How is pancreatitis diagnosed. What are the treatment options for acute pancreatitis. Can chronic pancreatitis be managed at home. What lifestyle changes can help prevent pancreatitis. How do doctors treat complications of pancreatitis.

Understanding Pancreatitis: Types and Diagnosis

Pancreatitis is a serious condition characterized by inflammation of the pancreas. It comes in two primary forms: acute and chronic. Acute pancreatitis develops suddenly and can range from mild to severe, while chronic pancreatitis persists over time, leading to permanent damage to the pancreas.

How is pancreatitis diagnosed. Doctors typically use a combination of methods:

• Blood tests to check for elevated levels of pancreatic enzymes
• Imaging studies such as CT scans or MRI to visualize the pancreas
• Endoscopic ultrasound to examine the pancreas and nearby structures
• ERCP (Endoscopic Retrograde Cholangiopancreatography) for both diagnosis and treatment

Acute Pancreatitis: Treatment Approaches and Hospital Care

Acute pancreatitis often requires immediate medical attention and hospitalization. What are the primary goals of treatment for acute pancreatitis. The main objectives include:

1. Providing supportive care to manage pain and prevent dehydration
2. Treating the underlying cause, such as gallstones or alcohol use
3. Preventing and managing complications

In mild cases, treatment may involve:

• Intravenous (IV) fluids to prevent dehydration
• Pain management with appropriate medications
• Temporary cessation of oral intake to allow the pancreas to rest
• Gradual reintroduction of a low-fat diet as symptoms improve

For more severe cases, additional interventions may be necessary:

• Nutritional support through feeding tubes or IV nutrition
• Antibiotics if an infection is present or suspected
• Surgical intervention to remove gallstones or damaged pancreatic tissue
• Drainage of pancreatic pseudocysts or abscesses

Chronic Pancreatitis: Long-term Management Strategies

Chronic pancreatitis requires ongoing management to alleviate symptoms, improve pancreatic function, and prevent further complications. How can chronic pancreatitis be effectively managed. Treatment strategies often include:

• Pain management through medication and nerve blocks
• Enzyme replacement therapy to aid digestion
• Nutritional counseling and supplementation
• Management of diabetes if it develops as a complication
• Endoscopic or surgical procedures to address pancreatic duct obstructions

In some cases, more advanced treatments may be considered:

• Total pancreatectomy with islet auto-transplantation for severe, intractable pain
• Pancreatic enzyme replacement therapy (PERT) to improve digestion and nutrient absorption

Lifestyle Modifications: Key to Managing and Preventing Pancreatitis

What lifestyle changes can significantly impact the course of pancreatitis. Adopting healthier habits is crucial for both managing existing pancreatitis and preventing its occurrence or recurrence:

• Abstaining from alcohol consumption
• Quitting smoking
• Maintaining a healthy weight
• Following a low-fat diet
• Staying hydrated
• Managing stress through relaxation techniques or counseling

Why is alcohol cessation so important in pancreatitis management. Alcohol is a major risk factor for both acute and chronic pancreatitis. Continued alcohol use can lead to:

• More frequent and severe episodes of acute pancreatitis
• Progression from acute to chronic pancreatitis
• Increased risk of complications and mortality in chronic pancreatitis

Nutritional Considerations in Pancreatitis Care

Proper nutrition plays a vital role in managing pancreatitis and supporting overall health. How should diet be modified for individuals with pancreatitis. Key dietary recommendations include:

• Consuming a low-fat diet to reduce pancreatic stress
• Eating smaller, more frequent meals to aid digestion
• Avoiding trigger foods that exacerbate symptoms
• Ensuring adequate hydration
• Supplementing with vitamins A, D, E, and K if malabsorption is present

In some cases, working with a registered dietitian can help develop a personalized nutrition plan that addresses individual needs and preferences while supporting pancreatic health.

Advanced Treatment Options for Complicated Cases

For individuals with severe or complicated pancreatitis, advanced treatment options may be necessary. What are some of the more specialized interventions available. These may include:

• Endoscopic retrograde cholangiopancreatography (ERCP) to remove gallstones or place stents
• Celiac plexus block for pain management
• Pancreatic necrosectomy to remove dead pancreatic tissue
• Biliary or pancreatic duct stenting to improve drainage
• Surgical procedures such as the Frey procedure or Puestow procedure to address chronic pain and ductal obstruction

These advanced treatments are typically performed by gastroenterologists or pancreatic surgeons with specialized training in managing complex pancreatic disorders.

Managing Complications of Pancreatitis

Pancreatitis can lead to various complications that require specific management approaches. How do doctors address these complications. Some common complications and their treatments include:

• Pseudocysts: May be managed through observation, endoscopic drainage, or surgical intervention
• Pancreatic necrosis: Often requires careful monitoring and potential surgical debridement
• Bile duct obstruction: Treated with endoscopic stenting or surgical bypass
• Diabetes: Managed through blood sugar monitoring, insulin therapy, and lifestyle modifications
• Malnutrition: Addressed with dietary counseling, enzyme replacement, and nutritional supplements

Early recognition and prompt treatment of complications are crucial for improving outcomes in pancreatitis patients.

Emerging Therapies and Research in Pancreatitis Treatment

The field of pancreatitis treatment is continually evolving, with ongoing research into new therapeutic approaches. What are some promising areas of investigation. Current research focuses on:

• Novel anti-inflammatory medications to reduce pancreatic damage
• Gene therapy to address hereditary forms of pancreatitis
• Stem cell therapies to regenerate pancreatic tissue
• Improved enzyme formulations for better digestive support
• Advanced imaging techniques for earlier detection and monitoring of pancreatic changes

While many of these therapies are still in experimental stages, they offer hope for more effective treatments in the future.

The Role of Supportive Care in Pancreatitis Management

Beyond medical and surgical interventions, supportive care plays a crucial role in helping patients cope with pancreatitis. How can supportive care enhance the overall treatment plan. Key aspects of supportive care include:

• Pain management strategies, including non-pharmacological approaches
• Psychological support to address the emotional impact of chronic illness
• Patient education to empower individuals in self-management
• Support groups to connect with others facing similar challenges
• Occupational therapy to assist with daily living activities affected by pancreatitis

Integrating supportive care into the treatment plan can significantly improve quality of life for individuals living with pancreatitis.

Preventing Recurrence: Strategies for Long-term Pancreatic Health

For those who have experienced an episode of acute pancreatitis or are managing chronic pancreatitis, preventing recurrence or exacerbation is a top priority. What strategies can help maintain pancreatic health over the long term. Key preventive measures include:

• Adhering to a pancreas-friendly diet low in fat and high in nutrients
• Regular medical check-ups to monitor pancreatic function
• Prompt treatment of any underlying conditions, such as gallbladder disease
• Stress management techniques to reduce the risk of flare-ups
• Maintaining a healthy body weight through diet and exercise
• Avoiding known triggers, such as certain medications or foods

By implementing these strategies, individuals can significantly reduce their risk of recurrent pancreatitis and improve their overall pancreatic health.

The Importance of a Multidisciplinary Approach

Managing pancreatitis effectively often requires a collaborative effort from various healthcare professionals. Why is a multidisciplinary approach beneficial in pancreatitis care. A comprehensive team may include:

• Gastroenterologists specializing in pancreatic disorders
• Pancreatic surgeons for complex cases requiring surgical intervention
• Endocrinologists to manage diabetes and other hormonal imbalances
• Pain management specialists for chronic pain relief
• Registered dietitians for nutritional guidance
• Mental health professionals to address psychological aspects of chronic illness

This collaborative approach ensures that all aspects of the patient’s health are addressed, leading to more comprehensive and effective care.

Home Management Techniques for Pancreatitis Patients

While severe cases of pancreatitis require hospital treatment, many patients can manage milder forms or ongoing chronic pancreatitis at home under medical supervision. What home management techniques can be helpful for pancreatitis patients. Some effective strategies include:

• Keeping a symptom diary to track patterns and potential triggers
• Using heat therapy or gentle massage for pain relief
• Practicing stress-reduction techniques such as meditation or deep breathing exercises
• Preparing meals in advance to ensure adherence to a proper diet
• Setting up a medication schedule to maintain consistency in treatment
• Creating a comfortable sleep environment to promote rest and healing

These home management techniques can complement medical treatment and help patients take an active role in their care.

The Impact of Pancreatitis on Quality of Life

Living with pancreatitis, particularly in its chronic form, can significantly affect an individual’s quality of life. How does pancreatitis impact daily living, and what can be done to mitigate these effects. Common challenges and solutions include:

• Chronic pain: Managed through a combination of medications, procedures, and alternative therapies
• Dietary restrictions: Addressed by working with a dietitian to develop a satisfying yet pancreas-friendly meal plan
• Fatigue: Managed through energy conservation techniques and appropriate rest
• Emotional distress: Supported through counseling and support groups
• Work limitations: Addressed by exploring flexible work arrangements or disability accommodations

By addressing these quality of life issues, patients can achieve better overall well-being despite the challenges of pancreatitis.

Future Directions in Pancreatitis Care

As medical science advances, the future of pancreatitis care looks promising. What developments can we anticipate in the coming years. Some areas of potential progress include:

• Personalized medicine approaches tailored to individual genetic profiles
• Advanced imaging techniques for earlier detection of pancreatic changes
• Minimally invasive surgical techniques for pancreatic procedures
• Improved enzyme formulations for better digestive support
• Novel drug therapies targeting specific inflammatory pathways
• Artificial intelligence applications for predicting pancreatitis outcomes and personalizing treatment plans

These advancements hold the potential to significantly improve outcomes and quality of life for individuals affected by pancreatitis.

Treatment for Pancreatitis | NIDDK

How do health care professionals treat pancreatitis?

Treatment for acute or chronic pancreatitis may include

• a hospital stay to treat dehydration with intravenous (IV) fluids and, if you can swallow them, fluids by mouth
• pain medicine, and antibiotics by mouth or through an IV if you have an infection in your pancreas
• a low-fat diet, or nutrition by feeding tube or IV if you can’t eat

Your doctor may send you to a gastroenterologist or surgeon for one of the following treatments, depending on the type of pancreatitis that you have.

Acute pancreatitis

Mild acute pancreatitis usually goes away in a few days with rest and treatment. If your pancreatitis is more severe, your treatment may also include:

Surgery. Your doctor may recommend surgery to remove the gallbladder, called cholecystectomy, if gallstones cause your pancreatitis. Having surgery within a few days after you are admitted to the hospital lowers the chance of complications. If you have severe pancreatitis, your doctor may advise delaying surgery to first treat complications.

Procedures. Your doctor or specialist will drain fluid in your abdomen if you have an abscess or infected pseudocyst, or a large pseudocyst causing pain or bleeding. Your doctor may remove damaged tissue from your pancreas.

Endoscopic Cholangiopancreatography (ERCP). Doctors use ERCP to treat both acute and chronic pancreatitis. ERCP combines upper gastrointestinal endoscopy and x-rays to treat narrowing or blockage of a bile or pancreatic duct. Your gastroenterologist may use ERCP to remove gallstones blocking the bile or pancreatic ducts.

Chronic pancreatitis

Treatment for chronic pancreatitis may help relieve pain, improve how well the pancreas works, and manage complications.

Your doctor may prescribe or provide the following:

Medicines and vitamins. Your doctor may give you enzyme pills to help with digestion, or vitamins A, D, E, and K if you have malabsorption. He or she may also give you vitamin B-12 shots if you need them.

Treatment for diabetes. Chronic pancreatitis may cause diabetes. If you get diabetes, your doctor and health care team will work with you to create an eating plan and a routine of medicine, blood glucose monitoring, and regular checkups.

Surgery. Your doctor may recommend surgery to relieve pressure or blockage in your pancreatic duct, or to remove a damaged or infected part of your pancreas. Surgery is done in a hospital, where you may have to stay a few days.

In patients who do not get better with other treatments, surgeons may perform surgery to remove your whole pancreas, followed by islet auto-transplantation. Islets are groups of cells in your pancreas that make hormones, including insulin. After removing your pancreas, doctors will take islets from your pancreas and transplant them into your liver. The islets will begin to make hormones and release them into your bloodstream.

Procedures. Your doctor may suggest a nerve block, which is a shot of numbing medicine through your skin and directly into nerves that carry the pain message from your pancreas. If you have stones blocking your pancreatic duct, your doctor may use a procedure to break up and remove the stones.

Treatment for acute or chronic pancreatitis may include a hospital stay to treat dehydration and prescribe pain medicine, antibiotics, and nutrition.

How can I help manage my pancreatitis?

Stop drinking alcohol

Health care professionals strongly advise people with pancreatitis to stop drinking alcohol, even if your pancreatitis is mild or in the early stages. Continuing to drink alcohol when you have acute pancreatitis can lead to

• more episodes of acute pancreatitis
• chronic pancreatitis

When people with chronic pancreatitis caused by alcohol use continue to drink alcohol, the condition is more likely to lead to severe complications and even death.

Talk with your health care professional if you need help to stop drinking alcohol.

Stop smoking

Health care professionals strongly advise people with pancreatitis to stop smoking, even if your pancreatitis is mild or in the early stages. Smoking with acute pancreatitis, especially if it’s caused by alcohol use, greatly raises the chances that your pancreatitis will become chronic. Smoking with pancreatitis also may raise your risk of pancreatic cancer.

Talk with your health care professional if you need help to stop smoking.

How can I help prevent pancreatitis?

You can’t prevent pancreatitis, but you can take steps to help you stay healthy.

Maintain a healthy weight or lose weight safely

Maintaining a healthy lifestyle and a healthy weight—or losing weight if needed—can help to

• make your pancreas work better
• lower your chance of getting gallstones, a leading cause of pancreatitis
• prevent obesity—a risk factor for pancreatitis
• prevent diabetes—a risk factor for pancreatitis

Keeping a healthy weight—or losing weight if needed—can help lower your chances of getting gallstones, a leading cause of pancreatitis.

Avoid alcohol use

Alcohol use can cause acute and chronic pancreatitis. Talk with your health care professional if you need help to stop drinking alcohol.

Avoid smoking

Smoking is a common risk factor for pancreatitis—and the chances of getting pancreatitis are even higher in people who smoke and drink alcohol. Talk with your health care professional if you need help to stop smoking.

Acute Pancreatitis – Digestive Disorders

• Measures to support nutrition

• Sometimes endoscopy or surgery

Treatment of mild acute pancreatitis usually involves short-term hospitalization where fluids are given by vein (intravenously), analgesics are given for pain relief, and the person fasts to try to rest the pancreas. A low-fat, soft diet is usually started soon after admission if there is no nausea, vomiting, or severe pain.

People with severe acute pancreatitis are admitted to an intensive care unit Types of units People who need specific types of care may be put in special care units. Intensive care units (ICUs) are for people who are seriously ill. These people include those who have had a sudden, general… read more , where vital signs (pulse, blood pressure, and rate of breathing) and urine production can be monitored continuously. Blood samples are repeatedly drawn to monitor various components of the blood, including hematocrit, sugar (glucose) levels, electrolyte levels, white blood cell count, and blood urea nitrogen levels. A tube may be inserted through the nose and into the stomach (nasogastric tube) to remove fluid and air, particularly if nausea and vomiting persist and ileus Ileus Ileus is a temporary lack of the normal muscle contractions of the intestines. Abdominal surgery and drugs that interfere with the intestine’s movements are a common cause. Bloating, vomiting… read more is present.

For people with a drop in blood pressure or who are in shock, blood volume is carefully maintained with intravenous fluids and drugs and heart function is closely monitored. Some people need supplemental oxygen, and the most seriously ill require a ventilator (a machine that helps air get in and out of the lungs).

When acute pancreatitis results from gallstones, treatment depends on the severity. Although more than 80% of people with gallstone pancreatitis pass the stone spontaneously, endoscopic retrograde cholangiopancreatography (ERCP) with stone removal is usually needed for people who do not improve because they have a stone they cannot pass. While people are still in the hospital, doctors typically remove the gallbladder.

Pseudocysts that have rapidly grown larger or are causing pain or other symptoms are usually drained. Depending on its location and other factors, a pseudocyst can be drained by placing a drainage tube (catheter) into the pseudocyst. The catheter can be placed using an endoscope or by inserting the catheter directly through the skin into the pseudocyst. The catheter allows the pseudocyst to drain for several weeks. Surgery is rarely needed to drain a pseudocyst.

An infection or necrotizing pancreatitis is treated with antibiotics, and may require removal of infected and dead tissue endoscopically or surgically.

Chronic Pancreatitis Treatment | Johns Hopkins Medicine

Our goal in treating chronic pancreatitis is to support you and manage your pain. It is important that you abstain from alcohol and cigarettes. Patients who used alcohol and cigarettes reported a greater number of pain relapses.
Treatment options include:

Chronic Pancreatitis Treatment: Medication

For patients with chronic pain that cannot be controlled otherwise, we may recommend medication.

Analgesics

Analgesics are pain reducers. We will individualize your dose, starting you on the lowest effective dose. We will monitor you closely, increasing and decreasing your dosage as necessary.

Enzyme Therapy

We may recommend enzyme therapy to control diarrhea, reduce pain and help you gain weight. Enzyme therapy helps your body absorb nutrients.

High-protein, High-calorie Diets

Some patients develop protein energy malnutrition. Therapy for protein energy malnutrition requires correction of malabsorption and administration of high-protein, high-calorie diets. In severely malnourished chronic pancreatitis patients, total parenteral nutrition may be the preferred treatment.

Chronic Pancreatitis Treatment: Surgery

When medical and endoscopic therapies have failed, we may recommend surgery. There are many surgical options. Different procedures work better for different patients. We will work closely with you to find the surgical approach that offers you the best outcome. The type of surgery depends on the severity of your pain, the extent of the disease and your overall health.

Surgical procedures include:

Puestow Procedure (Longitudinal Pancreaticojejunostomy)

The goal of this procedure is to clear the blocked pancreatic duct. It is successful in relieving pain in many patients.

Whipple Procedure (Pancreaticoduodenectomy)

During this surgery, your surgeon removes part of the pancreas, the duodenum (first part of the small intestine), part of the common bile duct, the gallbladder and possibly part of the stomach. Your surgeon then connects the remaining intestines. This is a complex procedure; only surgeons with extensive experience and training should perform the Whipple procedure.

Total Pancreatectomy and Auto Islet Transplantation

A total pancreatectomy and auto islet transplantation may be necessary for patients with chronic severe abdominal pain who do not respond to conventional treatment.

In the first part of the double procedure, the pancreas is surgically removed (called a total pancreatectomy).

When the pancreas is removed, auto islets (insulin-producing cells) found in the pancreas must be transplanted to the liver in order to reduce the need for insulin, which would otherwise be necessary for people without a pancreas.

Distal Pancreatectomy

Your surgeon resects (removes) part of the pancreas.

Chronic Pancreatitis Treatment: Celiac Nerve Block

In the advanced stages of chronic pancreatitis, oral drugs may not be enough to control the pain. Your doctor may recommend a nerve block, which is an injection of an anesthetic around your nerve. The injection stops the nerves from sending pain messages.

This is a successful but short-term option for pain relief. Patients often require repeat treatments.

Chronic Pancreatitis Treatment: Endoscopic Therapy

Your doctor may be able to treat chronic pancreatitis using endoscopic procedures.

Endoscopic procedures include:

Endoscopic Pancreatic Sphincterotomy

This helps reduce pressure on the pancreatic ducts. It also allows your doctor to:

• Place a pancreatic stent
• Take a tissue sample (biopsy)
• Dilate (open) a stricture (narrowed area)
• Remove stones

Stricture Treatment

Treating strictures using an endoscopic approach is less invasive than a regular surgery. You may require more than one procedure to achieve or maintain a positive result. Opening the strictures will relieve pain associated with chronic pancreatitis.

Stone Extraction

Duct stones may obstruct the flow of pancreatic juices. Using endoscopy, your doctor can remove the stones. We may combine an endoscopic approach with extracorporeal shock wave lithotripsy (ESWL), a procedure that breaks up the stones before they are removed.

Chronic Pancreatitis: Treating Complications

Chronic pancreatitis can cause complications in other parts of the body. Part of treating the disease is to treat and manage those complications. Depending on the complication and the severity, we can treat it endoscopically, surgically or using percutaneous therapy.

These include:

• Biliary obstruction. Inflammation and scarring can affect the flow of bile through the bile ducts.
• Pseudocysts. A pseudocyst forms when pancreatic fluids collect outside the ducts.
• Duodenal obstruction. Chronic pancreatitis can cause the pancreatic and bile ducts to constrict, leading to an obstruction of the duodenum.
• Pancreatic fistula. A pancreatic fistula is an abnormal opening coming from the pancreas or pancreatic duct.
• Pancreatic Ascites. This is the abnormal collection of pancreatic fluids inside the abdomen.

Pancreatitis (for Parents) – Nemours KidsHealth

What Is Pancreatitis?

Pancreatitis is an

inflammationof the pancreas. It can cause symptoms like those of a stomach virus, like belly pain, vomiting, and nausea.

In most cases, pancreatitis gets better on its own.

What Are the Types of Pancreatitis?

Pancreatitis can be:

• acute and last for only a few days. This is more common in kids and most kids have only one episode.
• chronic and last for a long time. This ongoing inflammation can permanently damage the pancreas.

What Are the Signs & Symptoms of Pancreatitis?

Kids with pancreatitis usually have sudden, severe pain in the upper belly. They also might have pain in the back, chest, or sides.

Other pancreatitis signs include:

Children with chronic pancreatitis may also have:

Some kids who have repeated episodes of acute pancreatitis can develop chronic pancreatitis.

What Does the Pancreas Do?

The pancreas is a large gland that sits behind the stomach. It makes digestive enzymes that are released into the small intestine to help break down food. The pancreas also makes insulin and glucagon, two hormones that help control blood sugar levels.

What Causes Pancreatitis?

Common causes of pancreatitis in kids include:

• gallstones or problems with the ducts (tubes) in the pancreas or liver
• infections
• some medicines
• traumatic injury to abdomen
• very high triglycerides
• genetic or inherited disorders

Some medical conditions or illnesses, such as cystic fibrosis or celiac disease, can increase a child’s risk for pancreatitis. Sometimes, the cause of pancreatitis isn’t found.

How Is Pancreatitis Diagnosed?

To diagnose pancreatitis, doctors will order blood tests, including tests that measure the pancreatic enzymes amylase and lipase. If these levels are high, an abdominal ultrasound can help the doctor check the liver and pancreas and look for gallstones.

Other tests, such as a CAT scan or MRI, can check for inflammation or damage to the pancreas.

How Is Pancreatitis Treated?

Most of the time, pancreatitis gets better on its own in about a week. As the pancreas heals, doctors can give medicine to control pain and treat nausea and vomiting.

Kids who can drink enough fluids and whose pain eases with oral pain medicine can be cared for at home. Children with more severe pancreatitis will need care in the hospital. They’ll get intravenous (IV) fluids and pain medicine. The care team will watch for complications, such as infection, breathing problems, or kidney problems.

Doctors recommend that kids with mild pancreatitis start eating as soon as possible. Kids with more serious cases may get formula through a feeding tube that goes right into the stomach or small intestine. Some might need to get IV nutrition — called total parenteral nutrition (TPN).

Some children with pancreatitis need a procedure called endoscopic retrograde cholangiopancreatography (ERCP). ERCP lets doctors see the ducts in the pancreas and liver. During the ERCP, doctors can remove gallstones or find and treat other causes of pancreatitis.

What Else Should I Know?

Most children with acute pancreatitis recover without any problems. Fluid in and around the pancreas can happen, but usually gets better on its own. Sometimes, doctors need to drain the fluid.

Kids with chronic pancreatitis have trouble digesting food and usually need to take pancreatic enzyme supplements. Chronic pancreatitis may lead to diabetes, but this usually takes many years to happen.

Pancreas Health: 13 Simple Yet Effective Ways To Take Care Of Your Pancreas: Digestion, Insulin, Diabetes

Tips for pancreas health: Even slight acidity can cause damage to pancreas

Highlights

• Anti-inflammatory properties of garlic can benefit pancreas
• Pancreas produce insulin and regulate blood sugar levels
• Include lots of fruits and vegetables in your diet for healthy pancreas

Pancreas is a powerful, strong organ which plays a huge role in diabetes and digestion. One of the most important functions of pancreas is to produce sufficient insulin for bringing down blood sugar levels. Even a slight inflammation in the pancreas can affect production of insulin and blood sugar control. The second most important function of pancreas is to produce digestive enzymes which break down fat and protein. These digestive enzymes are required by the body to break down fat and carbs. Not having sufficient digestive enzyme to break down carbs can make you gain weight and feel fatigued.

Sufficient digestive enzymes are also needed to break down protein to improve absorption of amino acids and facilitate build-up of muscles. Similarly, digestive enzymes are needed to break down fat. Without breakdown of fat, you will end up feeling sluggish, acidic, constipated and bloated.

Poor health of pancreas can lead to digestion-related issues like acidity, bloating and constipation
Photo Credit: iStock

All of this is to assert that pancreas, which produce both insulin and digestive enzymes, are indeed a very important organ in the body and you must take steps to take care of it. Highlighting the importance of pancreas and tips to take care of it is lifestyle coach Luke Coutinho, in one of his recent live sessions on Facebook.

Also read: Healthy Skin, Hair, Digestion And Immunity: A Simple Morning Ritual For All Of These

Simple yet effective tips to take care of pancreas

1. Poor gall bladder health

If you have been diagnosed with gall stones, then it must be taken care of. Severe gall stones can lead to inflammation in the pancreas, known as pancreatitis. Lifestyle changes can help in reversing pancreatitis, informs Luke.

2. Acidity

Occasional acidity is okay as far as you take care of it with effective home remedies and not by mindlessly popping antacids. But, continuous acidity can be downright harmful for your pancreas. According to Luke, even a minute of acidity and acid reflux can negatively impact pancreas. Lemon water in morning can be a great remedy for acidity. You can also sprinkle lemon juice on your salads and foods to prevent acidity. Chew your food properly in order reduce burden on your pancreas and enable it to produce sufficient enzymes.

Also read: Facing Bloating, Acidity Or Gas? Eating More Of These Fruits And Vegetables Could Help

3. Eat more cruciferous vegetables

Veggies like cauliflower, broccoli, cabbage, radish and arugula are cruciferous vegetables that can be beneficial for your pancreas.

Cruciferous vegetables like cauliflower are beneficial for your pancreas
Photo Credit: iStock

4.

Garlic

Garlic is wonder spice which can be great for your pancreas. Garlic has beneficial anti-inflammatory properties and has also been found to be beneficial for people with high blood pressure.

5. Stay well-hydrated

Being even slightly dehydrated can cause inflammation in pancreas. The cells of your pancreas need to be hydrated at all times. Make sure you drink 8-10 glasses water every day, no matter the weather or the occasion. You can also eat hydrating foods like cucumber, watermelon, strawberries, spinach, lettuce, radish and tomato.

Also read: Chia Seeds Water: 7 Health Benefits Of Starting Your Day With This Fibre-Rich Drink

6. Drink lesser tea and coffee

Avoid drinking too much tea and coffee if you are constantly acidic. Caffeine can cause acidity and inflammation in the pancreas. Switch to herbal teas and caffeine-free beverages for better pancreatic health.

Reduce consumption of tea and coffee in order to feel reduce acidity and improve pancreatic health
Photo Credit: iStock

7.

Eat more fruits and vegetables

Eating fresh and seasonal fruits and vegetables can be helpful for the health of your pancreas. Including fruits and veggies in your diet automatically provides pancreas with digestive enzymes.

8. Avoid junk food

Regular intake of junk food makes the pancreas work harder for producing digestive enzymes. Over time, the body falls short of these enzymes and this is what results in acidity and other symptoms of indigestion. Junk food consumption must be limited to occasions only if you want healthy pancreas.

9. Avoid eating late-night meals

The pancreas are not designed to produce digestive enzymes late at night. Eating late at night puts pressure on your pancreas and this in turn leads to indigestion and even weight gain.

10. Take sufficient rest and practice fasting

Rest and recovery, and fasting gives time to your pancreas to recover and work again for producing insulin and enzymes. Sleeping or fasting enables pancreas to regenerate enzymes.

11. Avoid alcohol intake

Binge drinking alcohol and the dehydration caused by it can be hazardous for your pancreas.

Also read: Is Alcohol Consumption Linked To Heart Disease: Let’s Find Out

12. Excessive fat in diet

Too much fat in your diet can make you feel sluggish and heavy. Deep fried food must be eaten occasionally only. Good fats like in ghee, avocado, coconut oil and olive oil, on the other hand, are important for your health.

Avoid junk and deep fried food to improve the health of your pancreas
Photo Credit: iStock

13. Exercise regularly

Exercises enables better blood circulation. Like all other organs, even pancreas need blood supply, and the same can be done with regular exercising. Exercise is also important for a healthy heart, weight, blood pressure and cholesterol.

Also read: Skipping Exercise Too Often? Here’s What Happens To Your Body If You Don’t Exercise

(Luke Coutinho, Holistic Lifestyle Coach – Integrative Medicine)

Disclaimer: This content including advice provides generic information only. It is in no way a substitute for qualified medical opinion. Always consult a specialist or your own doctor for more information. NDTV does not claim responsibility for this information.

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can the pancreas heal itself?

Written by:

Professor Hemant Kocher

Published: 01/02/2019

Edited by: Cal Murphy

Pancreatitis, or an inflamed pancreas, can have serious consequences on the human body. The condition comes in two forms: acute and chronic, both of which can lead to serious symptoms. When pancreatitis strikes, can the pancreas heal itself? Can the condition be prevented and what is the treatment? Renowned surgeon Professor Hemant Kocher explains.

Can pancreatitis heal itself?

Acute pancreatitis is a self-limiting condition. In most instances, the pancreas heals itself and normal pancreatic functions of digestion and sugar control are restored. In some patients, there may be complications from acute pancreatitis that require further treatment, such a blocked bile duct, infections in the pancreas, injury to surrounding organs like the bowel.

Chronic pancreatitis destroys pancreas function, and requires medical management. Chronic pancreatitis cannot heal itself, but good medical management can slow down the rate of decline of pancreatic function, while improving the individual’s quality of life and preventing further problems arising.

How can pancreatitis be prevented?

The single biggest cause of pancreatitis is alcohol. Therefore, those individuals diagnosed with alcohol-related acute or chronic pancreatitis should avoid alcohol, even the smallest amount, to prevent further damage to the pancreas.

For those individuals with gallstone-related pancreatitis, it may be best to remove the gallbladder, as that is the site of gallstone formation, after ensuring that the bile duct is clear of gallstones. This requires expert medical intervention. In the interim, the person should avoid fat in the diet.

For people with high lipids or calcium in bloodstream, medications can be started to normalise those levels. For drug-induced pancreatitis, where possible, alternative medications can be started with expert medical help.

Treating pancreatitis

There are no medications to change the course of acute pancreatitis or make it better sooner, except removing gallstones from a blocked bile duct, if that is the cause.

Medical management of acute pancreatitis is aimed at symptom control such as reduction of pain, nausea, vomiting, and dehydration as well as prevention of complications. Whilst most cases of acute pancreatitis are mild and can be managed by general surgeons or gastroenterologists, severe pancreatitis should be referred to specialist teams.

Chronic pancreatitis, once established, does not go away. There are no medications to make the pancreas normal again. However, with adequate medical management, it may be possible to limit the damage from chronic pancreatitis, reduce the rate of decline of pancreatic function, and prevent complications. Therefore, patients with chronic pancreatitis should be managed by specialist teams.

If you think you may have pancreatitis, visit Professor Kocher’s profile to book an appointment.

Surgery
in London

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90,000 Can pancreas (pancreatitis) be completely cured?

Details

Author: LDC Neuron

Published: 10 November 2015

It is quite natural for every person, with whatever diagnosis he or she comes to the attention of medical workers, to want to know if, as a result of treatment, he will be able to forget about the disease forever and lead the old way of life.It should be noted that in some cases, full recovery is quite possible, but even then doctors are wary of giving unambiguous predictions, not to mention the definiteness of the answer to the question of whether pancreatitis can be completely cured. And the point is not at all the low qualifications of the medical staff, but solely in the specifics of the disease itself.

In order to understand the consequences of the disease a little, you need to understand what exactly happens to the pancreas of a patient with pancreatitis.In order not to delve into deep medical details, it is enough to simply say that as a result of inflammation, the pancreas ceases to perform its natural functions, in particular, to help digest food by releasing special enzymes, and begins to digest its own tissues. Of course, the original volumes of the organ must be preserved, therefore, the affected tissues begin to be replaced by tissues of a different structure, which cannot but affect the performance of the pancreas.

Based on what has been said above, any person should understand that it is possible to cure a pancreatic disease, however, if it has not gone too far, since the process of tissue degeneration is irreversible. That is why it will not hurt anyone to familiarize themselves with the main manifestations of pancreatitis and seek medical help at the first suspicion of this rather unpleasant disease.

A fairly common misconception that does not contribute to the success of the treatment of inflammation is the belief that such a disease cannot be cured.On the one hand, there is a certain grain of truth in this: it is impossible to cure pancreatitis, which has acquired a chronic form. Even with the elimination of all symptoms, the risk of recurrence remains for life. However, it all starts with an acute form, and it is precisely the refusal to treat it that leads to the transition to the chronic one.

Another reason that does not allow the doctor to unequivocally answer whether the pancreas can be cured is a large share of the patient’s responsibility. In the competence of the doctor, only the removal of acute pain and first aid, since pancreatitis can be cured only if the prescribed lifestyle is observed.

For those who understand the importance of the full functioning of the pancreas, there are several simple rules, following which you can forever forget about the problems with the work of this organ:

• Complete rejection of alcoholic beverages.
• Eat steamed or boiled foods. In addition, for those wishing to cure pancreatitis, it will not hurt to grind food as much as possible, making it easier to digest it.
• Smoking cessation is desirable.In this way, moreover, the risk of pancreatic cancer can be avoided.
• The daily ration is best divided into 5-6 meals, at regular intervals.
• Inflammation should be treated not only with medications, but also with a strict diet.
• Any stressful situations should be avoided whenever possible.

Of course, this lifestyle is not easy. However, every time you are tempted to violate one of the recommendations given by your doctor, just think about whether you really want to get rid of the disease completely or agree to fight its manifestations for the rest of your life.

ldc “Neuron”

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Diet for pancreatic pancreatitis

Reading time: 3 minutes, 16 seconds.

Pancreatitis is a disease of the pancreas associated with the development of an inflammatory process in the organ. In this disease, there is a violation of the flow of enzymes involved in digestion from the pancreas into the duodenum. Digestive enzymes remain in the gland itself and destroy it.The main cause of this disease is improper and unbalanced diet. That is why a properly selected diet is the cornerstone of the treatment of pancreatitis.

General rules. Duration of the diet.

Compliance with proper nutrition is the key to a quick recovery. With this diet, you must adhere to certain rules to exclude the possibility of complications.

General dietary rules:

1. Overeating should be avoided
2. Meals should be fractional, at least 5-6 times a day
3. Food must be warm.It is necessary to completely exclude hot and cold dishes.
4. Eliminate raw vegetables and fruits and foods rich in fiber from the diet.
5. Food should only be prepared using the recommended methods.

Nutrition for pancreatitis during an exacerbation:

In case of exacerbation of pancreatitis, it is necessary to exclude the intake of any food for several days. During fasting, it is shown to drink purified non-carbonated water. The daily volume of water should be no more than 1.5-1.7 liters.After the pain and symptoms subside, low-calorie foods can be added to the diet in a small amount (liquid cereals, vegetable soups, steamed fish or chicken cutlets).

If the diet is not followed in the acute course of pancreatitis, the disease can quickly turn into a chronic form.

Notice! In the acute period, spa treatment is contraindicated: it is better to go to a hospital.

Nutrition for chronic pancreatitis:

The chronic form of pancreatitis requires a pedantic approach to nutrition.Proper nutrition, without violations, avoids exacerbations. Each exacerbation leads to gland failure.

In the chronic form of pancreatitis, you must follow the diet number 5.

• Fractional meals up to 6 times a day
• The amount of salt is not more than 6 grams
• boiled dishes, mashed or chopped
• food with a high protein content

Approved Product List:

List of fully or partially limited products:

Nutrition menu for pancreatitis.Diet.

It must be remembered that food for pancreatitis should be fractional, small portions. Food must be boiled or steamed and chopped.

All products must be of high quality, without preservatives and dyes.

Compliance with the diet and diet rules will avoid complications and exacerbation of the disease.

Recipes for dietary dishes for pancreatitis:

Approximate diet menu for pancreatitis:

Breakfast: buckwheat porridge cooked in water with the addition of low-fat milk.Rosehip decoction.

Second breakfast: baked apple. Herbal tea

Lunch: vegetable soup with chicken meatballs. Veal pate. Dried fruits compote

Afternoon snack: low-fat cottage cheese casserole. Kissel

Dinner: Steamed fish cutlet with boiled vegetables and rice. Herbal tea

Before bedtime: rosehip compote.

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90,000 Pancreatitis.Why is magnetotherapy needed? – Rossiyskaya Gazeta

“My mother was diagnosed with chronic pancreatitis. She takes a lot of medications, since she still has hypertension and osteochondrosis. I would like to find a non-drug method of treatment, because I have to live with chronic diseases all the time. Please tell me if it is possible to use magnetotherapy with the ALMAG device? Best regards, Elena, Makariev, Kostroma region. ”

Pancreatitis is a disease caused by inflammation of the pancreas.The enzymes produced by the gland are not released into the duodenum, but remain in it, destroying its walls. It turns out that enzymes, called upon to digest food, “digest” the pancreas itself. If the patient is not treated, does not follow a diet in the subsequent inflammatory degeneration and necrosis (decomposition) of the tissue of the pancreas develop into atrophy, fibrosis or calcification of the organ. Therefore, the attitude towards the disease should be the most serious.

It is extremely important not to start chronic pancreatitis and it must be treated in a complex : diet, medications, physiotherapy procedures.

The main task is to relieve pain, inflammation and swelling of the pancreas . And pulsed magnetic therapy, as a treatment method, is very well suited. Both ALMAG-01 and ALMAG-02 can be used. Note: for people of large build, it is necessary to use ALMAG-02 in the treatment, because it provides not only a special program for the treatment of pancreatitis, but also special emitters with a deeper penetration of the magnetic field. Magnetic impulses, exerting a local effect on the diseased organ, increase blood flow , including in the capillaries.Moreover, they increase significantly – up to 300 percent! The blood carries oxygen and nutrients with it and “takes” the accumulated products of inflammation, carbon dioxide. In this connection, accelerates metabolic processes , and the inflammatory process , on the contrary, is removed , as well as pain and swelling are relieved. Tissues begin to regenerate more intensively , the disease does not progress. The magnetic field of ALMAG has a remarkable property: it enhances the effect of drugs , used internally and externally.In the aggregate, this allows you to reduce the doses of medications taken, and refuse some altogether.

The body’s response to the action of a magnetic field lasts for 1-6 days, and after course procedures – 30-45 days. Thanks to her, can achieve a long period of remission . And in the future, carry out procedures with a preventive purpose.

Dignity of ALMAG – the ability to fight pain , which accompanies any disease of the digestive tract.This factor can be attributed to one of the most important in the treatment of diseases of the digestive system: chronic gastritis, stomach and duodenal ulcers, biliary dyskinesia.

And what is very important – ALMAG can help in the treatment of hypertension and osteochondrosis. In the treatment of hypertension, a pulsed magnetic field can reduce the dose of drugs. And in case of osteochondrosis, it is able to fully provide the necessary therapeutic process and rid the body of especially aggressive drugs that are used to treat the musculoskeletal system, which will have a beneficial effect on the condition not only of the pancreas, but also on the entire body as a whole.

INFORMATION UNIT:

ALMAG is an opportunity:

to reduce the time for treatment and rehabilitation;

significantly prolong the period of remission;

Increase the level of the body’s resistance to various diseases, improve the general condition of the body;

To carry out treatment at home in a comfortable environment at the hospital level.

Magnetic therapy devices ALMAG-01 and ALMAG-02

are indicated for: pancreatitis, gastric ulcer and 12 duodenal ulcer, liver diseases, all types of arthrosis, osteochondrosis, atherosclerosis of blood vessels, hypertension, venous insufficiency, thrombophema stroke, bronchial asthma, complications of diabetes mellitus, etc.diseases.

ALMAG-01 – a proven health technology

• Flexible design of ALMAG-01 makes treatment convenient: it is easy for them to wrap a joint, you can lie on it with your back, that is, treat yourself without assistance.

• The device is compact, you can take it with you on a trip to the country. It just plugs into an outlet and is applied to a sore spot. Automatically turns off at the end of the session (22 min.).

• Penetration of magnetic field pulses up to 8 cm deep.

ALMAG-02 – a new level of treatment of complex diseases

• A new generation device, used in hospitals and at home.

• Has several types of magnetic emitters, which can be simultaneously applied to different areas.

• An individual program has been developed for the treatment of each disease, with the required parameters of the magnetic field. There are 79 programs in total.

• The scope of delivery includes emitters with magnetic field penetration up to 18 cm.

Purchase ALMAG-01 and ALMAG-02 in pharmacies, in the stores “Medtekhnika”, order from the manufacturer at the address: 391351, Ryazan region, Elatma, st. Yanina, 25. OJSC “Elatomsky Instrument Plant” .

For details, call the factory’s round-the-clock phone number: 8-800-200-01-13 .

Calls within Russia are free! For more information visit the website : www.elamed.com

OGRN 1026200861620

There are contraindications.Consult a specialist.

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DIET for diseases of the pancreas | Publications

Methods for treating people with pancreatic pseudocysts (accumulations of fluid around the pancreas)

Review Question

How should people with pancreatic pseudocysts be treated?

Relevance

The pancreas is an abdominal organ that secretes a number of digestive enzymes (substances that trigger and accelerate chemical reactions in the body) into the pancreatic duct that drains into the small intestine.This gland also contains the so-called islets of Langerhans, which produce several hormones, including insulin (which helps regulate blood sugar). Pancreatic pseudocysts are accumulations of fluid around the pancreas. They may be caused by just-onset or chronic inflammation of the pancreas. Some congestion disappears when the inflammation of the pancreas subsides, but others remain and cause symptoms such as abdominal pain, upset stomach, vomiting, and weight loss.Treatments for pancreatic pseudocysts include conservative management (vigilance) and surgical drainage, which can be performed through a standard incision (open surgical drain) or endoscopic surgery (laparoscopic or endoscopic surgical drain). With endoscopic drainage, a stent is inserted using an endoscope (a tube that passes through the mouth into the stomach, usually to visualize the abdominal organs from within the body) that connects the pseudocyst to the stomach or upper small intestine.Endoscopic ultrasound guidance (EUS-controlled drainage, performed using an ultrasound probe attached to the endoscope) can facilitate insertion. Endoscopic ultrasound-guided drainage may also be assisted by introducing a tube through the nose and then inserting it into the cyst (EUS-controlled drainage with nasocystic drainage). It is unclear which treatment for pancreatic pseudocysts is best. We tried to address this issue by looking for existing research on this topic.We included all randomized controlled trials that were completed on or after September 8, 2015. In addition to using standard Cochrane methods, which compare only two treatments at a time (head-to-head comparison), we have used advanced methods to allow one-to-one comparison of different treatments used in trials (head-to-head comparison).

Research characteristics

We reviewed four trials with 177 participants, of which 176 were reported.The treatments that were compared in four clinical trials were endoscopic drainage (without ultrasound guidance), EUS-controlled drainage, EUS-controlled drainage with nasocystic drainage, and open surgical drainage. The participants were mainly people with pancreatic pseudocysts, which appeared as a result of sudden onset or chronic inflammation of the pancreas, caused by various reasons.

Key Outcomes

One death due to bleeding occurred in the endoscopic drainage group.Differences in major complications were imprecise. In the short term (one to three months) health-related quality of life (HRQoL) was worse in the open surgical drainage group, and costs were higher than in the EUS-controlled drainage group. There were fewer complications of any severity (such as bleeding) requiring additional treatment in the EUS-controlled drainage group with nasocystic drainage than in the EUS-controlled or endoscopic drainage group alone.Patients with EUS-controlled drainage with nasocystic drainage spent less time in the hospital than patients with EUS-controlled drainage alone or with open surgical drainage. Patients with EUS-controlled drainage had shorter hospital stays than those with open surgical drainage. With endoscopic drainage, the need for additional invasive procedures to completely eliminate the pseudocyst was greater than with EUS-controlled drainage.Differences in other comparisons were imprecise. None of the clinical trials reported long-term deaths; health-related quality of life in the medium or long term; about the time to return to normal activity or to work.

Quality of evidence

The overall quality of the evidence was low or very low across all outcomes because the clinical trials were small and at high risk of bias (for example, the risk associated with bias in the people who conduct the clinical trial, or because participants in a clinical trial prefer one treatment to another).Therefore, further research is needed on this topic. Such studies should compare EUS-controlled drainage with and without nasocystic drainage in people with pancreatic pseudocyst symptoms and needing treatment. In such clinical trials, it is necessary to observe the result of the treatment of patients for at least two or three years.

Pancreas. Treatment with folk methods.

Pancreatitis is not a very pleasant, but quite common disease of the pancreas.

The causes of pancreatitis are alcoholism, infections, congenital hereditary diseases of the pancreas, diseases of the duodenum, diseases of the biliary tract and gallbladder.

Pancreatitis is acute and chronic. Acute pancreatitis occurs as a result of alcohol abuse and diet disorders. Chronic pancreatitis progresses gradually, has periodic exacerbations.

When treating pancreatitis, the first place is proper nutrition, which must be agreed with the doctor.A fractional meal is recommended 5 times a day, the use of abundant food, fats, spices and alcohol is contraindicated.

Folk remedies for the treatment of the pancreas.

Oatmeal

Traditional medicine says that oats in any form are very useful for pancreatitis. Oatmeal porridge is recommended (eat without salt and without oil 2-3 times a day for several days), or an infusion of oats (pour 500 g of oats with a liter of boiling water, leave for forty minutes, strain and take half a glass of infusion three times a day).

Herbal preparations

In the treatment of the pancreas with folk remedies, one of the main places is occupied by the intake of herbal infusions. Here is a recipe for one of them: 1 tablespoon of chamomile and 1 tablespoon of immortelle pour a glass of boiling water, leave for 30 minutes. Strain. Take half a glass chilled 2-3 times a day 30 minutes before meals for 2-3 weeks.

Exercise for the pancreas

Breathing exercises are of great benefit in pancreatitis.Inhale, exhale and hold your breath. During a pause, gently but firmly pull in your abdomen, count to 3, and then relax your abdominal muscles. Do the exercises about 10 times a day – sitting, standing or lying down.

Buckwheat with kefir

Take 1 glass of buckwheat, rinse it well and pour 0.5 l of kefir. This should be done in the evening. After 12 hours, i.e. in the morning, divide the cereal into 2 parts. Eat one portion instead of breakfast, the second instead of dinner (but no later than 2 hours before bedtime).The first two days you can do without lunch and afternoon tea. And then for lunch, eat steamed vegetable stew, for an afternoon snack – fruit. This regime should be adhered to for 10 days, then take a break for 10 days and repeat the treatment course again.

Observing these rules of nutrition, you will feel much better in a few days – pain in the pancreas will disappear, bloating will stop, and extraordinary lightness will appear throughout the body.

After that, follow a diet, do not overeat, and be sure to take a treatment course based on buckwheat once every three months – it benefits not only the pancreas, but the whole body!

Herbal tea

Tea drink is recommended to improve the condition of the pancreas, to improve the condition of the liver in the presence of cholecystitis, pancreatitis and hepatitis, especially in the treatment of antibiotics, cytostatics, anti-tuberculosis and other highly active agents.The herbal tea will have a healing effect on the pancreas, making you feel great. This is one of the best folk remedies for pancreas. Watch an interview with the director of the Institute of Phytotherapy, Head of the Department of Phytotherapy at the Peoples’ Friendship University of Russia, Academician of the EAEN, Corresponding Member of the Russian Academy of Sciences RANS, Doctor of Medical Sciences, Professor VF Korsun, in which you can learn about the properties of herbal teas “Kind Heart of Nature” by clicking on the link.90,000 ᐈ Diagnostics and treatment of chronic pancreatitis in St. Petersburg

Chronic pancreatitis is a serious medical and social problem of modern society. In recent decades, the prevalence of this pathology has been steadily growing, and mainly among young and middle-aged people. And more and more complicated forms are diagnosed, with multiple dysfunctions of the pancreas and the development of secondary diseases.

What is this disease

Chronic pancreatitis is a long-term and progression-prone disease of the pancreas, which is characterized by inflammation and subsequent hardening of its tissues.The nature and severity of such processes can be different, and the consequences depend on the degree of damage, the type of course and the literacy of the treatment.

Pancreatitis is considered chronic if the patient has symptoms for 3 months or more. The average duration of this disease in residents of the Russian Federation is more than 15 years, and in recent decades, cases of its primary diagnosis have become more frequent in childhood and adolescence.

Typical pancreatitis of the pancreas has certain patterns of development and proceeds in several stages:

• Initial stage, with signs of active inflammation and clinically pronounced periods of deterioration.An exacerbation of pancreatitis usually proceeds brightly and with pronounced painful manifestations, and outside the attack there are practically no signs of a decrease in pancreatic function. The initial stage lasts on average 5-7 years, and well-chosen treatment of pancreatitis in adults can reduce the risk of further progression of the disease
• Stage 2, with the appearance of mild to moderate dysfunction of the pancreas and the persistence of some symptoms in the interictal periods. Moreover, both exocrine (production of digestive enzymes) and intrasecretory (production of the hormone insulin) activity of the affected organ are disrupted.There are fewer exacerbations in most patients, they are subjectively easier to tolerate, but they become prone to a protracted course.
• Stage 3, with the extinction of clinical signs of inflammation and the predominance of a picture of pronounced dysfunction of the gland.

In almost 2/3 of cases, pancreatitis does not occur in isolation, but is combined with pathology of the biliary tract and chronic gastroduodenitis. After all, the bile and pancreatic ducts in their end sections communicate with each other and usually open into the duodenum with a common outlet.Therefore, cholecystitis and pancreatitis are closely related to each other.

Root Causes

Pancreatitis is a multifactorial disease. Most often, damage to the pancreas is associated with errors in nutrition, alcoholism, massive drug therapy or taking certain medications, and in women, pregnancy may be a predisposing factor. Of certain importance are abdominal injuries, anatomical features of the structure of the digestive system, hereditary diseases, endocrine pathology.

What’s going on in the pancreas

Autolysis is considered a key moment in the development of pancreatitis – the defeat of its tissue by its own digestive enzymes. This can be caused by a violation of the outflow of the resulting pancreatic juice or its premature activation, even before entering the duodenal lumen. Other mechanisms are less common, but they also eventually lead to autolysis.

Under the action of pancreatic enzymes, cell destruction begins in the thickness of the pancreas and in the walls of its ducts.This triggers the process of aseptic (non-infectious) inflammation, followed by fibrosis (development of connective tissue) at the site of the lesion. In the thickness of the pancreas, foci of sclerosis and calcifications (stony deposits of calcium) appear, the mass of functionally active cells in the parenchyma (main tissue) progressively decreases, and ducts become inaccessible.

Initially, the changes involve mainly glandular structures that produce digestive enzymes.Subsequently, the islets of Langerhans are also involved in the process – special endocrine formations of the pancreas that secrete the hormone insulin. Therefore, chronic pancreatitis, even in the absence of frequent exacerbations, is the main risk factor for the development of diabetes mellitus.

How does chronic pancreatitis manifest?

The most striking symptoms in chronic inflammation of the pancreas are noted during an exacerbation. But in many patients, some signs of the disease persist in the interictal period.

Symptoms of the disease include:

• Pain syndrome. Exacerbation of pancreatitis of the pancreas is accompanied by pain in the left umbilical region, left side, under the stomach. They can become shingles, extending to the left lumbar region. Their severity can be different, from dull monotonous whining to almost unbearable. Abdominal pain is the most obvious symptom of an exacerbation of the disease and the main reason for seeking medical attention.
• Nausea, often excruciating repeated vomiting without apparent relief.
• Signs of impaired digestion of food associated with a decrease in the flow of pancreatic digestive enzymes into the intestine. Possible diarrhea mixed with undigested residues or its alternation with constipation, flatulence, seething in the abdomen.
• Increased body temperature, signs of general intoxication.
• Coated tongue, taste in the mouth.
• Asthenoneurotic manifestations: increased fatigue, irritability, weakness, depressed mood, sleep disturbances.
• Signs of dysfunction of the biliary system with bile congestion. This may be accompanied by itchy skin, yellowing of the skin, and lightening of the stool.

The number and frequency of exacerbations may differ, but it is erroneous to judge the severity of pancreatitis based on this criterion alone. The extinction of the pain syndrome and a decrease in the frequency of attacks do not always indicate the patient is cured; this is a sign of the transition of the process to a qualitatively different level. Therefore, the diagnosis of the disease should be carried out not only during an exacerbation, but also when the condition is stabilized.

What examination is needed

Examination for pancreatitis should provide information about the structural and functional state of the pancreas. It is necessary to assess the degree of fibrosis, the severity of enzyme and endocrine insufficiency. Information about the state of the biliary system is also very important.

Comprehensive examination includes:

• General blood test with assessment of leukoformula to clarify the severity of the inflammatory response.
• Biochemical blood test with determination of the level of fractions of bilirubin, glucose, alkaline phosphatase, etc. In this case, the key test is the assessment of the level of amylase (pancreatic enzyme) in the blood.
• Coprological examination (stool analysis).
• Ultrasound of the abdominal organs.
• Direct and indirect tests for the assessment of exocrine pancreatic function.
• EGD, which allows to assess the state and functioning of the duodenum, the nature of changes in the outlet duct located here, to identify various signs of damage to the head of the pancreas.
• Cholecystocholangiography to assess the functioning of the biliary system and the common excretory duct. With its help, it is also possible to identify pathological reflux of bile into the pancreatic ducts, which is an important pathogenetic moment in the development and maintenance of pancreatitis.

How to properly treat

Many patients prefer to treat acute pancreatitis at home and go to the doctor only during periods of severe exacerbation, after ineffective attempts at self-medication.This tactic is a high risk of disease progression with a rapid increase in enzyme deficiency and a predisposition to the development of diabetes mellitus.

Late treatment of inflammation during exacerbations and the lack of supportive therapy between attacks create the prerequisites for massive damage to the pancreas with an increase in irreversible changes in it.

Competent treatment for pancreatitis includes:

• Avoiding alcohol and diet.During the period of exacerbation, it is quite strict, and subsequently has a rational and restrictive character.
• Relief of exacerbations. Therapy is aimed at relieving pain, eliminating inflammation, improving the outflow of bile and pancreatic juice, and normalizing digestion. For this, a diet is prescribed (including short-term therapeutic fasting), anti-inflammatory drugs, analgesics, antispasmodics, and enzyme preparations are used.
• Surgical treatment. An exacerbation of a chronic disease may require surgery if the examination reveals signs of suppuration, severe pancreatic necrosis, blockage of the duct with stones.But this happens infrequently, usually a complex conservative therapy is enough.
• Replenishment of enzyme deficiency in the interictal period. It normalizes digestion, eliminates intestinal disorders and flatulence.
• Correction of endocrine disorders. Not only the already developed diabetes mellitus requires attention, but also the conditions preceding it.

The attending physician selects the treatment regimen individually, taking into account the nature of the course of the disease, the examination data and the current condition of the patient.

Where to contact

Chronic diseases of the pancreas and other digestive organs are often treated by a therapist (general practitioner). But nevertheless, this is the sphere of professional activity of a gastroenterologist, and it is advisable to give preference to this particular specialist.

The multidisciplinary specialized medical center ICLINIC is a modern clinic for the treatment of diseases of the digestive tract in St. Petersburg. We use reliable, safe and highly informative examination methods, giving preference to minimally invasive technologies.

Our specialists are highly qualified and have the necessary certificates, possess modern medical and diagnostic techniques. Reception of patients with pancreatitis and other diseases of the gastrointestinal tract is carried out by a competent gastroenterologist, if necessary, a consultation with an experienced therapist and endoscopist is appointed.

A competent approach to diagnosis and treatment, the use of modern technologies and highly effective proven treatment regimens allow our doctors to successfully cope with diseases of the gastrointestinal tract.ICLINIC treatment is a sure step towards health.

We recommend:

Appointment of a gastroenterologist

Ultrasound of the abdominal organs

Ultrasound of the abdominal cavity and kidneys

FGDS

FGDS with the advice of a leading specialist

Test for the likelihood of stomach cancer

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Do you have chronic diseases of the gastrointestinal tract:

– chronic gastritis,
– peptic ulcer,
– chronic colitis and other inflammatory bowel diseases,
– Crohn’s disease,
– ulcerative colitis,
– previously identified polyps of the stomach and intestines,
– identified submucosal epithelial formations of the gastrointestinal tract?

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Have you had stomach and intestinal surgeries?

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Do you have cicatricial adhesive changes in the gastrointestinal tract?

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Do you smoke (more than 1 cigarette per day)?

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Do you allow for errors in your diet (low consumption of fruits and vegetables, high consumption of meat and animal fats)?

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You have at least one of the following symptoms:

– overweight,
– difficulty swallowing,
– irritability,
– pallor of the skin,
– chest pain,
– unmotivated weakness,
– sleep disturbance,
– loss of appetite,
– bad breath,
– belching,
– nausea and / or vomiting,
– feeling of heaviness in the abdomen,
– changes in stool (constipation and / or diarrhea),
– traces of blood in the stool,
– abdominal pain.

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What are the advantages of ICLINIC?

• The highest level of specialists: among them are doctors of medical sciences and members of the world’s medical communities, and the average length of service of the clinic’s doctors is 16 years of impeccable work.

• Modern expert equipment: diagnostic devices of the medical center were released in 2017 by the world’s leading manufacturers (Pentax and others of the same level).

• Impeccable endoscopic diagnostic accuracy thanks to high image resolution of 1.25 million pixels.

• Unique technologies for early diagnosis of cancer, including i-scan – virtual chromoendoscopy. With the help of this technology, even the smallest, initial tumor changes can be recognized.

• Everything for patient comfort: effective pain relief, including general anesthesia; thin endoscopes less than 10mm in diameter; fast and accurate handling.

• Safety: automated disinfection of equipment with quality control, monitoring of vital functions of the patient during research.

• Narrow specialization: the medical center deals with diseases of the digestive system, constantly improving in its particular field. Our specialists are constantly undergoing advanced training, participate in international conferences, trainings and seminars in Russia and Europe.

• Convenient location: Petrogradskiy district of St. Petersburg is located not far from the center.It is convenient to get here both by car and public transport. Chkalovskaya metro station is located very close to the clinic, and also not far from the medical center of St. Petersburg Sportivnaya, Petrogradskaya and Gorkovskaya stations.

Our professionalism is always on guard for your health.

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