Expert Treatment for Acute Pancreatitis by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He evaluates your epigastric pain-its onset, location, severity-and reviews alcohol use, gallstone history, medications, and other risk factors. A focused abdominal exam checks for tenderness, guarding, or distension.
Blood Tests
We measure serum amylase and lipase to confirm pancreatic inflammation. Additional labs include liver function tests, triglyceride levels, and a complete blood count to assess severity and rule out other causes.
Imaging Studies
- Abdominal ultrasound screens for gallstones, biliary dilation, and pancreatic swelling.
- Contrast-enhanced CT scan evaluates extent of inflammation, necrosis, and peripancreatic fluid collections.
- Endoscopic ultrasound (EUS) offers high-resolution images to detect small stones or subtle ductal changes.
Advanced Testing (if needed)
MRCP (magnetic resonance cholangiopancreatography) noninvasively assesses the biliary and pancreatic ducts. In select cases, ERCP (endoscopic retrograde cholangiopancreatography) is used to remove obstructing stones or place stents.
Frequently Asked Questions
What causes acute pancreatitis?
Gallstones blocking the pancreas, heavy alcohol use, high triglycerides, certain medications, infections, or genetic factors.
How is acute pancreatitis different from chronic pancreatitis?
Acute pancreatitis develops suddenly and often resolves completely with treatment. Chronic pancreatitis is ongoing, causes lasting damage, and recurs over time.
Can people fully recover from acute pancreatitis?
Yes. Most patients recover fully with prompt care, though severe cases may require longer hospitalization and follow-up.
When should I go to the ER for acute pancreatitis?
If you have severe abdominal pain, persistent vomiting, inability to keep fluids down, dehydration, or a high fever, seek emergency care immediately.
Can I prevent acute pancreatitis?
Often yes. Avoid excessive alcohol, manage blood triglycerides, treat gallstones early, maintain a healthy weight, and follow medical advice.
What are the stages of acute pancreatitis?
Physicians classify it into four stages-ranging from mild inflammation and fluid buildup to severe necrosis and systemic complications-to guide targeted treatment.