Inflammation of pancreas with severe epigastric abdominal pain radiating to back is consistent with acute pancreatitis. The usual causes are alcohol abuse and gall stones. The patient would require admission and started on IV Fluids, analgesics and kept nil per mouth for variable period of time. Later diet is gradually started once inflammation and pain subsides. Twenty percent patients suffer from severe pancreatitis and develop end organ failure such as respiratory failure requiring mechanical ventilation, Kidney failure requiring Hemodialysis or GI bleeding requiring endoscopy or CT angioembolisation to stop the bleed. Later few patients develop peripancreatic fluid collection(pancreatic pseudocyst) which may require drainage if symptomatic. Gastroenterologist will discuss the relevant medical issues with you during Indoor admission and OPD.