Can pancreatitis cause a fever?

Written by Wu Hai Wu
Gastroenterology
Updated on June 27, 2025
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Patients with pancreatitis generally experience fever during the acute phase, with body temperatures sometimes reaching as high as 40°C. However, not every patient with pancreatitis will have a high fever; some may have a low fever, with body temperatures around 38°C. Patients with pancreatitis require active anti-infection treatment and treatments to suppress pancreatic secretion. By using drugs that penetrate the pancreatic barrier, such as third-generation cephalosporins or quinolones, the fever can be somewhat alleviated. At this time, the routine blood count can also return to normal. (Please use medications under the guidance of a physician)

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Written by Chen Rong
Gastroenterology
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Is pancreatitis contagious?

Pancreatitis is a condition where pancreatic tissue damage is caused by self-digestion due to various etiologies. It can be seen in multiple causes and is not a contagious disease itself and does not spread. However, when pancreatitis is caused by infectious diseases such as acute epidemic mumps, influenza A infection, Chlamydophila pneumoniae infection, infectious mononucleosis, Coxsackie virus infection, etc., the pancreas can be affected as a target organ resulting in pancreatitis. In such cases, transmission of the primary disease may occur, but pancreatitis is more commonly associated with biliary diseases such as cholelithiasis, biliary infection, alcohol damage, pancreatic duct obstruction (like pancreatic duct stones, ascariasis, stricture, tumors), diseases of the descending part of the duodenum (such as post-bulbar perforation, ulcers, adjacent papillitis of the duodenum, surgical trauma), hyperlipidemia, autoimmune diseases, drug damage, etc., none of which are contagious.

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Written by Wei Shi Liang
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What can be eaten with severe pancreatitis?

Patients with severe pancreatitis should not eat orally. Historically, suppressing pancreatic enzyme secretion by resting the intestines has been considered an important means of controlling the progression of acute pancreatitis. Currently, the implementation of early enteral nutrition is proposed. Early enteral nutrition should be administered via a jejunal tube, which is safer. The nutritional formulation should be chosen based on the patient's condition and intestinal tolerance. Initially, only glucose water may be used to allow the intestines to adapt to the nutrition. Early nutrition should use low-fat preparations containing amino acids or short peptides, because whole proteins entering the intestine directly without being digested by stomach acid can cause indigestion. As the condition enters the recovery phase, the feeding amount and rate can be gradually increased, and preparations containing whole proteins may be given.

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Written by Wei Shi Liang
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Severe pancreatitis intestinal nutrition

In different stages of severe pancreatitis, the energy requirements vary. At the early onset of the disease, the principle of nutritional support is to provide the minimum metabolic substrates needed to maintain basic metabolic demands, correct metabolic disorders, and minimize protein loss to a reasonable level. Caloric provision should be between 20 to 25 kcal per kilogram per day. As the condition progresses, the focus of nutritional support gradually shifts towards increasing or balancing nutrient intake. Early intervention using jejunal tube feeding is considered safer. Formulas used should be tolerable by the intestines; initially, glucose water is used to help the intestines adapt to nutrition. Early use of low-fat formulas containing amino acids or short peptides is advisable. Additionally, whole proteins, after being digested by stomach acid and entering the intestines directly, may lead to poor absorption.

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Written by Wu Hai Wu
Gastroenterology
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Is it okay to drink alcohol occasionally with pancreatitis?

Patients with pancreatitis absolutely must not drink alcohol, as it can lead to malnutrition and cause damage to organs such as the liver and pancreas, thereby reducing the patient's immunity. Even a single drinking session can provoke an episode of acute pancreatitis. Therefore, patients with pancreatitis must decidedly abstain from alcohol. Additionally, they should avoid overeating, as it can disturb gastrointestinal function, hinder normal bowel movements and emptying, and obstruct the normal secretion of bile and pancreatic juice, thus triggering a recurrence of pancreatitis.

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Written by Wei Shi Liang
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Severe pancreatitis is what disease

Acute severe pancreatitis is a disease caused by various etiologies, characterized by local necrosis, inflammation, and infection of the pancreas, accompanied by systemic inflammatory response and persistent organ failure. The current mortality rate is still as high as 17%. The course of acute severe pancreatitis can generally be divided into three periods. First, the acute response period, occurring up to about two weeks after onset, is characterized by a systemic inflammatory response. Second, the systemic infection period, from two weeks to about two months, is characterized by infection of pancreatic or peripancreatic necrosis. Third, the residual infection period, occurring two to three months later, where the main clinical manifestation is systemic malnutrition.