Pancreatitis
Pediatric Pancreatitis
Careful evaluation and long-term management of acute and chronic pancreatitis in children and teens.
Pancreatitis in children is less common than in adults, but when it occurs it can be painful, frightening, and sometimes recurrent. Acute pancreatitis causes sudden, severe abdominal pain and vomiting, while chronic pancreatitis involves ongoing inflammation that can lead to digestive problems and growth concerns.
Dr. Mendez evaluates the cause, manages pain and nutrition, and monitors for complications with the attention these cases deserve. We also coordinate genetic testing and imaging when indicated.
Signs and symptoms
- Sudden, severe upper abdominal pain, often radiating to the back
- Nausea and repeated vomiting
- Fever and abdominal tenderness
- Pain that worsens after eating, especially fatty foods
- Recurrent episodes with previously unknown triggers
- Unexplained weight loss or poor growth
- Greasy, foul-smelling stools (with chronic disease)
How we treat it
- Complete evaluation of cause, including medications, infections, trauma, anatomy, and genetic factors.
- Imaging review and coordination of MRCP or endoscopic ultrasound when needed.
- Acute management of pain, hydration, and nutrition to allow healing.
- Long-term monitoring for recurrence, exocrine insufficiency, and diabetes risk.
- Family education on trigger avoidance and when to seek urgent care.
When to call a pediatric GI
- A child with sudden severe abdominal pain and vomiting, especially if it has happened before.
- A pediatrician has mentioned elevated pancreatic enzymes.
- Recurrent episodes without a clear cause.
- Family history of hereditary pancreatitis or pancreatic disease.
- A need for second opinion on an existing pancreatitis diagnosis or plan.
Frequently asked
What causes pancreatitis in children?
Common causes include medications, infections, gallstones, trauma, anatomical abnormalities, and genetic conditions. In many cases a clear trigger is found, and avoiding it reduces recurrence significantly.
Will my child develop chronic pancreatitis?
Most children with a single episode of acute pancreatitis recover fully. Recurrent episodes or underlying genetic factors increase chronic risk, which is why follow-up and cause identification matter.
Ready to talk it through?
Concierge access means we have the time to listen, evaluate carefully, and stay with your family through every step.