Saturday, February, 11, 2012

Acute pancreatitis

Table of Contents

Symptoms

The main symptom of pancreatitis is abdominal 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, especially if foods have a high fat content
  • Becomes constant and more severe, lasting for several days
  • May be worse when lying flat on the back
  • May spread (radiate) to the back or below the left shoulder blade

People with acute pancreatitis often look ill and have a fever, nausea, vomiting, and sweating.

Other symptoms that may occur with this disease include:

  • Clay-colored stools
  • Gaseous abdominal fullness
  • Hiccups
  • Indigestion
  • Mild yellowing of the skin and whites of the eyes (jaundice)
  • Skin rash or sore (lesion)
  • Swollen abdomen

Signs and tests

The doctor will perform a physical exam, which may show that you have:

  • Abdominal tenderness or lump (mass)
  • Fever
  • Low blood pressure
  • Rapid heart rate
  • Rapid breathing (respiratory) rate

Laboratory tests will be done. Tests that show the release of pancreatic enzymes include:

  • Increased blood amylase level
  • Increased serum blood lipase level
  • Increase urine amylase level

Other blood tests that can help diagnose pancreatitis or its complications include:

  • Complete blood count (CBC)
  • Comprehensive metabolic panel

Imaging tests that can show inflammation of the pancreas include:

  • Abdominal CT scan
  • Abdominal MRI
  • Abdominal ultrasound


Review Date: 01/20/2010
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)