taking oral pancreatic enzymes may help.

Also take smaller and more numerous meals that are low in fat and high in carbs, instead of large meals.

Avoid alcohol completely.

avoid gas producing foods.

The Pancreas deals with food digestion so by lowering the need for digestive enzymes you lower the strain on the pancreas.

As to the medications? Tramadol itself effects the cox2 enzymes which involve food digestion as well, so you may consider asking for a change in that medication. Read numerous studies that hinted that very large doses of Paracetoma may induce acute cases of pancreatitis but these were many years old.

I do not understand why the doctor says this is all you are allowed, especially if he knows you are considering suicidal type thoughts. Explain that to him. Is it likely that they are all he allows as a personal choice? or is it that with your injuries he considers them as safer?

Tramadol hydrochloride (Ultram) is a prescription pain medication. Depending on who you ask (and how you define the word "narcotic"), tramadol may or may not be considered a narcotic. However it is an Opioid which normally is classified as a narcotic. many doctors who are dead set against narcotics prescribe them unknowingly. Tramadol is a classic example of one of these.

If he is adamant about narcotics and your pain is that severe and is you major concern - you may consider another doctor - a pain specialist maybe - but first discuss this with him, there may be a good reason, and changing doctors may induce delays that you may not need.