Mild Pancreatitis: Symptoms and Concerns for Patients

Pancreatitis

Hello Doctor: I am 32 years old.
I do not smoke or drink alcohol.
For the past two months, I have been experiencing occasional hiccups and slight pain in my lower left back, but it usually goes away after a good night's sleep.
Four days ago, I went to the emergency room because my lower left back felt warm and swollen.
The doctor said I have mild pancreatitis.
I do not have jaundice symptoms, and my bowel movements are normal.
He prescribed pain relief medication and advised me to rest at home.
However, over the past few days, the back pain has become more pronounced before bedtime, and now my lower right back also hurts.
I have also lost two kilograms of weight.
Is this a normal progression of symptoms for acute pancreatitis?

Chen, 30~39 year old female. Ask Date: 2022/10/26

Dr. Chen Shidian reply Gastroenterology and Hepatology

You can discuss with the gastroenterologist whether further examinations are necessary.

Reply Date: 2022/10/26

More Info

Mild pancreatitis, or acute pancreatitis, can present with a variety of symptoms, and understanding these can help patients manage their condition effectively. In your case, it seems you are experiencing some common symptoms associated with mild pancreatitis, such as abdominal discomfort and back pain.
Acute pancreatitis typically manifests with sudden onset abdominal pain, which can range from mild to severe. The pain is often located in the upper abdomen and may radiate to the back. In your situation, the left lower back pain you mentioned could be related to the inflammation of the pancreas, as pain can sometimes be referred to other areas of the body. It's also common for patients to experience nausea, vomiting, and changes in appetite, which may lead to weight loss, as you've noted with your two-kilogram drop.

The absence of jaundice (yellowing of the skin and eyes) and normal bowel movements are positive signs, suggesting that there may not be significant bile duct obstruction or other severe complications at this time. However, the fact that your back pain has intensified and is now affecting the right side could indicate that the condition is evolving, and it is essential to monitor these changes closely.

In terms of management, the standard treatment for mild pancreatitis often includes supportive care, such as fasting from food and fluids for a period to allow the pancreas to rest. Pain management is also crucial, and your physician has prescribed pain relief, which is appropriate. It is important to follow up with your healthcare provider if your symptoms worsen or if new symptoms arise, such as persistent vomiting, fever, or significant changes in your overall condition.

Additionally, lifestyle modifications may be necessary to prevent future episodes of pancreatitis. This includes avoiding alcohol, which is a common trigger, and maintaining a healthy diet low in fats. If gallstones are a contributing factor, further evaluation may be needed to address that issue.

In summary, while your symptoms align with mild pancreatitis, the progression of your back pain and weight loss warrants close observation. It is advisable to maintain open communication with your healthcare provider, who may recommend further diagnostic tests or imaging studies to assess the condition of your pancreas and rule out any complications. Regular follow-up appointments will be essential in managing your health and ensuring that any changes in your condition are addressed promptly.

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