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Warning-sign checks

Chronic pancreatitis: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Use emergency services for severe worsening pain with fainting, confusion, breathing difficulty, significant bleeding, or inability to stay awake.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Contact the treating clinician promptly if greasy stools, diarrhea, weight loss, or pain continue despite treatment.

    The timing or dose of pancreatic enzymes may need adjustment, although other digestive conditions can cause similar symptoms.

    Arrange urgent assessment for jaundice, fever, repeated vomiting, dehydration, rapidly increasing abdominal swelling, or major blood sugar changes.

  3. 3

    Does any of this apply?

    Book an appointment

    Regular follow-up helps monitor symptoms, nutrition, blood sugar, medicines, and complications.

    Visits may include review of weight, bowel symptoms, diet, alcohol and tobacco use, pain control, and how enzymes are taken.

    Blood tests may check for diabetes or nutritional deficiencies.

    Bone density testing may be appropriate for people with long-term malabsorption, low body weight, vitamin D deficiency, or other risk factors.

    And for anyone, someone who:

    • has a symptom that has lasted more than a couple of weeks without improving

Every sign above is quoted from the sofidex article on Chronic pancreatitis. If you are not sure, err upward — it is always reasonable to be checked.