The results you list include two concerns the pancreas damage and the gastritis. The pancreas damage would imply either acute pancreatitis (short term and occurring now) or chronic/recurrent or past pancreatitis. The potential causes of pancreatitis(inflammation of the pancreas) may include too much alcohol, too high of triglycerides, gallstones, certain drugs, and auto-immune causes.
The pain radiating to the back would be consistent with pancreatitis as the cause. Treatment of acute pancreatitis focuses on bowel rest. Those with severe acute disease and very high enzyme levels may need hospitalization, meds for pain control and complete bowel rest for a period of time to allow things to settle.
Chronic pancreatitis may lead into pancreatic insufficiency. This condition is where the damaged pancreas does not produce enough of the needed digestive enzymes and supplemental enzymes may need to be given.
If a gallstone should be blocking the pancreatitis duct then you would need a procedure to remove this.
Observing a low fat diet helps to prevent flare up of symptoms.
The gastritis is not as serious of a problem but still you need to treat this. Reducing the stomach's acid production with Prilosec, Prevacid (these are OTC) are helpful. Watching to avoid irritants also helps this condition>>avoid peppers, tomatoes, citrus fruits(for the short term), anti-inflammatory meds, hot spicy foods, alcohol and coffee and this will help this condition.
I hope this information helps. Further questions re welcome if you have others. Best Regards,
Anthony Bray MD