### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I do not drink alcohol, had my gallbladder out 15 years ago and was treated from acute pancreatitis with surgery on the sprinter of Oddi two summers ago. I have once again started having intense pain after eating in the RUQ which is worse when I sit at my desk. This seem sort of like the same slow progression that lead to a five week hospitalization two tears. I was extremely sick! I ended up with two hospital acquired infection and lost over 60lbs in five weeks. I am concerned this thing is happening again, but last time it took several months of this sort of pain before I started vomiting and anything showed on labs. The pain is getting steadily worse and I am now having pain every time I eat. How do I get the doctors to pay attention and consider that this may be the beginning of a very ugly illness? Can this be the same darn thing and can pacreatitis be reoccurring in someone that is NOT a drinker?

### output:

Hello,1) Yes your present pain episode may be due to recurrent episode of pancreatitis2) Pancreatitis can occur again in person who is not a Chat Doctor. 4) In your case, structural abnormality of sphincter of Odd might be the reason for repeated episodes of pancreatitis.5) Laboratory test of serum Amylase can confirm acute episode of pancreatitis. If value of this test is elevated then USG abdomen or contrast enhanced CT scan abdomen is recommended to evaluate extent of pancreatitis.6) Sometimes repeated episodes of acute pancreatitis can lead to structural changes into pancreatic tissue (fibrosis) and pancreatic duct (narrowing and stone formation) and this condition is known as chronic pancreatitis. Severe episodic abdominal pain is main symptom of chronic pancreatitis.