Is acute pancreatitis related to the liver?

Written by He Zong Quan
General Surgery
Updated on June 21, 2025
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Acute pancreatitis is somewhat related to the liver. Normally, the causes of acute pancreatitis are mainly considered to be biliary, alcoholic, hyperlipidemia, and other idiopathic reasons. Whether the liver is related to pancreatitis mainly depends on whether there are intrahepatic bile duct stones. If stones in the intrahepatic bile ducts are expelled into the common bile duct and stimulate the bile duct, it can induce biliary pancreatitis. This has the same symptoms and etiology as biliary pancreatitis caused by gallstones, only differing in the source of the stones. This type of pancreatitis generally requires treatment of the bile duct stones to stop the cause of the disease.

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Can acute pancreatitis patients have sexual intercourse?

Patients with acute pancreatitis cannot have sexual intercourse during the acute treatment period because it can lead to physical exhaustion and further weaken the patient's condition. Therefore, during the acute phase of acute pancreatitis, the focus should be on rest, and the diet should include foods rich in vitamins and carbohydrates, such as starchy foods, fresh vegetables, and fruits. It is important to avoid overeating, greasy foods, and alcohol consumption. If patients with acute pancreatitis recover fully, and their physical strength is completely restored, they may then consider resuming sexual activity.

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What are the clinical manifestations of acute pancreatitis?

Acute pancreatitis includes two main types: acute edematous pancreatitis and acute necrotizing pancreatitis. It is a common acute and critical condition of the digestive system, particularly acute necrotizing pancreatitis, which can often be life-threatening. The primary symptoms usually include severe upper left abdominal pain, fever, chills, shivering, vomiting, etc. There is a significant relationship between abdominal pain and eating; generally, the pain worsens after eating and can sometimes radiate to the back. The main causes could be binge drinking, overeating, cholecystitis, gallstones, or hyperlipidemia, among others. Diagnosis is usually confirmed through examinations such as an upper abdominal CT and serum and urine amylase tests, followed by appropriate treatment measures.

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What is acute severe pancreatitis?

Acute severe pancreatitis is caused by many reasons, including binge eating, especially consuming a large amount of high-fat diet, excessive drinking, obstruction of the pancreatic duct by gallstones in the bile duct, pregnancy, hyperlipidemia, etc. These lead to disorders in pancreatic secretion, resulting in pancreatic juices digesting the pancreas itself and leaking into the abdominal cavity, leading to symptoms such as abdominal effusion. It is classified as severe pancreatitis based on reaching a certain score in some assessments. Severe pancreatitis often accompanies dysfunction of organ systems, common examples include acute respiratory distress syndrome characterized by stubborn hypoxia and respiratory failure, acute renal failure shown by anuria or oliguria, and acute gastrointestinal failure, which manifests as high abdominal pressure and severe intestinal motility disorders, including abdominal distension.

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What to do about nausea and vomiting with acute pancreatitis?

Acute pancreatitis is also relatively common in clinical practice, and it is definitely a concern because there is a possibility that the condition may exacerbate. Therefore, as soon as acute pancreatitis is diagnosed, it is recommended to adopt fasting and hospitalization treatment regardless of whether there are symptoms of nausea or vomiting, providing gastrointestinal decompression and acid-suppressing inhibitors to prevent the progression of the condition. Mild acute pancreatitis can cause nausea and vomiting, but with targeted treatment and close observation, the symptoms can generally be quickly alleviated. Acute pancreatitis is often considered to be caused by biliary sources, alcohol, or hyperlipidemia, and different measures should be taken according to the specific cause.

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What to do if acute pancreatitis recurs for the second time?

If acute pancreatitis recurs for the second time, it should still be treated as acute pancreatitis. This means conservative treatment is possible, including gastrointestinal decompression, fasting, rehydration, anti-shock measures, administering pain relievers and antispasmodics, along with certain drugs that inhibit pancreatic secretion. Additionally, provide some nutritional support and symptomatic antibiotic treatment. Some traditional Chinese medicine can also be consumed. If non-surgical conservative treatment is ineffective, surgical treatment options may be considered. Fundamentally, the treatment methods are the same as those used for the first episode of pancreatitis, and specific decisions should be made based on the condition of the disease.