Patient is having excruciating pain as he might be having acute
or chronic pancreatitis
Main causes of pancreatitis
- Abdominal trauma
 
- Alcoholism
 
- Gallbladder stone
 
- Autoimmune disorder
 
- Inflammatory process or obstruction of duct
 
- High triglycerides
 
The cause for excruciating pain in patients are due to
Self degradation of the pancreatic cells . When the pancreatic
duct get obstructed they will get activated before reaching the
digestive tract and there by degrades the pancreatic cells around
the obstruction. As a result of release if more enzymes at the time
of food intake bring about excruciating pain in patients
Pancreatic complicates the digestive process by
- The pancreatic enzyne that is responsible for the digestion of
protein ,fat etc will not be present and there is obstruction in
the pathway
 
- Lack of pancreatitis enzyme due to reduced production of
pancreatice enzyme as the pancreatic enzyme is damaging the
pancreatic cells which produces it . So the degradation of
pancreatic cells results in the lack of enzyme thereby affecting
the digestion
 
- The digestive process slows down due to lack of enzyme
 
- The neutralisation of acid content of stomach is done by
bicarbonates of pancreatic enzyme and so the food will be more
acidic than usual in the Small intestine.
 
- The portal and splenic blood vessel thrombosis might occur as a
result of pancreatic enzyme .
 
- During digestive the blood sugar will not get absorbed as a
result of lack insulin as the pancreatic cells are damages by the
degradation of pancreatic enzymes.
 
- The digestive process delays and the digestion of many
substance will not take place resulting in malnutrition
 
- If excess leakage of enzyme occur then the small intestine also
wil get degraded.
 
.