
All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
What to do in a pancreatitis attack?
Medical expert of the article
Last reviewed: 04.07.2025
The first thing to do during an attack of pancreatitis is to refuse to eat or drink anything except purified water.
During an attack, any food that enters the digestive tract in the first three days provokes the release of enzymes in the pancreas, which leads to even greater irritation of the organ and increases symptoms, in particular pain.
The method of abstaining from food in the first days of inflammation of the pancreas is called therapeutic fasting, from which it is necessary to exit gradually, starting with a few unsweetened crackers, then gradually introducing low-calorie dishes into the diet.
During this period, it is better to drink non-carbonated mineral water (Narzan, Borjomi) daily, 400-500 ml. You can also drink herbal infusions or decoctions indicated for inflammation of the pancreas.
You can relieve severe pain and reduce inflammation by applying an ice pack under your breastbone. For the compress, it is better to take a heating pad or a bag with ice water or ice and wrap it in a towel.
In some cases, vomiting occurs during an attack, which helps to relieve acute symptoms of the disease for a short time (if the pain is severe, you can induce vomiting yourself by pressing your fingers on the root of the tongue).
When the pancreas is inflamed, a person needs bed rest and complete rest to reduce tension in the pancreas and the intensity of blood circulation in the gastrointestinal tract.
What to do during an attack of acute pancreatitis?
An attack of acute pancreatitis can be life-threatening, since the enzymes produced by the pancreas can corrode the walls of the organ in a short time and penetrate into the bloodstream, thereby disrupting the functioning of almost all systems and organs (for example, pancreatic enzymes can disrupt respiratory function).
During an attack of acute pancreatitis, it is necessary to immediately call an ambulance and provide the person with first aid.
Taking any medications other than antispasmodics is something that is strictly prohibited during an attack of pancreatitis. Doctors recommend fasting before the ambulance arrives, applying a cold compress to the solar plexus area, and taking no-shpa or another antispasmodic drug.
How to relieve an acute attack of pancreatitis?
During an acute attack of pancreatitis, you should immediately call an ambulance, self-treatment in this case can cause death. What to do during an attack of pancreatitis before the ambulance arrives:
- do not take medications other than antispasmodics (no-shpa, papaverine, drotaverine), especially do not take painkillers and enzyme preparations, which can only worsen the condition during acute inflammation
- completely abstain from food, drink no more than 1/4 cup of water every half hour
- apply an ice compress to the back, parallel to the pancreas
- Do not get out of bed, do not make any sudden movements, maximum rest and a gentle regime are necessary.
Pancreatitis often develops against the background of a violation of the outflow of bile, therefore, choleretic agents (alochol, 2 tablets 3 times a day) will help to relieve severe symptoms of inflammation of the pancreas, but they can only be taken if there are no stones in the gallbladder, otherwise the condition may worsen. Choleretic drugs should only be taken together with antispasmodics, but such treatment should be prescribed by a specialist after a preliminary examination. After the outflow of bile, diarrhea is possible, after which the work of the digestive organs will gradually normalize.
Help with an attack of pancreatitis
What to do during an attack of pancreatitis: remember the three basic rules - fasting, ice compress and complete rest.
The pancreas does not like heat, which only intensifies inflammation, and heat activates pancreatic enzymes and begins to corrode the organ more strongly. An ice compress in the pancreas area will not only help reduce inflammation, but also relieve severe pain.
During an attack, you need to completely empty the gastrointestinal tract so that the pancreas stops producing enzymes (it is advisable to induce vomiting). In the first days, you can only drink water and herbal infusions.
Pancreatic disease can threaten serious complications for all organs, so it is important to ensure maximum rest during an attack and relieve stress from the body.
After the symptoms have been relieved and the condition has normalized, a dietary regimen and enzyme preparations (Pancreatin, Creon during meals) are prescribed, which will help reduce the activity of the pancreas and also relieve pain in this organ.
It is important to know what to do during an attack of pancreatitis, since this disease has been diagnosed more and more often recently (several decades ago, pancreatitis was considered a disease of alcoholics).
By and large, the disease is provoked by the person himself, by the modern way of life - constant stress, consumption of fast food, fatty and fried foods, sweet soda, all this leads to the fact that the pancreas and other digestive organs fail to function.