Pancreatitis in children is rare but can be serious. The good news: most cases of acute pancreatitis in children resolve completely within a week with proper care. If your child has severe upper stomach pain (pet ke upar bahut dard), especially with vomiting and fever, they need medical evaluation. While pancreatitis is uncommon, knowing the signs helps parents act quickly when needed.
What is Pancreatitis?
Watch: Always look for this early hunger cues.Do you feed your baby only after they start crying?
The pancreas is a large gland behind the stomach that:
Produces digestive enzymes to break down food
Makes insulin to control blood sugar
Pancreatitis means inflammation of the pancreas. When inflamed, the digestive enzymes can start digesting the pancreas itself, causing pain and other symptoms.
Types of Pancreatitis
Type
Duration
Outlook
**Acute**
Few days to 2 weeks
Usually resolves completely
**Recurrent Acute**
Multiple episodes
Most children recover well
**Chronic**
Long-term
May need ongoing management
Reassurance for parents: Most children who get pancreatitis experience only one episode and recover fully.
Causes of Pancreatitis in Children
Unlike adults (where alcohol is the main cause), children develop pancreatitis due to:
Common Causes:
Trauma/injury - Blow to abdomen (sports injury, accident)
Infections - Viral infections (mumps, other viruses)
Medications - Some medicines can trigger it (rare)
Gallstones - Less common in children than adults
Genetic factors - Family history of pancreatitis
Conditions that increase risk:
Cystic fibrosis
Celiac disease
Metabolic disorders
Very high triglyceride levels
Important: In many cases, the exact cause cannot be identified (idiopathic).
Symptoms to Watch For
Acute Pancreatitis Symptoms:
Main symptoms (pramukhya lakshan):
Severe upper abdominal pain - Usually sudden onset
Pain may radiate to the back
Pain worsens after eating
Child may bend forward for relief
Other symptoms:
Nausea and vomiting (ulti)
Fever
Loss of appetite
Bloated or swollen belly
Irritability (especially in younger children)
Child looks unwell
Chronic Pancreatitis Symptoms:
Recurring stomach pain
Greasy, foul-smelling stools (steatorrhea)
Weight loss or poor weight gain
Diarrhea
Poor blood sugar control (rare)
When to Seek Medical Care
Go to Hospital/Emergency if:
Severe, persistent stomach pain
Vomiting that won't stop
Child cannot keep fluids down
High fever with stomach pain
Child appears very unwell, pale, or weak
Signs of dehydration
See Doctor if:
Recurring stomach pain after meals
Unexplained weight loss
Greasy or unusual stools
Pain that doesn't improve with home care
Diagnosis
Tests your doctor may order:
Blood tests
Amylase and lipase levels (pancreatic enzymes)
Elevated levels suggest pancreatitis
Imaging
Ultrasound - To see pancreas and check for gallstones
CT scan - More detailed view if needed
MRI - Sometimes used for detailed imaging
Treatment of Pancreatitis
Acute Pancreatitis Treatment:
Mild cases:
Pain management
IV fluids
Rest for the digestive system
Gradual return to eating
Severe cases may need:
Hospitalization
IV fluids and nutrition
Pain medication
Treatment of underlying cause
Rarely, surgery (for complications)
Good news: Most children with acute pancreatitis recover within a week!
Feeding During and After Pancreatitis
During acute episode:
Initially: Nothing by mouth (NPO) to rest pancreas
Gradually: Clear fluids, then soft foods
Doctor will guide when to start eating
Recovery diet:
Start with easily digestible foods
Advance slowly based on tolerance
Low-fat diet may be recommended initially
Diet Guide for Children with Pancreatitis
Foods to Choose (Achche Khaana)
During Recovery:
Clear soups and broths
Boiled rice and khichdi
Idli, soft dosa (minimal oil)
Boiled vegetables
Roti (without ghee)
Steamed fish or chicken (if non-vegetarian)
Dal (without tadka initially)
General Healthy Diet:
Food Group
Good Choices
Grains
Whole wheat roti, brown rice, oats
Proteins
Dal, lean chicken, fish, egg whites
Vegetables
All vegetables (steamed/boiled)
Fruits
All fresh fruits
Dairy
Low-fat dahi, buttermilk
Foods to Limit or Avoid
Avoid during recovery:
Fried foods (samosa, pakora, chips)
Very oily/greasy foods
Full-fat dairy products
Red meat
Processed foods
Sugary drinks and sweets
Note: Once recovered, most children can return to normal diet. Long-term restrictions are usually not needed unless doctor advises.
Special Considerations
For formula-fed infants with pancreatitis:
Doctor will guide on formula choice
May temporarily need specialized formula
Regular formula (NAN, Lactogen, Similac, Aptamil) is usually fine for most conditions
Never change formula without medical advice
For toddlers and older children:
Focus on balanced, home-cooked meals
Limit junk food and fried items
Adequate hydration is important
Small, frequent meals may be easier to digest
Step-by-Step Recovery Guide
Step 1: Follow Hospital Instructions
Complete any prescribed medications
Follow dietary guidelines given at discharge
Attend all follow-up appointments
Step 2: Gradual Return to Normal Diet
Week 1-2 after recovery:
Soft, bland foods
Low-fat options
Small, frequent meals (5-6 times daily)
Plenty of fluids
Week 2-4:
Gradually add more variety
Increase portion sizes
Monitor for any discomfort
After 1 month:
Most children can resume normal diet
Continue healthy eating habits
Step 3: Monitor for Recurrence
Watch for:
Return of stomach pain
Vomiting after meals
Changes in stool
Report any concerns to your doctor.
Tips for Parents
Keep follow-up appointments - Even if child seems fine
Maintain healthy diet - Good habits prevent problems
Know warning signs - Severe pain, vomiting, fever
Manage stress - Stress can worsen digestive issues
Ensure adequate hydration - Water, buttermilk, coconut water
Common Mistakes to Avoid
Rushing back to normal diet - Give digestive system time to heal
Giving oily/fried foods too soon - Even if child asks for it
Ignoring recurring symptoms - Report any pain episodes
Self-medicating - Always consult doctor for pain relief
Skipping follow-up appointments - Important for monitoring
Long-term Outlook
Reassuring facts for parents:
Most children with acute pancreatitis recover completely
Single episode usually doesn't cause lasting damage
Many children never have another episode
With proper care, children can live normal, healthy lives
Children with chronic or recurrent pancreatitis:
May need ongoing dietary management
Regular monitoring by gastroenterologist
May need pancreatic enzyme supplements
Small risk of diabetes development (rare)
Expert Insight: As Dr. Sumitra says, 'Fed is best. Formula is a completely valid choice and provides excellent nutrition.'
FAQs
Q: Can pancreatitis happen in babies?
A: Pancreatitis is rare in infants but can occur, especially in premature babies or those with specific medical conditions. In breastfed or formula-fed babies, digestive issues are usually due to other causes. If your infant has severe stomach distension, vomiting, and seems very unwell, seek immediate medical attention.
Q: My child had pancreatitis. Can they eat normally again?
A: Yes, most children can return to normal eating within a few weeks after recovery from acute pancreatitis. Start gradually with easily digestible foods and progress to regular meals. Long-term dietary restrictions are usually not needed unless advised by your doctor.
Q: Is pancreatitis related to eating too much ghee or oil?
A: In children, pancreatitis is usually not caused by dietary fat (unlike in some adult cases). However, during recovery, a low-fat diet helps the pancreas heal. Once recovered, normal amounts of healthy fats are fine.
Q: Can formula cause pancreatitis?
A: Standard infant formulas (NAN, Lactogen, Similac, Aptamil) do not cause pancreatitis. Pancreatitis in infants is very rare and usually related to other medical conditions or birth defects. If your baby has digestive issues, it's much more likely to be something else like colic, reflux, or milk allergy.
Q: How long does recovery take?
A: Most children with acute pancreatitis feel better within a week. Complete recovery usually takes 2-4 weeks. Your doctor will guide you on when your child can return to normal activities and diet.
Q: Will my child need surgery?
A: Surgery for pancreatitis in children is rare. Most cases are managed with supportive care (fluids, pain management, rest). Surgery might be needed only if there are complications like abscess or if gallstones are causing the problem.
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This article was reviewed by a pediatrician. Last updated: January 2025
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