Common Pain Locations During Acute Pancreatitis Attacks

Acute pancreatitis typically causes severe abdominal pain that is located in the upper middle or slightly left side of the abdomen. This area corresponds to the region just below the sternum or under the left ribs. The pain can feel like a sharp knife-like sensation or may present as a dull or bloated ache. Often, this discomfort radiates to the back or shoulder blades, making it difficult for patients to find a comfortable position.

In some cases, skin discoloration—specifically a bluish tint around the navel or on the back—may appear. This symptom, known medically as Cullen's sign or Grey Turner's sign, is a distinguishing feature of pancreatitis and indicates internal bleeding around the pancreas.

Besides intense abdominal pain, acute pancreatitis can lead to various other symptoms:

1. Gastrointestinal issues: Nausea and vomiting are common, especially after eating. If intestinal blockage occurs alongside pancreatitis, symptoms may progress to include bloating, generalized abdominal pain, and a complete cessation of bowel movements and gas.

2. Fever: Patients with severe forms of the disease often develop high fevers, sometimes reaching temperatures between 39-40°C (102-104°F).

3. Additional complications: When pancreatitis affects other organ systems, such as the lungs or kidneys, individuals might experience shortness of breath, difficulty breathing, reduced urine output, or even anuria (absence of urine production).

If pancreatitis is suspected, immediate diagnostic testing should be conducted. Blood tests measuring levels of serum lipase, amylase, and urinary amylase are essential. Imaging techniques like pancreatic ultrasound, CT scans, or MRI may also be used to confirm the diagnosis and assess severity.

Treatment generally begins with fasting, which allows the pancreas to rest. In mild cases, avoiding food and drink combined with hormone therapy using somatostatin analogs can help alleviate symptoms quickly. For more serious conditions, interventions might involve placing a nasogastric tube to decompress the stomach, administering continuous infusions of pancreatic enzymes, and using proton pump inhibitors to protect the gastric lining from further damage.

During recovery, intravenous nutrition becomes necessary to maintain adequate caloric intake while keeping the digestive system at rest. Prompt medical attention and proper management significantly improve outcomes for those suffering from acute pancreatitis.