These patients with or without the precipitating factors (alcohol, gall bladder stones, drugs,…) might present to clinician with following non-specific complaints.
- Pain abdomen, which is initially felt in upper abdomen. Often it is poorly localized and may be felt all over the abdomen, as also in the back. Sometimes it might be experienced more in the back than the abdomen. Pain might be continuous or intermittent. Sometimes, the pain might be more in right flank or left flank or anterior chest wall. Pain will be unrelieved by antacids and often increased by alcohol and ingestion of heavy meals. This pain will vary from patient to patient and over time in the same patient. Pain is present for approximately 75% of patients with alcoholic chronic pancreatitis, in practice such an outcome remains difficult to predict in individual patients. Several studies suggest most patients will continue to experience pain despite organ failure, withdrawal of alcohol, or even after pancreatic surgery.
- Distention of abdomen.
- Indigestion, flatulence.
- Acidity, weight loss.
- Irregular bowel habits, diarrhoea, etc.
- Medical Management
- Coeliac plexus block
- Splanchnic neurolysis