Pancreatitis - discharge

During your stay in the hospital, you may have had blood tests and imaging exams, such as a CT scan or ultrasound. You may have been given medicines to help your pain or fight and prevent infections. You may have been given fluids through an intravenous (IV) tube in your vein and nutrition through a feeding tube or IV. You may have had a tube inserted through your nose that helped remove the contents of your stomach.

If your pancreatitis was caused by gallstones or a blocked bile or pancreatic duct, you may have had surgery. Your health care provider may also have drained a cyst (collection of fluid) in your pancreas.

After an episode of pain from pancreatitis, you should start off with drinking only clear liquids, such as soup broth or gelatin. You will need to follow this diet until your symptoms get better. Slowly add other foods back to your diet when you are better.

Talk with your provider about:

• Eating a healthy diet that is low in fat, with no more than 30 grams of fat per day
• Eating foods that are high in protein and carbohydrates, but low in fat. Eat smaller meals, and eat more often. Your provider will help make sure you are getting enough calories to not lose weight.
• Quitting smoking or using other tobacco products, if you use these substances.
• Losing weight, if you are overweight.

Always talk to your provider before taking any medicines or herbs.

Do not drink any alcohol.

If your body can no longer absorb fats that you eat, your provider may ask you to take a medicine called pancreatic enzymes. These will help your body absorb fats in your food better.

• You will need to take this medicine with every meal and snack. Your provider will tell you how much to take.
• When you take these enzymes, you may also need to take another medicine to decrease the acid in your stomach.

If your pancreas has a lot of damage, you may also develop diabetes. You will be checked for this problem.

Avoiding alcohol, tobacco, and foods that make your symptoms worse is the first step to controlling pain.

Use acetaminophen (Tylenol) or nonsteroidal anti-inflammatory drugs, such as ibuprofen (Advil, Motrin), at first to try and control your pain.

You will get a prescription for pain medicines. Get it filled when you go home so you have it available. If the pain is getting worse, take your pain medicine to help before the pain becomes very bad.

Contact your provider if you have:

• Very bad pain that is not relieved by over-the-counter drugs
• Problems eating, drinking, or taking your drugs because of nausea or vomiting
• Problems breathing or a very fast heartbeat
• Pain with fever, chills, frequent vomiting, or with feeling faint, weak, or tired
• Weight loss or problems digesting your food
• Yellow color to your skin and the whites of your eyes (jaundice)

Chronic pancreatitis - discharge; Pancreatitis - chronic - discharge; Pancreatic insufficiency - discharge; Acute pancreatitis - discharge

Forsmark CE. Pancreatitis. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 135.

Tenner S, Baillie J, DeWitt J, Vege SS; American College of Gastroenterology. American College of Gastroenterology guideline: management of acute pancreatitis. Am J Gastroenterol. 2013;108(9):1400-1415. PMID: 23896955 pubmed.ncbi.nlm.nih.gov/23896955/.

Van Buren G, Fisher WE. Acute and chronic pancreatitis. In: Kellerman RD, Rakel DP, Heidelbaugh JJ, Lee EM, eds. Conn's Current Therapy 2023. Philadelphia, PA: Elsevier 2023:173-180.

Vege SS. Acute pancreatitis. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 58.

Updated by: Michael M. Phillips, MD, Emeritus Professor of Medicine, The George Washington University School of Medicine, Washington, DC. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.