The causes of nausea and vomiting in acute pancreatitis

Written by He Zong Quan
General Surgery
Updated on October 22, 2024
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The causes of acute pancreatitis are often considered to be gallstones, as well as hyperlipidemia, alcohol-related reasons, and others. After the onset of pancreatitis, it usually causes significant gastrointestinal symptoms, accompanied by nausea and vomiting. Due to the increased intra-abdominal pressure, it can also cause abdominal compartment syndrome, which can exacerbate gastrointestinal symptoms. Therefore, the symptoms of nausea and vomiting may worsen, and after vomiting, symptoms do not ease significantly, which is a clear distinction from other diseases. After the onset of acute pancreatitis, it is necessary to address the root cause of the condition, and to use acid suppression, enzyme inhibition, and suppression of gastrointestinal symptoms to promote the recovery from pancreatitis.

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Written by He Zong Quan
General Surgery
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How long will the fever last in acute pancreatitis?

Patients with acute pancreatitis may experience different symptoms based on the cause of the pancreatitis and the staging of the patient's condition. A fever in acute pancreatitis indicates a severe infection. If a CT scan shows extensive pancreatic effusion, coupled with hyperglycemia and hypocalcemia, it suggests that the condition is severe and there is a tendency towards severe pancreatitis. This type of fever generally requires treatment, sometimes even surgical intervention, and usually takes about half a month to a month to subside. If the fever is caused solely by biliary pancreatitis due to bile duct obstruction by gallstones, and surgical intervention to remove the obstruction is performed, the fever will typically diminish significantly in the short term.

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Written by He Zong Quan
General Surgery
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Does acute pancreatitis have anything to do with the stomach?

Acute pancreatitis is not closely related to stomach conditions, although it is sometimes associated with overeating, but it is not caused by stomach diseases in patients. Instead, it relates to lifestyle habits. The occurrence of pancreatitis is often considered to be due to biliary, alcoholic, hyperlipidemia, and idiopathic causes. In China, the most common causes are biliary and alcohol-related. Biliary causes are mainly related to gallstones, while alcohol-related causes are mostly associated with drinking. Common stomach diseases include gastritis, ulcers, and stomach cancer. These conditions can sometimes cause an increase in amylase during acute abdominal conditions, but they do not cause acute pancreatitis.

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Written by Zhu Dan Hua
Gastroenterology
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What is acute pancreatitis and is it serious?

Acute pancreatitis is relatively common in clinical practice, which generally refers to inflammatory changes in the pancreas caused by various reasons, such as exudation and necrosis of the pancreas. Depending on the condition, it is divided into mild and severe pancreatitis. Generally, mild pancreatitis has a good prognosis with a treatment period of about one to two weeks through conservative medical treatment, and it typically heals on its own. However, severe pancreatitis with accompanying organ failure, such as liver, kidney, or respiratory failure, or the presence of local complications like abscesses, fever, pseudocysts, obstruction, etc., generally has a longer treatment period, poorer prognosis, and higher treatment costs. Therefore, the treatment outcomes vary depending on the severity and urgency of the acute pancreatitis. It is recommended that patients considering acute pancreatitis should continue diagnosis and treatment at a local hospital. Particular attention must be given to severe pancreatitis.

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Written by Li Qiang
Intensive Care Unit
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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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Written by Ren Zheng Xin
Gastroenterology
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Can you smoke with acute pancreatitis?

Acute pancreatitis is an emergency related to the pancreas. Smoking during this time is very harmful to health. Nicotine in tobacco directly affects the blood vessels of the pancreas, causing vasoconstriction and exacerbating pancreatitis. During acute pancreatitis, it is necessary to abstain from eating, not consuming any food, and timely use of medications is required to control the infection and decompress the gastrointestinal tract, providing parenteral nutrition. If acute pancreatitis is not treated actively, it can turn into acute suppurative pancreatitis, which poses a risk of shock. Therefore, it is best to be hospitalized for treatment of acute pancreatitis.