What causes the pain from pancreatitis?
It is multifactorial. Increased pressure in the duct may cause pain. That is why duct drainage procedures are done. But pain can also occur independent of duct pressure and occurs when the duct pressure is normal. Inflammation can cause pain, and it can be right in the nerves within the pancreas. Or the pancreas can get so hard that is presses like a rock in the abdomen.