Causes Alcohol abuse (most common in adults) Genetic mutations (PRSS1, SPINK1, CFTR) Smoking Autoimmune pancreatitis Obstructive causes (strictures, tumors) Idiopathic (unknown) Symptoms Persistent/recurrent upper abdominal pain (radiates to back) Indigestion, bloating, diarrhea Steatorrhea (oily, foul-smelling stools) Unexplained weight loss Diabetes in later stages Diagnosis CT, MRI, MRCP: Show scarring, duct dilation, calcifications Endoscopic ultrasound (EUS): Detects early fibrosis Stool elastase test: Measures enzyme deficiency Blood sugar tests: Screen for diabetes Treatment There is no cure, but management includes: No alcohol, no smoking Pancreatic enzyme supplements (PERT) Pain management (medications, nerve blocks, surgery) Nutritional support (high-protein, low-fat diet, vitamins) Diabetes management (insulin or oral agents) Complications Severe malnutrition Osteoporosis Chronic pain and opioid dependence Pancreatic cancer risk Takeaway Chronic pancreatitis is lifelong, but with the right care, many patients live well

From medical detox and drug detox to structured care like a partial hospitalization program or intensive outpatient program, our rehab program supports the full recovery process
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The movie is cleverly bookended by the haunting and unsettling strains of Suicide ("Rocket USA", and "Dream Baby Dream"), but leaves the middle bit wanting
Wet snuff is used in the Western world