Acute Pancreatitis Health Channel

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Acute pancreatitis

Definition

Acute pancreatitis is swelling (inflammation) of the pancreas. The pancreas is a gland located behind the stomach. It releases the hormones insulin and glucagon as well as substances that help you digest food.

Causes, incidence, and risk factors

What exactly causes pancreatitis is not well known. It is thought that inactive substances (called enzymes) normally released by the pancreas somehow become active. These substances eat (and digest) the tissue of the pancreas. This abnormal process is called autodigestion. It causes swelling, bleeding (hemorrhage), and damage to the blood vessels.

Acute pancreatitis affects men more often than women. Certain diseases, surgeries, and habits make you more likely to develop this condition.

The main causes of acute pancreatitis in adults are:

  • Alcohol use
  • Gallbladder (biliary) disease
  • Gallstones

Other causes include:

Acute pancreatitis may also be caused by:

  • An abnormal structure of the pancreas
  • Complications of cystic fibrosis
  • Genetic factors (hereditary pancreatitis)
  • High lipid levels in the blood (hypertriglyceridemia)

In children, this disorder may be associated with:

Symptoms

The main symptoms is abdominal pain felt in the upper left side or middle of the belly area (abdomen).

The pain:

  • Is persistent or chronic
  • May be worse lying flat on the back
  • May spread (radiate) to the back or below the left shoulder blade
  • May be worse after eating or drinking (occurs within minutes following meals), especially foods with a high fat content
  • May be worse after drinking alcohol

Other common symptoms may include:

  • Anxiety
  • Fever
  • Mild yellowing of the skin and the whites of the eyes (jaundice)
  • Nausea and vomiting
  • Sweating

Other symptoms that may occur with this disease include:

Signs and tests

The doctor will perform a physical exam. This may show that you have:

  • Fever
  • Low blood pressure
  • Rapid heart rate
  • Rapid breathin

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Abdominal pain (6 images) (Doctor-Reviewed information)
Abdominal pain is pain that you feel anywhere between your chest and groin. This is often referred to as the stomach region or belly.Reviewer: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.Date: 10/07/2009

Abdomen - swollen (Doctor-Reviewed information)
A swollen abdomen is when your belly area is bigger than usual. See also: Abdominal girthReviewer: Linda Vorvick, MD, Family Physician, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. Date: 11/16/2008

Amylase - blood (Doctor-Reviewed information)
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Abdominal CT scan (13 images) (Doctor-Reviewed information)
An abdominal CT scan is an imaging method that uses x-rays to create cross-sectional pictures of the belly area. CT stands for computed tomography. See also: CT scanReviewer: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. Date: 02/23/2009

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