Treatment of pancreatitis and pancreatic diseases

InflammationThe pancreas requires timely and compulsory treatment. The changes that occur during this change in the gland tissue lead to a disruption of the functions of this organ, which are expressed by certain clinical manifestations. Therefore, before talking about treatment for pancreatitis, you need to recall the symptoms of this disease.

Symptoms

All clinical manifestations of pancreatitis can be grouped into 4 main syndrome:

• pain;
• dyspeptic;
• manifestations of exocrine insufficiency;
• manifestations of intrasecretory insufficiency.

Pain

It is one of the main clinical signs of pancreatitis, it is felt in the upper abdomen. More precise localization of pain depends on the lesion of the gland. If pathological changes occur in the head of the organ, the pain is felt in the epigastrium on the right. With lesions in the tail of the pancreas, pain is usually localized to the left. The pain itself is often shrouded in character and can be given back. Occurs after eating fatty foods, it can also be noted on an empty stomach( 6 hours after eating).

Dyspepsia manifestations

This group of symptoms includes nausea, heartburn, vomiting and eructation. In this case, there is a peculiarity of vomiting, which, as a rule, does not bring relief. In this disease, flatulence can also occur.

manifestations of exocrine insufficiency

These include the so-called pancreatic diarrhea, which is a late manifestation of the disease. They develop most often with almost complete damage to the pancreas. Also to this group of symptoms include weight loss, weakness and anorexia.

Manifestations of intrasecretory insufficiency

In this case, they speak about the development of pancreatogenic diabetes mellitus. Among its symptoms can be noted the appearance of dry mouth, polyuria( increase in the amount of excreted urine), thirst.

Basic principles of treatment

Treatment for pancreatitis should be comprehensive. It is aimed primarily at providing the maximum rest of the pancreas and enabling the cells of this organ to recover.

There are basic principles that should be followed in the treatment of this disease:

1. Treatment of an acute process should be performed in a hospital.
2. Mandatory diet is required.
3. Correction of pancreatic insufficiency is carried out.
4. It is necessary to stop the pain syndrome.
5. Treatment should be aimed at preventing complications.

Pharmacotherapy

use in the treatment of pancreatitis several groups medicinal drugs, among which are:

• antispasmodics;
• anticholinergic;
• antacids;
• H2-blockers;
• enzymatic;
• antiferment;
• analgesics.

antispasmodics and cholinolytic agents may be used as injectable or as oral administration. To this group of medicines include but-shpu, papaverine, atropine, gastrocepin, platyphylline.

Of the antacids used more often used phosphalugel, almagel, as well as other liquid mixtures that have an alkaline reaction.

Antacids are most often used together with H2-blockers. To this group of drugs are famotidine, ranitidine, etc.

Enzyme preparations are required to suppress pancreatic secretion of the pancreas. As a rule, enzymes with a high content of amylase, lipase and protease are used. Among such preparations, mention may be made of Creon 25000 and Creon 8000. These drugs are suitable for exocrine insufficiency. If there is biliary-pancreatic insufficiency, the drugs of choice can be pankurmen and panzinorm. It is recommended to use enzyme preparations with meals. The frequency of admission can be from 1 to 3 capsules per day. The exact dosage is determined by the physician individually.

The criterion for the effectiveness of the use of enzyme preparations is to reduce the manifestations of dyspeptic syndrome. The disappearance of nausea, vomiting, normalization of the stool can be a signal that the medication prescribed by the doctor has the desired effect.

Antiferment preparations are prescribed for interstitial pancreatitis, which occurs with severe hyperamylasemia, pancreatic edema. In this case, aprotinin and contrikal may be prescribed. But these drugs are used very rarely because of the high percentage of side effects( the most common are allergic reactions, and in the most severe cases, anaphylactic shock develops).

Given that the acute period of pancreatitis is almost always accompanied by a pain syndrome, treatment can not be avoided without analgesics. They can be used both intramuscularly and internally. Used baralgin, analgin, paracetamol. With severe pain can be prescribed narcotic analgesics - promedol, etc. As a rule, the pain disappears 3-7 days after the prescribed treatment.

Diet

Adherence to proper nutrition is one of the most important moments in the treatment of pancreatitis. For effective therapy it is important to follow certain recommendations and diet.

In this case, the list of allowed products is largely determined by the stage of the disease. Food in the acute and chronic period of inflammation of the pancreas will be slightly different, but at the same time there are common points.

First, with pancreatitis should adhere to the maximum shading of the pancreas. This body during the illness must be at rest, which can provide the appropriate diet.

Secondly, with this disease it is recommended to abandon the acute, fried and salty foods. Its use can cause an exacerbation of the disease. Also, the refusal of alcohol is required.

Food intake should be a fraction - not less than 5-6 times a day. In this case, the volume of portions is desirable small.

The way of cooking is also important. When pancreatitis is best to cook for a couple or bake. Ready-to-eat food should not be either too hot or very cold. In the acute period of the disease, it is desirable to eat dishes in a grubby form.

Beverages are allowed mineral non-carbonated water, rose hips infusion, herbal teas.

The main difference between diet in the acute period and chronic is that the treatment at this time starts with starvation. When the disease during an exacerbation is recommended to completely abandon the meal. This period can be from 1 to 3 days. The exact time is determined by the attending physician, and the fasting itself should be performed in a hospital setting. Refusal of food will provide a resting state for the pancreas and give it time to recover. After such a fast, you can gradually begin to eat, but with the observance of the above recommendations.

Nutrition for chronic pancreatitis is aimed at preventing an exacerbation of the disease. It is important to adhere to a strict diet. It is recommended full refusal from the use of alcohol, fat and spicy food. Also from the diet should be excluded all products that can stimulate the secretion of the pancreas. Among such products you can note broths, raw vegetables, muffins, rye bread, coffee, carbonated drinks, as well as foods with a high content of coarse fiber.

Folk remedies in the treatment of

The use of traditional medicine should be carried out only after consultation with a doctor.

From the traditional recipes of treatment can be noted the use of carrot and potato juices. For their preparation, 2 medium sized carrots and 3 potatoes are taken. They are thoroughly washed, cleaned, then rubbed on a fine grater, and then juice is squeezed through the gauze. You can make a drink using a juicer. Ready juice is taken 100 ml before meals 3 times a day for a week.

Sauerkraut juice can also be effective, provided that it is prepared without spices and carrots. Such a drink will help reduce pain in this disease.

Prevention

Among the main recommendations regarding the prevention of this disease, it is worth noting the compliance with the diet. Full refusal of alcohol, avoidance of overeating, avoidance of sharp and fatty dishes will help to maintain the health of the pancreas.

Video consultation with a gastroenterologist on the treatment of pancreatitis