How is chronic pancreatitis treated?

Chronic pancreatitis is an inflammation of the pancreas, when an exacerbation of the disease replaces remission.

It is unfortunately impossible to cure the disease, unfortunately, because of a disruption in the function of the pancreas.

The answer to the question of how many people live on the average with this disease is a long enough period, subject to an annual full survey, compliance with the diet and taking medications.

This article presents an answer to the question of how to treat chronic pancreatitis in women and men.

Types of pancreatic inflammation

This disease is most common in older men, in women this disease is much less common.

The initial stage of the disease passes with periodic pain and lasts about 10 years, and the second - characterized by atrophic changes and mild pain symptoms.

Complications of chronic cholecystitis or pancreatitis in adults and children, unfortunately, can occur at any stage of the disease as effects of intoxication.

This is indirectly related to the fact that often pancreatitis is accompanied by intoxication of the body of a serious degree due to ingestion of digestive enzymes in the blood.

Classification of chronic pancreatitis is divided into several systems, the classical system is presented below.

Forms of chronic pancreatitis:

• toxic-metabolic pancreatitis is a severe type of disease in adults, resulting from long-term use of drugs, alcohol and exposure to toxic substances. The disease can also be caused by the negative effect of metabolic products on the excretory function of the pancreas. It is rare to cure the consequences of this disease forever;
• idiopathic pancreatitis is characterized by the replacement of normal pancreatic fat tissue. Unfortunately, the reasons for the appearance and development of this type of disease are not fully known;
• autoimmune pancreatitis is formed as a consequence of the presence of other autoimmune diseases. Pathogenesis consists in attacking the body on its own pancreatic cells. This type of pancreatitis can be cured only after getting rid of autoimmune disease;
• a hereditary form of the disease appears due to genetic predisposition to diseases of the gastrointestinal tract;
• recurrent pancreatitis is characterized by a constant change in the periods of remission and exacerbations;
• obstructive pancreatitis is caused by the obstruction of the duct, through which the pancreatic juice enters the duodenum;
• primary pancreatitis occurs as an independent disease;
• secondary form of the disease is formed as a consequence of complications of other infectious or chronic diseases.

Also such a classification system is quite popular when the forms of chronic pancreatitis are divided for reasons of occurrence:

1. primary pancreatitis appears due to long-term use of drugs or alcohol. For example, often anesthetic drugs lead to a variety of stomach diseases. This type of pancreatitis can also trigger nutritional disorders and metabolic abnormalities;
2. secondary appearance is caused by other diseases;
3. post-traumatic pancreatitis is the result of unsuccessful surgery and any pancreatic injury.

Causes and development of

The most common causes of the disease are divided into two groups: internal and external.

Exogenous or external causes of chronic pancreatitis:

• alcohol abuse;
• presence in the diet of a large number of fried, salty and spicy dishes;
• fast food and bad snacks: chips, soda and crackers;
• poorly prepared dishes and products processed with chemicals;
• frequent smoking;
• long-term administration of medications, in particular anti-inflammatory and diuretic.
• stay indoors with a lot of chemicals.

Endogenous or internal causes of the disease:

• inflammatory diseases of the duodenum;
• injury or unsuccessful surgery;
• connective tissue diseases of the pancreas;
• genetic disorders of metabolism.

Obstructive pancreatitis may be caused by:

• duodenitis;
• tumors in the pancreas region;
• stenosis or any inflammation of the large duodenal papilla - the main duct for transporting bile and pancreatic juice into the duodenum;
• scar on the organ, left after surgery or injury;
• pseudocyst in pancreatic tissue.

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Toxico-metabolic pancreatitis can be provoked by such causes:

1. chronic form of renal failure;
2. too high calcium content in the body;
3. hyperlipidemia - excess levels of lipids or lipoproteins in the body;
4. poisoning with acid or alkali;
5. alcohol poisoning.

The causes of idiopathic pancreatitis are not fully understood, but doctors identify some of the factors that can lead to the disease:

• hypercalcemia;
• violations of the gene structure;
• disorders of the large duodenal papilla;
• small stones in the bile ducts;
• taking narcotic or toxic substances.

Chronic pancreatitis in children is most often due to inherited or autoimmune diseases.

The development of the disease

The answer to the question of how many adults live after the initial diagnosis with ultrasound and other diagnostic tools depends on the stage of the disease.

During the first 10 years of the disease, a lethal outcome is only 20%.After 20 years, the mortality rate rises to 50%.

The risk of cancer in this disease is increased by 5 times.

The most common causes of death are complications of chronic pancreatitis, intoxication of the body, serious disruption of the digestive system and infection with infections.

Severe pain symptoms are most pronounced during periods of exacerbation of pancreatitis, while remission is characterized by only unpleasant symptoms, most of which are caused by intoxication.

Chronic pancreatitis in children, like in adults, has the same symptoms.

Common signs of chronic pancreatitis:

• pain in the left part of the upper part, which often gives in the back, to the region of the waist. Unpleasant feelings mostly appear after consuming fatty, fried or spicy dishes, as well as after a prolonged lying on the back. Pain in chronic pancreatitis during acute exacerbations, while remission is characterized by dull and drawing pain;
• nausea and periodic vomiting, which can lead to dehydration of the body;
• symptoms of fever: alternate throws in fever and chills, severe sweating, pale skin;
• increased body temperature;
• general weakness of the body;
• decreased appetite;
• diarrhea several times a day, the stool contains undigested food remnants, the symptoms of steatorrhea manifest;
• is often enough in chronic pancreatitis strongly marked symptoms of diabetes mellitus;
• burp with a sour or rotten aftertaste.

Symptoms of toxic-metabolic pancreatitis also include weight loss and sitophobia( psychological fear of eating, directly associated with acute pain after it is taken).

Signs of obstructive pancreatitis often include symptoms of jaundice: skin, eye whites and mucous membranes acquire a yellowish tinge as a result of increased bilirubin levels in the tissues due to bile duct obstruction.

It should be noted that painful symptoms may not be present at all, especially in the early stages of the disease, but the patient may experience unpleasant symptoms of digestive system disorders: the severity in the stomach after any meal or the feeling of numbness in the lower stomach after eating or drinking.

That's why, at the slightest suspicion of having pancreatitis, you should consult a doctor, and also undergo ultrasound and other tests.

Diagnosis of the disease

Because in some cases the symptoms of pancreatitis and cholecystitis in women and men may coincide with the symptoms of gastritis, in addition to analyzing the patient's complaints, a diagnosis of chronic pancreatitis including ultrasound and other numerous laboratory examinations is carried out.

To date, modern medicine has more than 90 studies for the formulation and refinement of the diagnosis of "chronic pancreatitis."

Diagnosis of chronic pancreatitis and cholecystitis consists not only of ultrasound and a general blood test, but also of many other tests that a patient must necessarily undergo before treating chronic pancreatitis.

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Diagnostics mainly includes such activities:

• a general blood test, due to which it is possible to learn about the presence of pancreatitis or cholecystitis in women and men. Signs of inflammatory changes are determined by the change in the number of leukocytes, an increase in the rate of erythrocyte sedimentation, and so on;
• biochemical analysis allows to determine the enzymatic level of the pancreas in the blood;
• urine and feces are analyzed to check for amylase and undigested food particles, respectively. If suspected of diabetes, urine is also checked for glucose;
• ultrasound is performed as a primary study for women, men and children. Ultrasound can detect damage to the pancreas and other organs of the digestive system;
• due to gastroscopy, a physician can visually from within visually assess the depth and nature of inflammation;
• sometimes, if the ultrasound for some reason can not be performed, then the radiography of the gastrointestinal tract is performed;
• procedure ERCP, like ultrasound, is indispensable for the diagnosis of pancreatitis;
• MRI is used to detect abnormalities in muscles and organs;
• computed tomography is generally similar to ultrasound, but allows layer-by-layer scanning and evaluation of organs;
• regular functional tests.

Treatment of

disease For the treatment of pancreatitis and cholecystitis at home, the doctor prescribes medicines and also gives recommendations on nutrition.

If you follow these recommendations, you can cure the disease, if not forever, then for a long time.

It is possible to completely repair damaged pancreatic tissue only at the initial stages of the disease.

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Depending on how much time has passed since the formation of the disease in the absence of proper treatment, the chances of completely curing pancreatitis decrease.

Before using medications to cure the disease at home, ask your doctor for advice on hospitalization, possibly in later stages of pancreatitis or cholecystitis should be admitted to the hospital.

Medication for chronic pancreatitis:

• painkillers are used to relieve acute pain in pancreatitis or cholecystitis, especially during an exacerbation period: Papaverin, No-Shpa, Atropine. Such drugs can be used only for adult men and women;
• proton pump inhibitors can be used to reduce the activity of pancreatic enzymes: omeprazole, Contrikal and other drugs;
• preparations for the prevention of infectious diseases. Antibiotics such as Amoxicillin, Clarithromycin, Ampicillin are prescribed;
• enzyme preparations used in substitution therapy are able to restore the disturbed balance of enzymes and proteins. Appointed drugs: Mezim, Creon, Festal, Digestal;
• to restore the water-electrolyte balance, prescribed physiological and saline solutions;
• to restore the level of vitamins and beneficial microelements in the body, especially after taking antibiotics, are assigned various multivitamin complexes.

Prevention and folk recipes

Prophylaxis of chronic pancreatitis in adults and children mainly consists of adjusting nutrition, eliminating alcohol and quitting.

You can prevent the aggravation of pancreatitis or cholecystitis in men and women, taking special medicines prescribed by your doctor.

However, no matter how many medications you take, their effects may also be unfavorable for the stomach of adults and children.

That's why medications and medications can and should be combined with folk remedies at home:

• consumption of carrot juice, green string beans and Brussels sprouts that have curative effects. This recipe is very effective and suitable for home use. You can drink juice by half a glass in the morning on an empty stomach;
• 1 cup of boiling water can pour 3 tbsp. L.Flax seeds and leave overnight to insist. You can consume the broth 3 times a day for half an hour before eating, having previously strained;
• at home, you can drink royal jelly 3 times a day for 1 tablespoon. Milk is suitable for adult women and men;
• to restore the normal operation of the pancreas take a decoction of crushed dandelion roots.1.5 cups of boiling water you need to pour 50 grams of rhizomes and leave for 2 hours for infusion. Take the broth should be 3 times a day before eating half the glass.

To permanently cure chronic pancreatitis at home, you can only by adhering to complex therapy and necessarily having consulted with a doctor after going through ultrasound, otherwise the consequences may be negative for the health of adult women and men.

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