Dr. Alexander Goev, a surgeon, warns that the main symptom of pancreatitis is pain in the upper abdomen — specifically in the epigastric region, or sometimes the right or left hypochondrium.
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“The pain typically occurs a few hours after consuming fatty, spicy, or unhealthy food,” he explains. “It can vary in nature — cramping, constant, sharp, or mild. Some patients report bothersome pain at night.”
He adds that unlike nerve pain, the intensity of pancreatitis pain does not change with body position. The greatest danger lies in the unclear clinical picture during the early stages of the disease. In the beginning of acute pancreatitis, patients may only feel discomfort or mild pain in the epigastric area — which often delays seeking medical help.
The doctor strongly recommends immediate medical testing upon the onset of pain symptoms. This should include abdominal ultrasound to assess the pancreas and gallbladder. If signs of pancreatitis are detected, further diagnostics such as amylase blood tests and contrast-enhanced CT scans are essential.
Dr. Goev notes that genetic predisposition to pancreatitis is rare. The primary causes are poor dietary habits and alcohol consumption. People at higher risk include those with gallstones, thick bile (biliary sludge syndrome), and those who have previously suffered from pancreatitis attacks.
“At the first signs of inflammation, fatty foods and alcohol must be eliminated from the diet immediately,” he emphasizes. “While antispasmodics and NSAIDs may offer temporary pain relief, self-medication is not acceptable. A doctor must be consulted right away.”
Dr. Goev warns that pancreatitis is a dangerous condition, and even with prompt medical intervention, it may not be possible to prevent the development of severe acute pancreatitis. In some cases, patients are diagnosed with pancreatic necrosis just two days after symptoms begin.
— Izvestia
