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Abdominal Pain Due To Excessive Alcohol Consumption, Have Chronic Pancreatitis. Hospitalization Required?

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Posted on Sun, 7 Oct 2012
Question: Hi , This is XXXXXXX, My Father drinks excessive alcohol and he has been suffering from chronic Pancreatitis now as he has take excess alcohol last week , he experiencing severe pain in upper abdomen and Gas is not expelling due to that ..He is on fasting orally taking water and resting !! What should we do to stop the severe pain and Gastric Problem,

Does this condition require him to be admitted in hospital Since It has been already may a times this problem occurred in past due to excessive alcohol . ?

Earlier occassion report suggested as - Minimal left sided Pleural Effusion with Pelural thickening .Diffusely enlarged pancreas predominantly in pancreatic head region .
doctor
Answered by Dr. Pavan Kumar Gupta (56 minutes later)
Hello
Thanks for the query.
As you know chronic pancreatitis is an inflammatory disease of the pancreas characterized by destruction of its  tissue, and their replacement by fibrous scar.  The process is almost always progressive, even when patients stop drinking. Most of these individuals suffer chronic abdominal and back pain.

 An episode of binge drinking generally precipitates an attack typical of acute 
pancreatitis. This usually occurs in a patient who is a chronic alcoholic.

The medical management of pain in patients with chronic pancreatitis should include the cessation of all alcohol intake and cessation of smoking, if the patient is a smoker. Although it is difficult to predict the effect in an individual case, as many as 50% of patients experience some pain relief when they stop drinking. Pain relief may be more likely in those with early disease and relatively well preserved pancreatic function. In those with pain who already have severe pancreatic insufficiency, pain is likely to persist.

Since your father is a diabetic also and it looks that it is an attack of acute pancreatitis,he has to be managed in the hospital by intravenous fluids and medication.
Please do admit him as early as possible.
I hope to have answered your query however you may revert to me for any further query.
Best of luck
Thanks
Note: In case of any other concern or query related to prevention, evaluation, diagnosis, treatment, or the recovery of persons with the any type of addiction or substance use, follow up with our Addiction Medicine Specialist. Click here to book a consultation now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Pavan Kumar Gupta

General & Family Physician

Practicing since :1978

Answered : 6704 Questions

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Abdominal Pain Due To Excessive Alcohol Consumption, Have Chronic Pancreatitis. Hospitalization Required?

Hello
Thanks for the query.
As you know chronic pancreatitis is an inflammatory disease of the pancreas characterized by destruction of its  tissue, and their replacement by fibrous scar.  The process is almost always progressive, even when patients stop drinking. Most of these individuals suffer chronic abdominal and back pain.

 An episode of binge drinking generally precipitates an attack typical of acute 
pancreatitis. This usually occurs in a patient who is a chronic alcoholic.

The medical management of pain in patients with chronic pancreatitis should include the cessation of all alcohol intake and cessation of smoking, if the patient is a smoker. Although it is difficult to predict the effect in an individual case, as many as 50% of patients experience some pain relief when they stop drinking. Pain relief may be more likely in those with early disease and relatively well preserved pancreatic function. In those with pain who already have severe pancreatic insufficiency, pain is likely to persist.

Since your father is a diabetic also and it looks that it is an attack of acute pancreatitis,he has to be managed in the hospital by intravenous fluids and medication.
Please do admit him as early as possible.
I hope to have answered your query however you may revert to me for any further query.
Best of luck
Thanks