###Human: How can I manage dysfunctional pancreas? ###Assistant: Hi. I have reviewed your query and can well understand your worries. I would recommend combatting this situation without medications as these medications will also affect your stomach. Try not to take pain medications as much as possible. In severe and unbearable pain you can take though. You already had fundoplication and taking pain medications can cause gastroesophageal reflux disease (GERD) or gastric ulcers along with hyperacidity in the stomach. Without having a look at gallbladder it is difficult to say anything about the origin of issue that may have caused pancreatic insufficiency. For diagnosing gallbladder issues (sludge accumulation inside or gallstones) we need to go for an empty stomach ultrasound study of the abdomen. It can show most of the gallbladder issues along with any correlation between the gallbladder and pancreatic issues like gallstones and pancreatic insufficiency. Alcohol is not good for the pancreas. It is the single most dangerous threat to the pancreatic normal functions. It may also lead to pancreatic cancer along with smoking, age, and infection of the pancreas. It is not severe. Yes, you should deal it like this conservatively, as aforementioned in detail. Hope it helps. Please go ahead for further pancreatic studies as advised by your physician and avoid smoking and alcohol as these are like a poison to the pancreas in this scenario.