Inflammation of the pancreas in a child
Pancreatitis in children usually has significant differences with pancreatitis that occurs in an adult. The disease can be transmitted by hereditary path, as well as proceeding in a less than symptomatic manner and even disguised as other diseases associated with the digestive organs.
Therefore, often pancreatitis in children is confused with diseases such as gastritis, gastroduodenitis, intestinal dysbiosis and many others.
Reasons for
For the development of a disease such as inflammation of the pancreas in a child, there is usually some damaging factor. Usually this factor becomes the enzymes themselves in the pancreas, which harm the body when stasis is secret. This is what is called the effect of digesting the pancreas itself.
The main reasons for the development of pancreatic inflammation in children are usually :
- Blunt abdominal injury, which damaged internal organs, including the pancreas;
- Various congenital anomalies of the pancreas and its ducts;
- Obstruction of excretory ducts, often observed with parasitic and gallstone diseases.
- Inflammatory processes occurring in the intestine.
- Calcium deposition in the ducts of the pancreatic organ.
- Disturbances in the work of bile ducts.
- Any damage to the pancreas, for example due to the toxic effects of a product;
- Lactose intolerance.
Despite the most recent discoveries in medicine, doctors can not determine the cause of the disease development in 20 percent of cases.
Symptoms
The main factor that characterizes the inflamed pancreas in a child is an acute girdle in the upper abdomen, as in the case of pancreatitis in an adult. This kind of pain can often give to the left shoulder or left buttock. Usually, such an attack happens immediately after taking too sharp, fried, smoked or fatty foods.
Often the pain is accompanied by vomiting, which does not bring any relief, as in the case of a normal stomach upset.
In addition, there are dyspeptic disorders in the form of :
- lack of appetite,
- abdominal distention,
- heartburn,
- burping,
- stool delay.
Survey
To find out exactly the nature of the onset of pain in a child, it is common to carry out several different diagnoses at once.
These include:
- Laboratory diagnostics( examination of urine, saliva and feces);
- ultrasound;
- Fibrogastroscopy.
Acute pancreatitis in a child
Acute pancreatic inflammation in a child usually implies treatment only in a surgical hospital. In the case that conservative methods of treatment fail, in very rare cases partial resection of the destructive sites of the inflamed organ is used.
Chronic pancreatitis in a child
If the process of inflammation of the pancreas in a child is delayed, then after six months another diagnosis may appear - chronic pancreatitis. That is why it is important to pay attention to treatment of the disease in time, so as not to complicate the situation.
Chronic pancreatitis differs from acute by the fact that the disease alternates with periods of remission( when the disease does not bother the child) and exacerbations arising from non-compliance with the prescribed diet.
Treatment of exacerbation is also in the hospitals, and the diagnosis of chronic is put exactly the same way as in acute pancreatitis.
Treatment
The symptoms of pancreatic inflammation in a child are almost the same as in the case of acute pancreatitis in an adult.
That is, it is:
- Complete hunger, scheduled for 24 hours after the last attack, then a sparing diet;
- Use of various antispasmodic, anti-inflammatory, as well as anthelmintic agents;
- Substitution therapy by enzymatic means, hormonal character, as well as the use of cholenolitics and duspatalin.
All these methods are designed to alleviate the pain and relieve inflammation of the pancreas in a child, but in particularly severe cases, sometimes a method of drip intravenous administration of drugs.
reactive pancreatitis in children - treatment
type of disease that accompanies such a reaction of the body, inflammation of the pancreas, a child called reactive pancreatitis, usually triggered by the occurrence of many other processes. For example, ARVI, influenza or angina. In addition, the disease sometimes begins to activity because of the abundant consumption of food, which has an increased irritation on the digestive system.
Treatment must take place in a hospital where the qualified doctors can follow the child. They also prescribe a diet, as well as its duration, designed to help with reactive pancreatitis.
In addition, treating physicians administer therapy with special medications that:
- Brake pancreatic activity;
- Have in their composition enzymes that reduce pain;
- Get rid of spasms.
Medications prescribed for acute and chronic pancreatitis in children
child with inflamed pancreas should be under constant supervision of a doctor and take medicines prescribed to them.
usually small patient is prescribed medicine following group:
- Preparations containing a hormone somatostatin, which calms on cooldown irritated pancreas. They include the drug Octreotide.
- Drugs of the anticholinergic group, designed to reduce the secretion of gastric juice. This drug is Pirenzepine.
- Preparations of pancreatic enzymes. They include Pancreatin, Festal, Mezim and others.
- Duspatine, which reduces spasm( one of the main causes of pain).
- Various antibiotics, corticosteroids and others.
Diet in the inflammatory process in the pancreas of a child
normal diet with the inflammation of the pancreas in the child assigns doctor. The prescribed diet should be regular( 6 meals a day), and also to exclude certain components that can cause irritation of the pancreas. The latter include: flour, sweet, fatty, refractory dishes, as well as spices( spicy, salty).Juices, chocolate products are also not allowed.
Any dish should be wiped and cooked under steam. Usually it is the doctor who prescribes an exact diet that corresponds to such characteristics of the child as his weight, height, general activity, and much more.



