Diagnosing Pancreatic Inflammation
The most accurate way to diagnose pancreatic inflammation is through a combination of a physical examination, a review of medical history, and laboratory tests. During a physical exam, your doctor may check for abdominal tenderness or swelling, pain when lying down, or back pain. They may also ask about any recent changes in your appetite or weight.
Laboratory Tests
Your doctor may order a variety of blood tests to check for signs of pancreatic inflammation. These tests can include a complete blood count (CBC), which measures the number of red and white blood cells in your body. Other tests include blood glucose levels, which can indicate diabetes, as well as a serum amylase or lipase test, which measure the levels of certain enzymes produced by the pancreas.
In some cases, your doctor may also order imaging tests such as an ultrasound, CT scan, or MRI. These tests can help identify any structural changes in the pancreas.
Liver Function Tests
Your doctor may also order liver function tests to check for signs of pancreatic inflammation. These tests measure the levels of enzymes and proteins in your blood that are produced by the liver. Your doctor may order these tests if they suspect that the inflammation is related to a problem with your liver.
Endoscopic Retrograde Cholangiopancreatography (ERCP)
In some cases, your doctor may recommend a procedure called endoscopic retrograde cholangiopancreatography (ERCP). This procedure involves inserting a thin tube with a camera on the end into your throat and down your esophagus. The camera allows your doctor to get an image of your pancreas and other organs in your digestive system. If needed, your doctor can also take a sample of pancreatic tissue during this procedure.
Biopsy
In some cases, your doctor may recommend a biopsy. During this procedure, your doctor will take a small tissue sample from your pancreas and send it to a lab for analysis. This is the only way to definitively diagnose pancreatic inflammation.