Treatment of acute pancreatitis with folk remedies and inpatient care

Acute pancreatitis - an inflammatory disease of the pancreas tissue thatArises for different reasons, but has the same development mechanism. With this disease, the digestive enzymes of the gland are ejected, which begin to digest its own tissue, which leads to necrosis of the organ and the development of a life-threatening condition. Is it possible to treat acute pancreatitis with folk remedies? Where it is better to be treated - in a hospital or at home?

These issues have become especially relevant in recent times, as the incidence of acute pancreatitis has increased dramatically. This situation is explained by the abuse of alcohol, the wide spread among the population of cholelithiasis and other chronic diseases of the gastrointestinal tract.

Medical treatment

Treatment for acute pancreatitis in adults and children should be performed only in a hospital setting. Therapy of any form of acute pancreatitis always begins with conservative methods, but under the supervision of a surgeon and resuscitator, as often the patient's condition rapidly deteriorates. He may need emergency help.

The scheme for the treatment of acute pancreatitis involves the use of drugs from different pharmacological groups. It is necessary to carry out analgesic and anti-shock therapy, as well as the introduction of drugs that remove enzymatic aggression.

Preparations for the treatment of acute pancreatitis are selected by a physician. The choice depends on the severity of the condition, the presence of concomitant pathology and individual characteristics of the patient. More details about what medicines can be prescribed for acute pancreatitis →

Fluids for restoration of the water-salt balance of the body

The inflammatory process leads to the development of intoxication: fever, increased heart rate and respiratory movements, develops persistent painful vomiting, diarrhea, Profuse sweating. As a result of these processes, a person loses a lot of fluid, reduces the volume of circulating blood, reduces the number of electrolytes in the blood.

Therefore, the treatment of acute pancreatitis in the hospital necessarily includes infusion and detoxification therapy, which performs the following functions:

• combating shock and collapse;
• restoration of water balance;
• normalization of electrolyte blood composition;
• prophylaxis of thromboses, including pancreatic vessels;
• improved metabolism.

It is necessary to introduce colloidal and crystalloid solutions in approximately equal proportions. Infusion therapy is carried out under the control of central venous pressure, the volume of hourly diuresis, the content of electrolytes in the blood, and the acid-base balance of blood.

Intravenously administered Reopoligljukin that lowers blood viscosity, improve microcirculation, reducing inflammatory pancreatic edema. Hemodez is also used, it quickly binds toxins and removes them with urine, contributing to detoxification.

To recover water and salt balance additionally intravenously administered saline solutions, including such drugs:

• isotonic solutions of sodium chloride, potassium polarizing mixture;
• 5% glucose solution with insulin is effective for stopping fatty tissue destruction of the gland;
• Acesol, Trisamine;
• calcium gluconate is jet.

The inflammatory process promotes a shift in the internal environment of the body to the acidic side. Therefore, to normalize the acid-base balance, a solution of sodium bicarbonate is intravenously injected.

After restoration of the volume of circulating blood and water-electrolyte metabolism, intravenous administration of solutions of albumin, polyglucin, blood plasma is necessary. They improve the nutrition of tissues, support the immune system, compensate for the lack of assimilation of protein against the background of pancreatitis. Their introduction also has antishock action, promotes increase of arterial pressure, improvement of the general condition of the patient. For parenteral nutrition in the acute period of the disease, fat emulsions administered intravenously are used.

antisecretory agents

To reduce the emission of digestive enzymes and narrowing sections of pancreatic tissue necrosis generated due to autolysis, the following drugs:

• protease inhibitors( Contrycal, Trasylol, Gordoks).They are administered intravenously several times a day in a dose that depends on the severity of the condition. These drugs suppress the activity of trypsin and other digestive enzymes, forming with them inactive complexes, which are quickly eliminated from the body. But these drugs are effective only at the initial stage of acute pancreatitis.
• Cytotoxic agents( 5-fluorouracil) also have an anti-inflammatory, desensitizing effect and inhibit the synthesis of proteolytic enzymes. But these are toxic drugs, so the expediency of their appointment is always decided individually.
• Synthetic neuropeptides( Dalargin).
• Statins.

Hydrochloric acid produced by the gastric mucosa stimulates the secretory function of the pancreas. Therefore, the medical treatment of acute pancreatitis includes drugs that reduce the secretory activity of the stomach. Most often appointed Kwamatel, Almagel and other antacids. Effective injections of atropine. Intramuscularly injected cimetidine.

Treatment for pancreatitis with acute antiferment preparations should be started immediately after the patient enters the hospital. They are injected with shock doses several times a day until persistent improvement in the condition.

To reduce the exocrine pancreas can use a series of manipulations:

• Attach cold water bottle on the left subcostal region.
• Eliminate the ingestion of food through the mouth.
• Aspirate the contents of the stomach with a nasogastric tube, especially with nausea and frequent vomiting. Also, with the help of a probe, antacids can be injected directly into the stomach.
• Perform intragastric hypothermia.

promotes acceleration of excretion of excess digestive enzymes, toxins and cell products such decay detoxification methods as lymphosorption and plasmapheresis.

Plasmapheresis is the purification of blood. In this procedure, a certain volume of blood is removed from the body, cleared of toxins and injected back into the patient's vascular system. This manipulation is carried out according to the following indications: signs of pancreatonecrosis, development of peritonitis, preoperative period in which the procedure improves the prognosis of surgical intervention. Disadvantages are: complexity, duration of manipulation, its high cost.

Painkillers

Intense pain of herpes zoster character, even against the background of a comprehensive and competent treatment with analgesics is stored during the day. This persistent character of the pain syndrome is explained by the ongoing necrotic process in the tissues of the pancreas. After all, despite all the medical measures, the autolysis process can not be stopped immediately.

To reduce patient suffering, painkillers are administered intravenously. Used Tramadol, Baralgin, Novokain and other anesthetics. A good effect has a subcutaneous injection of Promedola, the use of a mixture of solutions of glucose and novocaine. The action of anesthetics is enhanced if parallel antispasmodics( solutions of Papaverine, Platyphylline) are administered subcutaneously.

Their introduction will not only expand the vessels of the gland, but also relieve spasm of the sphincter of Oddi, facilitating the outflow of bile and pancreatic juice into the intestine. Intravenous administration of Atropine and Nitroglycerin also contributes to the removal of spasm of the smooth muscles of the bile ducts.

With severe pain, blockades are shown. More often a bilateral paranephalic or paravertebral novocaine blockade is performed according to Vishnevsky. Epidural anesthesia is also very effective. These procedures not only stop pain and inflammation, but also reduce the external secretion of the pancreas, contribute to the outflow of bile into the intestine.

Therefore, blockades are used to treat acute biliary pancreatitis, or cholecystopancreatitis, whose aggravation is often provoked by the intake of large amounts of fatty or fried foods. More on how to eat with pancreatitis →

With this type of disease, Novocaine can be administered intravenously in combination with Dimedrol and Promedol. The procedure promotes relaxation of sphincters, normalization of bile secretion and digestive enzymes.

To reduce pain, there should be a constant aspiration of acidic gastric contents through the probe. Reduces the severity of pain and ultraviolet laser irradiation of blood. In this case, the inflammation of the organ also decreases, the rheology of the blood improves.

Diuretics

For the treatment of acute pancreatitis, it is necessary to remove from the body an excess of digestive enzymes that destroy the pancreas. In addition, in most cases, the edematous form of the disease is diagnosed, so the administration of diuretics greatly facilitates the condition.

They can be used intramuscularly or intravenously, depending on the severity of the patient's condition, only after the drip of protein or saline solutions. Such forced diuresis promotes the removal of intoxication and improvement of well-being. Most often, Lasix and Mannitol solution are used for this purpose.

Antiemetic

Inflammatory process in the pancreas leads to disruption of food digestion and severe intoxication. As a result, after eating, there is nausea, repeated painful vomiting with an admixture of bile, after which a person does not feel relief. This leads to loss of fluid and electrolytes, exhausts the patient. From antiemetic drugs usually use Cerucal in the form of injections.

Surgical treatment

A patient with suspected acute pancreatitis should be hospitalized in the surgical department, where he immediately begins to receive intensive therapeutic care. This is explained by the possibility of rapid deterioration of the condition, the intensification of necrotic processes, the necessity of an urgent operation. According to statistics, surgical treatment of acute pancreatitis is performed in every fifth patient.

For operational intervention, there are special indications:

• conservative treatment of acute pancreatitis did not give positive results( for vital reasons, drainage of the abdominal cavity and removal of pancreatic necrosis areas);
• appearance of peritonitis symptoms;
• formation of an abscess or cyst in the gland tissues;
• suspected acute surgical disease of the abdominal organs;
• presence of signs of phlegmonous or gangrenous cholecystitis.

Also the indication for surgery is the emerging symptoms of biliary pancreatitis, in which the development of inflammation of the pancreas is caused by the lumen of the duct of the gallbladder stone. With the use of an endoscope, the sphincter is dissected and the stone removed.

Endoscopic intervention methods are widely used, in particular, peritoneal lavage. With the help of a laparoscope, drainages are installed in the abdominal cavity, which contribute to its purification from excess of enzymes and toxins.

First aid in case of an attack

The first actions of a patient with an exacerbation of the disease are reduced to three principles: hunger, cold and rest. When there are intense pains in the abdomen, indomitable vomiting, severe intoxication, you should immediately call an ambulance.

The following measures should be taken:

1. Eliminate the intake of food in the stomach.
2. Put ice on the left hypochondrium area.
3. Calm the person and put him in a comfortable position.
4. Give antispasmodic drugs in the form of tablets or intramuscular injections. It can be No-shpa, Papaverin, Platyphylline.
5. Make an intramuscular injection of Cerucal if available in your home medicine chest.

Doctors in the hospital, having diagnosed, will administer analgesics: Analgin, Baralgin, etc.

Treatment with folk remedies

Acute pancreatitis is a pathology that often leads to urgent surgical intervention. No folk remedy can help the patient. He needs to be treated only in a hospital, and, the earlier a person is taken to the hospital, the more chances to do without an operation.

Self-medication, attempts to remove manifestations of acute pancreatitis by folk methods lead to loss of valuable time and worsen the prognosis of the disease. No traditional method can be used in acute stages.

During periods between exacerbations the patient can take:

• Infusion and decoction of immortelle( 1 tablespoon of plant flowers per cup of boiling water).Drink three times a day for 1/2 cup.
• Infusion of a golden mustache. Shredded leaves( 2 pcs.) Pour 2 cups of boiling water, cook for 20 minutes. Then the agent is insisted for 8 hours, filtered and drunk to 25 ml three times a day.
• Propolis in its pure form. Pieces weighing about 3 grams are chewed between meals.
• Kissels from blueberries or cowberries. The recommended amount is 2-3 glasses per day.

The disease is life threatening and an overdue call to an "ambulance" will be an unforgivable mistake. Folk methods can be used in the chronic form of this disease and in periods between exacerbations, after agreeing their use with the doctor. Read more about what herbs need to drink with pancreatitis →

Treatment of acute pancreatitis is a difficult task that can be handled only in a hospital setting. The patient should be under the supervision of specialists of different profiles, since the health and life of the patient directly depend on the timeliness and adequacy of complex therapy.

Author: Olga Schepina, MD,
specially for Moizhivot.ru

Useful video about the treatment of acute pancreatitis