Discharge Instructions - Pancreatitis

Pancreatitis is a condition that can cause severe belly pain.  The pancreas is an organ that makes hormones and juices that help break down food.  Pancreatitis is the term for when this organ gets irritated or swollen.

Most people get over pancreatitis without any long-lasting effects. But a few people get very sick.

There are many causes of pancreatitis. But most cases are caused by gallstones or alcohol abuse:

-Gallstones – Gallstones are hard lumps that form inside an organ called the gallbladder.  Both the pancreas and the gallbladder drain into a single tube.  If that tube gets clogged by a gallstone, neither of the organs can drain.  When that happens, the fluids from both organs get backed up.  That can cause pain.

-Alcohol abuse – People who drink too much alcohol for too long sometimes get alcohol-related pancreatitis.  People with this form of pancreatitis usually start to feel pain 1 to 3 days after drinking a lot of alcohol or after they suddenly stop drinking.  They usually also have nausea and vomiting.

Pancreatitis is usually treated in the hospital.  There, your doctor or nurse can give you fluids and pain medicines to help you feel better.  If you cannot eat, they can give you food through a tube.  If you have a more mil case of pancreatitis, you can be discharged home with medications for pain and the plan to increase fluid intake for the next 24-48 hours.

Some people with pancreatitis get an infection, which can be treated with antibiotics.  Other possible problems caused by pancreatitis are fluid buildup around the pancreas or organ failure.  Fluid buildup around pancreas often goes away on its own but sometimes needs to be drained or treated with surgery.  Organ failure is usually handled by a team of doctors in intensive care.

Another important part of treatment is to get rid of the cause of the pancreatitis.  If your pancreatitis is caused by gallstones, your doctor might need to treat them, too.  People with pancreatitis from alcohol use must learn to give up alcohol to keep from getting pancreatitis again.

Return to the Emergency Department if you develop a fever (≥38.0 °C or 100.4 °F), your pain worsens or is constant for 6 hours, you develop jaundice (a yellow discoloration of the skin or the eyes), persistent or worsening nausea or vomiting, or any other new or concerning symptoms.

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