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 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, and my bowel movements are normal.
He prescribed pain relief medication and advised me to rest at home, but over the past few nights, the back pain has become more pronounced, 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: 2022/10/28

Dr. Chen Shidian reply Gastroenterology and Hepatology

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

Reply Date: 2022/10/28

More Info

Mild pancreatitis, or mild acute pancreatitis, is a condition characterized by inflammation of the pancreas that can manifest with various symptoms. Understanding these symptoms and the concerns associated with them is crucial for effective management and recovery.
In your case, the symptoms you describe, including occasional belching, mild left lower back pain, and a recent episode of increased discomfort leading to a diagnosis of mild pancreatitis, are not uncommon. The pain associated with pancreatitis typically presents in the upper abdomen and may radiate to the back. It can vary in intensity and may worsen after eating, especially if the meal is high in fat. The fact that you do not have jaundice (yellowing of the skin and eyes) and that your bowel movements are normal is a positive sign, as these can indicate more severe complications.

The pain you are experiencing, particularly if it has intensified and now includes the right lower back, could be a sign that your condition is evolving. Weight loss, as you mentioned, can occur in pancreatitis due to a combination of factors, including decreased appetite, nausea, and the body's increased metabolic demands during inflammation.
In mild cases of pancreatitis, the treatment typically involves supportive care, which includes pain management, hydration, and dietary modifications. Patients are often advised to avoid solid food for a few days to allow the pancreas to rest, and then gradually reintroduce a low-fat diet. If your symptoms persist or worsen, it is essential to follow up with your healthcare provider. They may recommend further diagnostic tests, such as blood tests to check pancreatic enzyme levels (amylase and lipase), imaging studies like an abdominal ultrasound or CT scan, or even an endoscopic evaluation if there is suspicion of complications.

It's also important to monitor for any signs of complications, such as persistent abdominal pain, fever, or changes in bowel habits, which could indicate the development of more severe pancreatitis or other related conditions.
In summary, while your symptoms may align with mild pancreatitis, the progression of your pain and weight loss warrants close observation and possibly further evaluation. Open communication with your healthcare provider is vital to ensure that you receive appropriate care and to address any concerns you may have about your condition. If your symptoms do not improve or if you experience new symptoms, do not hesitate to seek medical attention promptly.

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