upper abdominal pain and features of malabsorption. Bowel movements classically are bulky, loose and foul smelling; because of their oily nature, they may float in the toilet bowl, and are difficult to flush.
Health care professionals may use lab or imaging tests to diagnose pancreatitis and find its causes. Diagnosing chronic pancreatitis can be hard in the early stages. Your doctor will also test for other conditions that have similar symptoms, such as peptic ulcers or pancreatic cancer link.
If left untreated, pancreatitis can cause kidney failure, trouble breathing, digestion issues, diabetes, and abdominal pain.