Pancreas Specialist in Agra

Pancreatitis, Pancreatic Stones, Pseudocyst, Pancreatic Cysts & Pancreatic Surgery

Dr. Karan R. Rawat – Pancreas Specialist, Gastro & Hepatobiliary Surgeon in Agra

Severe pain in the upper abdomen going toward the back, repeated vomiting, unexplained weight loss, greasy stools, recurrent attacks of abdominal pain or an abnormal pancreas detected on ultrasound, CT or MRI can indicate a pancreatic disorder.

The pancreas is a relatively small organ, but diseases affecting it can range from mild digestive problems to serious medical and surgical emergencies.

Common pancreatic conditions include:

  • Acute pancreatitis

  • Recurrent pancreatitis

  • Chronic pancreatitis

  • Pancreatic stones

  • Pancreatic duct obstruction

  • Pancreatic pseudocyst

  • Pancreatic fluid collections

  • Pancreatic necrosis

  • Pancreatic cysts

  • Pancreatic exocrine insufficiency

  • Pancreatitis-associated diabetes

  • Pancreatic tumours and pancreatic cancer

For patients searching for a pancreas specialist in Agra, pancreatitis doctor, pancreatic surgeon, pancreatic cyst specialist or gastro surgeon, the first priority should be identifying the exact pancreatic problem and its cause.

What Is the Pancreas?

The pancreas is situated deep inside the upper abdomen, behind the stomach.

It has two major functions.

Digestive function

The pancreas produces enzymes that help digest:

  • Fat

  • Protein

  • Carbohydrates

Hormonal function

The pancreas produces hormones including insulin, which plays an essential role in controlling blood glucose.

This explains why advanced pancreatic disease may cause both:

Digestive problems + diabetes.

NIDDK describes these two principal pancreatic functions as producing digestive enzymes and hormones including insulin.

What Is Pancreatitis?

Pancreatitis means inflammation of the pancreas.

It is broadly divided into:

Acute pancreatitis

A sudden episode of pancreatic inflammation.

Chronic pancreatitis

Long-standing inflammation leading to progressive and permanent pancreatic damage.

Both forms can produce serious complications.

Symptoms of Acute Pancreatitis

The most characteristic symptom is:

Severe upper abdominal pain, often radiating toward the back.

Other symptoms may include:

  • Severe epigastric pain

  • Pain radiating to the back

  • Nausea

  • Repeated vomiting

  • Abdominal tenderness

  • Abdominal distension

  • Fever

  • Rapid heartbeat

  • Weakness

NIDDK identifies upper abdominal pain that may spread to the back as the principal symptom and notes that nausea, vomiting, fever and abdominal tenderness can also occur.

Severe Upper Abdominal Pain Going to the Back Should Not Be Ignored

One patient may have gastritis.

Another may have gallstones.

Another may have pancreatitis.

The symptoms can sometimes overlap.

Therefore, severe persistent upper abdominal pain—particularly when accompanied by repeated vomiting—should not automatically be labelled as:

“Gas” or “acidity.”

Acute pancreatitis can occasionally become severe and involve multiple organs.

What Causes Acute Pancreatitis?

Common causes include:

Gallstones

Gallstones are one of the most important causes of acute pancreatitis.

Alcohol

Heavy alcohol use is another important cause.

Other causes can include:

  • Very high triglycerides

  • Certain medications

  • High calcium levels

  • Abdominal trauma

  • Pancreatic abnormalities

  • Some infections

  • Genetic disorders

  • ERCP-related pancreatitis

  • Pancreatic tumours

  • Sometimes no cause can initially be identified

NIDDK lists gallstones and heavy alcohol use among the most common causes and also identifies medications, genetic disorders and several other potential causes.

How Can Gallstones Cause Pancreatitis?

The gallbladder and pancreas share a closely related drainage system.

A small gallstone can migrate from the gallbladder and obstruct the lower bile duct or the region where the pancreatic duct drains.

This may trigger:

Gallstone pancreatitis.

This is why a patient admitted with pancreatitis may also undergo evaluation of the:

  • Gallbladder

  • Common bile duct

  • Pancreatic duct

Gallstone-related pancreatitis can also influence the decision regarding subsequent gallbladder surgery.

How Is Acute Pancreatitis Diagnosed?

Diagnosis is based on the clinical picture combined with laboratory tests and imaging.

Investigations may include:

Blood tests

  • Serum lipase

  • Serum amylase

  • Complete blood count

  • Liver function tests

  • Kidney function

  • Blood glucose

  • Calcium

  • Triglycerides

  • Inflammatory markers

Imaging

Depending on the case:

  • Ultrasound abdomen

  • Contrast CT

  • MRI

  • MRCP

  • Endoscopic ultrasound in selected patients

NIDDK notes that blood tests can include amylase and lipase, glucose and lipids, while imaging is used to diagnose pancreatitis and identify its cause or complications.

High Amylase or Lipase Does Not Always Mean Severe Pancreatitis

Patients frequently become worried after seeing:

“Lipase 300”

or

“Amylase 500.”

The enzyme level alone does not tell us how severe pancreatitis is.

Clinical symptoms, examination findings, organ function and imaging all matter.

Similarly, mildly elevated amylase or lipase without typical symptoms does not automatically establish a diagnosis of acute pancreatitis.

The complete clinical picture must be interpreted.

How Is Acute Pancreatitis Treated?

Treatment depends on severity and cause.

Management may involve:

  • Hospital observation or admission

  • Appropriate IV fluids

  • Pain control

  • Anti-vomiting medication

  • Nutritional support

  • Monitoring kidney, lung and cardiovascular function

  • Treatment of the underlying cause

  • Management of complications

More severe pancreatitis may require multidisciplinary management and intervention.

NIDDK describes supportive treatment with fluids, pain control and nutritional management, with endoscopic, radiological or surgical procedures used when complications or ductal obstruction require them.

Do All Patients With Pancreatitis Need Antibiotics?

No.

Pancreatitis is primarily an inflammatory condition.

Antibiotics are not routinely required simply because pancreatic inflammation is present.

They may be indicated when there is evidence of infection or another bacterial complication.

This distinction is important because unnecessary antibiotics do not treat sterile pancreatic inflammation.

Do All Patients With Pancreatitis Need Surgery?

No.

Most patients with uncomplicated acute pancreatitis do not require pancreatic surgery.

Surgery or intervention becomes relevant in selected circumstances, such as:

  • Infected pancreatic necrosis

  • Symptomatic collections

  • Pancreatic duct problems

  • Certain pseudocysts

  • Bleeding complications

  • Obstruction

  • Underlying gallstone disease

  • Other pancreatic complications

The modern approach frequently combines gastroenterology, radiology, endoscopy and surgery rather than performing early open surgery in every complicated case.

Gallstone Pancreatitis and Gallbladder Surgery

If gallstones caused pancreatitis, simply treating the pancreatic attack without addressing the gallbladder may leave the patient at risk of recurrence.

In appropriate cases, laparoscopic cholecystectomy may therefore be recommended once the timing is considered safe.

NIDDK notes that gallbladder removal may be recommended when gallstones cause acute pancreatitis, with timing influenced by the severity of the pancreatitis.

What Is Chronic Pancreatitis?

Chronic pancreatitis is long-standing pancreatic inflammation that produces progressive structural damage.

Unlike an isolated acute attack, chronic pancreatitis may gradually impair both the digestive and hormonal functions of the pancreas.

Patients may develop:

  • Chronic abdominal pain

  • Recurrent acute attacks

  • Pancreatic stones

  • Pancreatic duct dilatation

  • Weight loss

  • Malnutrition

  • Greasy stools

  • Diabetes

  • Pancreatic pseudocyst

Symptoms of Chronic Pancreatitis

Typical symptoms may include:

Recurrent upper abdominal pain

Pain may radiate toward the back and may worsen after eating.

Weight loss

Patients may eat less because eating triggers pain or because digestion becomes impaired.

Fatty or greasy stool

Loss of pancreatic enzyme production can prevent normal fat digestion.

Patients may notice stools that are:

  • Greasy

  • Foul smelling

  • Bulky

  • Difficult to flush

Diabetes

Progressive pancreatic damage can reduce insulin production.

NIDDK notes that chronic pancreatitis can cause chronic pain, maldigestion, malnutrition and diabetes.

What Is Pancreatic Exocrine Insufficiency?

The pancreas normally releases digestive enzymes into the intestine.

When pancreatic damage becomes significant, the gland may stop producing enough enzymes.

This can cause:

  • Indigestion

  • Weight loss

  • Bloating

  • Fatty stools

  • Vitamin deficiencies

  • Malnutrition

Selected patients require pancreatic enzyme replacement therapy.

NIDDK notes that pancreatic enzyme treatment can be used in chronic pancreatitis when digestion and nutrient absorption become impaired.

Pancreatitis and Diabetes

The pancreas produces insulin.

Therefore, chronic pancreatic injury can eventually lead to a particular form of diabetes related to pancreatic disease.

This is another reason pancreatic disease requires long-term follow-up rather than simply treating episodes of pain.

Pancreatic Stones

Chronic pancreatitis can lead to:

  • Calcification

  • Pancreatic duct stones

  • Duct obstruction

  • Increased ductal pressure

  • Recurrent pain

Large pancreatic duct stones or obstruction may require:

  • Endoscopic procedures

  • Lithotripsy in selected cases

  • Drainage procedures

  • Surgery in appropriately selected patients

The treatment depends on the anatomy of the pancreatic duct and the overall condition of the gland.

Chronic Pancreatitis Surgery

Not every chronic pancreatitis patient requires surgery.

However, surgery can become important in selected patients with:

  • Severe persistent pain

  • Dilated pancreatic duct

  • Pancreatic duct stones

  • Obstruction

  • Inflammatory pancreatic mass

  • Suspicion of malignancy

  • Complications not responding to other treatment

Depending on the pancreatic anatomy, different operations may be considered.

The correct procedure is determined by the location of disease, duct anatomy and presence of an inflammatory mass or other complication.

What Is Groove Pancreatitis?

Groove pancreatitis is a form of chronic inflammatory disease affecting the region between the:

  • Head of pancreas

  • Duodenum

  • Common bile duct

It can sometimes mimic a pancreatic tumour on imaging.

Because treatment and prognosis differ significantly, careful evaluation using good-quality pancreatic imaging and appropriate clinical correlation is important.

What Is a Pancreatic Pseudocyst?

After pancreatitis, pancreatic fluid can collect within or around the pancreas.

Some collections can mature into a pancreatic pseudocyst.

A pseudocyst may produce:

  • Abdominal pain

  • Fullness

  • Early satiety

  • Vomiting

  • Compression of nearby organs

  • Infection

  • Bleeding

Some pseudocysts resolve spontaneously, while others require intervention.

Does Every Pancreatic Pseudocyst Need Drainage?

No.

Management depends on:

  • Symptoms

  • Size and evolution

  • Infection

  • Compression

  • Bleeding

  • Relationship to the pancreatic duct

  • Other complications

When drainage is necessary, options may include:

  • Endoscopic drainage

  • Image-guided drainage

  • Surgical drainage

NIDDK notes that infected pseudocysts and large pseudocysts causing pain or bleeding may require drainage.

Pancreatic Necrosis

Severe acute pancreatitis can cause portions of pancreatic or surrounding tissue to become necrotic.

Necrosis may initially be sterile.

If infection subsequently develops, the condition can become significantly more serious.

Management may involve:

  • Antibiotics when infection is present

  • Percutaneous drainage

  • Endoscopic drainage

  • Necrosectomy

  • Surgical intervention in selected situations

Complex pancreatic necrosis is often best managed through a step-up and multidisciplinary approach.

What Is a Pancreatic Cyst?

Pancreatic cysts are increasingly discovered incidentally because CT and MRI scans are performed more frequently.

Not every pancreatic cyst is dangerous.

Pancreatic cystic lesions can include:

  • Pseudocysts

  • Serous cystic lesions

  • Mucinous cystic lesions

  • IPMN

  • Other pancreatic cystic neoplasms

Some require only surveillance.

Others require further investigation or surgery because of their potential for malignant transformation.

Why Pancreatic Cysts Should Not Be Ignored

A pancreatic cyst should be evaluated according to features such as:

  • Size

  • Location

  • Growth

  • Pancreatic duct relationship

  • Presence of nodules

  • Symptoms

  • Pancreatic duct dilatation

  • Patient age and health

  • Imaging characteristics

The question is not merely:

“Pancreas mein cyst hai—operation karna hai?”

The more important question is:

“What type of pancreatic cyst is it, and does it have concerning features?”

Role of MRCP in Pancreatic Disease

MRCP – Magnetic Resonance Cholangiopancreatography provides detailed MRI-based imaging of the:

  • Pancreatic duct

  • Bile ducts

  • Gallbladder region

It may be particularly useful for evaluating:

  • Pancreatic duct abnormalities

  • Pancreatic stones

  • Chronic pancreatitis

  • Biliary obstruction

  • Recurrent pancreatitis

  • Certain pancreatic cysts

Role of Endoscopic Ultrasound – EUS

Endoscopic ultrasound can provide highly detailed imaging of the pancreas from inside the stomach and duodenum.

It may be useful for:

  • Small pancreatic masses

  • Pancreatic cysts

  • Pancreatic duct abnormalities

  • Unexplained recurrent pancreatitis

  • Tissue sampling when required

The test is selected according to the clinical question rather than used routinely for every pancreatic problem.

Pancreatic Cancer – What Symptoms Should Not Be Ignored?

Pancreatic cancer can be difficult to identify early because early disease may produce few or nonspecific symptoms.

Possible warning signs include:

  • Unexplained weight loss

  • Loss of appetite

  • Persistent upper abdominal or back pain

  • Jaundice

  • Dark urine

  • Pale stools

  • Persistent fatigue

  • New unexplained digestive symptoms

NCI identifies jaundice, abdominal or back pain, unexplained weight loss, reduced appetite, dark urine and light-coloured stools among possible symptoms.

These symptoms can occur with many conditions other than cancer, but they deserve appropriate assessment.

Painless Jaundice Requires Proper Evaluation

A patient who develops:

Yellow eyes + dark urine + pale stools

particularly without significant pain, requires evaluation for bile-duct obstruction.

Possible causes can include:

  • Bile duct stones

  • Biliary strictures

  • Pancreatic-head lesions

  • Bile duct tumours

  • Other hepatobiliary conditions

Jaundice should never automatically be assumed to mean viral hepatitis.

New Diabetes and Pancreatic Disease

Most new diabetes is related to common metabolic diabetes and does not mean pancreatic cancer.

However, pancreatic disease can affect insulin production, and new or worsening diabetes in an appropriate clinical context—especially with unexplained weight loss or pancreatic symptoms—may prompt pancreatic evaluation.

The complete clinical picture matters.

How Is Pancreatic Cancer Diagnosed?

Evaluation may include:

  • Contrast-enhanced CT

  • Pancreatic protocol CT

  • MRI / MRCP

  • Endoscopic ultrasound

  • Tissue sampling when appropriate

  • Additional staging investigations

NCI notes that imaging and other diagnostic procedures are used both to identify pancreatic cancer and determine its stage and resectability.

Pancreatic Cancer Treatment

Treatment depends on:

  • Location of the tumour

  • Stage

  • Whether it can be surgically removed

  • Relationship to major blood vessels

  • Presence or absence of metastasis

  • Patient fitness

  • Tumour biology

Treatment may include:

  • Surgery

  • Chemotherapy

  • Radiation therapy in selected situations

  • Targeted therapies in selected patients

  • Supportive and palliative treatment

NCI identifies surgery, chemotherapy, radiation-related strategies and targeted treatment among approaches used in pancreatic cancer care.

Pancreatic Cancer Surgery

Surgery differs according to tumour location.

Tumour in the head of pancreas

Selected resectable tumours may require a pancreaticoduodenectomy or Whipple procedure.

Tumour in the body or tail

Selected tumours may be treated by distal pancreatectomy, sometimes together with splenectomy depending on the situation.

NCI notes that surgical approaches vary according to whether the tumour is in the head, body, tail or other pancreatic region.

Complex pancreatic cancer treatment benefits from multidisciplinary planning.

Pancreatitis Can Affect More Than the Pancreas

Severe pancreatitis may affect:

  • Lungs

  • Kidneys

  • Circulatory system

  • Intestines

  • Bile ducts

  • Nutritional status

Pancreatitis should therefore not be considered only a problem of abdominal pain.

Severe disease requires monitoring for organ dysfunction and complications.

When Should You Consult a Pancreas Specialist?

Consider pancreatic evaluation if you have:

  • Recurrent upper abdominal pain

  • Pain radiating to the back

  • Repeated pancreatitis attacks

  • High amylase or lipase with symptoms

  • Chronic pancreatitis

  • Pancreatic stones

  • Dilated pancreatic duct

  • Pancreatic calcification

  • Pancreatic pseudocyst

  • Pancreatic fluid collection

  • Pancreatic cyst

  • Unexplained weight loss

  • Greasy stools

  • Suspected pancreatic enzyme deficiency

  • Jaundice with suspected pancreatic obstruction

  • A pancreatic mass on imaging

  • Recurrent unexplained pancreatitis

When Is Pancreatic Disease an Emergency?

Seek prompt medical care for:

🚨 Severe persistent upper abdominal pain

🚨 Pain radiating strongly to the back

🚨 Repeated uncontrollable vomiting

🚨 Fever with severe abdominal pain

🚨 Jaundice with fever

🚨 Breathlessness during pancreatitis

🚨 Increasing abdominal distension

🚨 Very low urine output

🚨 Severe weakness, confusion or fainting

🚨 Known pancreatitis with sudden deterioration

NIDDK recommends prompt assessment for severe or worsening abdominal tenderness, persistent nausea/vomiting, fever, breathing difficulty or jaundice in a patient with suspected pancreatitis.

Can Pancreatitis Recur?

Yes.

Recurrent pancreatitis may occur if the underlying cause remains untreated.

Possible causes include:

  • Gallstones

  • Alcohol

  • Very high triglycerides

  • Pancreatic duct abnormalities

  • Certain medications

  • Genetic disorders

  • Structural abnormalities

  • Other pancreatic disease

Repeated attacks may eventually contribute to chronic pancreatic damage in some patients.

Therefore:

Treating the attack is important—but finding the cause is equally important.

Alcohol, Smoking and Pancreatitis

Patients with pancreatitis are generally advised to avoid alcohol.

Smoking is also important because it is associated with progression of pancreatic disease and increased pancreatic cancer risk.

NIDDK advises patients with pancreatitis to stop both alcohol consumption and smoking.

Diet After Pancreatitis

There is no universal “pancreas diet” suitable for every patient.

Diet depends on:

  • Acute vs chronic pancreatitis

  • Nutritional status

  • Triglycerides

  • Diabetes

  • Pancreatic enzyme deficiency

  • Weight loss

  • Other medical conditions

Patients with chronic pancreatitis and malabsorption may need nutritional assessment and pancreatic enzyme replacement rather than unnecessarily restricting food.

Pancreas Specialist & Pancreatic Surgeon in Agra – Dr. Karan R. Rawat

Patients searching for a pancreas specialist, pancreatitis doctor, pancreatic surgeon, gastro specialist or hepatopancreatobiliary surgeon in Agra can consult Dr. Karan R. Rawat for evaluation of pancreatic and associated gastrointestinal and hepatobiliary disorders.

Common pancreatic consultations include:

  • Acute pancreatitis

  • Recurrent pancreatitis

  • Chronic pancreatitis

  • Gallstone pancreatitis

  • Pancreatic stones

  • Pancreatic duct dilatation

  • Pancreatic calcification

  • Pancreatic pseudocyst

  • Pancreatic collections

  • Pancreatic necrosis

  • Pancreatic cyst evaluation

  • Pancreatic enzyme deficiency

  • Chronic pancreatitis-related digestive problems

  • Pancreatic masses

  • Pancreatic surgical conditions

  • Gallbladder and biliary disorders associated with pancreatitis

The focus should always be:

Identify the cause → assess severity → detect complications → preserve pancreatic function → intervene only when appropriate.

About Dr. Karan R. Rawat

Dr. Karan R. Rawat is an Associate Professor of Surgery and Director, Safe Gastro and Surgery Center, Agra.

His clinical interests include gastrointestinal disorders, pancreatic and hepatobiliary disease, gastrointestinal surgery, gallbladder surgery, colorectal surgery, proctology, laparoscopic surgery, laser surgery and general surgery.

Dr. Karan R. Rawat is a gastroenterologist, liver doctor, pancreas doctor, intestine surgeon, stomach doctor, gastro surgeon, surgical gastroenterologist, podiatrist, piles doctor, fissure doctor, fistula surgeon, pilonidal surgeon, laser surgeon, laparoscopic surgeon, hernia surgeon, gall bladder surgeon, general surgeon, breast surgeon and proctologist.

Pancreas Specialist in Agra – Consultation

Safe Gastro and Surgery Center

Agra Heart Center, Church Road, Civil Lines, Agra

Appointment: 7398888889

Additional consultation is available at the Runakta centre.

Pancreas Specialist Near Me – Agra & Nearby Areas

Patients searching for:

“pancreas specialist near me”
“pancreatitis doctor near me”
“pancreatic surgeon near me”
“chronic pancreatitis specialist near me”
“pancreatic cyst doctor near me”
“pancreatic stone treatment near me”
“gastro surgeon near me”

may seek consultation from across the Agra region.

Local areas include:

Civil Lines, Church Road, Sanjay Place, Kamla Nagar, Dayal Bagh, New Agra, Khandari, Sikandra, Bodla, Shahganj, Lohamandi, Raja Ki Mandi, Tajganj, Fatehabad Road, Trans Yamuna, Rambagh, Kalindi Vihar, Arjun Nagar, Runakta, Etmadpur, Achhnera, Kiraoli, Fatehpur Sikri, Fatehabad, Shamsabad and Bah.

Patients may also seek specialist care in Agra from:

Mathura, Vrindavan, Govardhan, Farah, Raya, Baldeo, Firozabad, Tundla, Hathras, Bharatpur, Dholpur, Etah, Mainpuri, Kasganj, Aligarh and surrounding towns and villages across the wider Agra region.

Frequently Asked Questions About Pancreatic Disease

Which doctor treats pancreatitis?

Pancreatitis is commonly managed by a gastroenterologist or gastrointestinal/pancreatic specialist. Surgeons, interventional radiologists and endoscopists may become involved when gallstones or complications require intervention.

What is the main symptom of pancreatitis?

Severe upper abdominal pain that may radiate to the back is the classic symptom. Nausea and vomiting are also common.

Does high lipase always mean pancreatitis?

No. Lipase must be interpreted along with the patient's symptoms, examination and imaging when appropriate.

Is pancreatitis dangerous?

It can be. Many cases are mild and improve with treatment, while severe pancreatitis can cause infection, pancreatic necrosis and organ dysfunction.

Can gallstones cause pancreatitis?

Yes. Gallstones are one of the major causes of acute pancreatitis.

Does chronic pancreatitis cause diabetes?

Yes. Progressive pancreatic damage can reduce insulin production and lead to diabetes.

Why do chronic pancreatitis patients lose weight?

Pain can reduce food intake, while insufficient pancreatic enzymes can cause maldigestion and malabsorption.

Can pancreatic stones be treated?

Yes. Treatment depends on stone size, ductal anatomy, symptoms and associated chronic pancreatitis. Options may include endoscopic, lithotripsy or surgical treatment in selected patients.

Does every pancreatic pseudocyst require surgery?

No. Some can be observed. Symptomatic, infected, bleeding or otherwise complicated collections may require endoscopic, radiological or surgical drainage.

Is every pancreatic cyst cancerous?

No. Pancreatic cysts represent several different conditions. Some have very low malignant potential, while others require surveillance or treatment based on their characteristics.

What are warning signs of pancreatic cancer?

Possible symptoms include unexplained weight loss, jaundice, dark urine, pale stool, loss of appetite and persistent upper abdominal or back pain.

Which scan is best for the pancreas?

The appropriate test depends on the clinical question. CT, pancreatic-protocol CT, MRI/MRCP and endoscopic ultrasound can each provide different information.

Most Important Message for Pancreatic Patients

Pancreatic diseases can be complicated, but not every pancreatic abnormality requires surgery.

The correct approach is:

Symptoms → Establish diagnosis → Find the cause → Assess severity → Look for complications → Select medical, endoscopic, radiological or surgical treatment

For pancreatitis particularly:

Do not only treat the pain—find out why the pancreatitis occurred.

Gallstones, alcohol, triglycerides, medications, pancreatic duct abnormalities and other causes need to be considered.

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Medical References & E-E-A-T

This patient-education guide uses information from authoritative sources including the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK/NIH) and the National Cancer Institute (NCI) regarding pancreatitis, pancreatic function, complications and pancreatic malignancy.

Medical Disclaimer

This article provides general patient education only. Pancreatic disease can range from mild to life-threatening, and diagnosis or treatment should not be based solely on online information. Severe abdominal pain, repeated vomiting, jaundice, fever, breathlessness or sudden deterioration requires prompt medical assessment.