Questions in the Gastroenterology and Liver Diseases Forum have been answered by Dr. Kevin Pho who is board certified in Internal Medicine and by doctors from Henry Ford Health System.
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Subject: Re: Pancreatitis I need to know the cause of acute pancreatitis, treatment, proper medications for this problem, and if there is any type of surgery that would prevent this. I do not have a stone, so that was ruled out. I am desperate! Recently, I had pancreatitis for the eleventh time in about six years. Each time it seems worse. Please help me. Thank you. Dear Charlotte, The most common causes of acute pancreatitis in the United States are alcoholic pancreatitis and gallstone pancreatitis. Many patients with so-called idiopathic (unknown cause) pancreatitis end up having microlithiasis (small stones or crystals in the biliary tree). There are many other causes of acute pancreatitis but they are less common.. I will list them for you. After surgery or trauma In the majority of patients with acute pancreatitis, the disease is self-limited and resolves spontaneously. Patients are usually medically treated with supportive care with special attention given to analgesis, maintenance of normal plasma volume (fluids to prevent dehydration), frequent monitoring of vital signs, and identifying and treating possible disease complications. No drugs have been shown to improve the course of acute pancreatitis. Most physicians will prescribe bowel rest (nothing by mouth) and if the patient is vomiting the placement of a nasogastric tube. Diet is slowly advanced as tolerated. It may be necessary to perform serial CT scans or ultrasounds to rule out pancreatic pseudocysts (fluid collection) that develop in or near the pancreas within 4 weeks after an acute episode. Surgery is reserved for patients with the complications of acute pancreatitis such as large, symptomatic pseudocysts, infected fluid collections or pancreatic abscesses. Perforation and hemorrhage (bleeding) are also indications for surgery. Unless an anatomic abnormality needs to be corrected, there is no surgical procedure that can prevent an attack of acute pancreatitis. The best way to prevent recurrent attacks is to identify the underlying cause. I hope you find this information helpful. This response is being provided for general informational purposes only and should not be considered medical advice or consultation. Always check with your personal physician when you have a question pertaining to your health. If you wish to be seen at our institution please call 1-800-653-6568, our Referring Physicians Office and make an appointment to see Dr. Muszkat, one of our experts in Gastroenterology. HFHSM.D.-ym
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