Pancreatitis: Pancreas inflammation - symptoms, treatment, diet

Pancreatitis is inflammation of the pancreas (the body responsible for the production of digestive juice).

The pancreas in the human body performs a very important function: produces enzymes, which, falling into a small intestine, are activated and involved in digesting proteins, fats and carbohydrates. The organ produces hormone insulin, which regulates blood glucose levels.

Pancreatitis forms

Acute - characterized by an acute sling of pain in the top of the abdomen. Often pain appears after consuming oily food or alcohol. An unpleasant feeling can be both barely noticeable and unbearable with irradiation in a blade or sternum. There is nausea, vomiting, stool violation. Because of the difficult outflow of bile, the skin takes a yellowish color.

Chronic - the main localization of pain is located on the top of the abdominal wall with irradiation in the back, chest (left part), the lower part of the abdomen. An unpleasant sensation occurs after taking oily heavy foods, alcoholic beverages, constant stress.

The development of chronic pancreatitis is characterized by nausea, loss of appetite, bloating, stool violation, sometimes vomiting.

The chronic form of pathology differs from acute periods of remission and exacerbation. Over the course of the disease, the exacerbation periods become increasingly, the development of intestinal disorders, violations of normal digestion, a decrease in body weight is possible.

Chronic pancreatitis often gives complications (gastric bleeding, cancer, cysts and abscesses, liver damage, diabetes, enterocolitis). That is why the disease should be treated seriously and with the slightest suspicion of the development of inflammation, consult a doctor.

Causes of pancreatitis development

The disease is developing due to the damage to the pancreas tissues. This happens for the following reasons:

  • Alcohol and Tobacco Abuse

  • Belly injuries, surgical interventions

  • Uncontrollable and long-term reception of medicines: antibiotics, hormonal drugs, corticosteroids, some diuretics

  • Incicacy of food products, chemicals

  • Genetic predisposition

  • Incorrect diet with a predominance of acute and greasy meals and with large interruptions between meals

Symptoms of pancreatitis

Signs of pancreatitisThe manifestations of pathology differ depending on the form - acute or chronic pancreatitis. In acute pancreatitis, there are:

  • The pain is intense, constant, the nature of pain is described by patients as cutting, stupid.

  • High body temperature, high or low pressure - the patient's well-being is worse rapidly due to the rapid development of the inflammatory process.

  • Pale or yellowish faces.

  • Nausea and vomiting - dryness appears in the mouth and white rings, the attacks of vomiting do not bring relief. The most correct step at this point is to starve, any reception can only worsen the situation.

  • Diarrhea or constipation - a chair in acute pancreatitis most often foamy, frequent with a mowing smell, with particles not digestible food. There are both the opposite, bloating, hardening the abdominal muscles, which may be the very first signal of a starting acute attack of pancreatitis.

  • The bloating of the stomach and the intestines during the attack are not reduced.

  • Dyspnea - appears due to the loss of electrolytes during vomiting.

Chronic pancreatitis is characterized by the following features:

  • Abdominal pain - can be encircling or have a clear localization with irradiation in the back. Appears after eating.

  • Intoxication of the body - a general weakness appear, a decrease in appetite, tachycardia, an increase in body temperature, decrease in blood pressure.

  • Endocrine disorders - ketoacidosis, diabetes, tendency to hypoglycemia. Bright red spots in the area of ​​the abdomen, back, chest, which are not disappeared upon pressing, may also appear.

With a long-term course of the disease, the patient gradually arises anemia, loss of body weight, dry skin, hair and nail fragility, avitaminosis symptoms, increased fatigue.

First aid in the attack of pancreatitis

To reduce pain, you can use a heap filled with cold water. It must be applied to the abdomen area, namely, to the epigastric area (area under a mildo-shaped process, corresponding to the projection of the stomach on the front abdominal wall). This reduces the intensity of pain, remove swelling and inflammation.

The patient must be observed the hospital mode. This will reduce blood flow to the organ, which means reduce inflammation.

It is forbidden to eat. The digestion process may cause stronger pain, nausea and vomiting appear. A diet will reduce the production of enzymes that enhance the inflammatory response and pain. Adheres to starvation you need 3 days. You can drink clean water without gases.

It is necessary to call a doctor for inspection, even if the patient is definitely not sure that it is an attack of acute pancreatitis. As we already know, this pathology can sink, and then rapidly recur. At this time, you can drink an anesthetic drug to reduce unpleasant sensations.

Diagnosis of the disease to the Private Medical Clinic "Medunion"

Diagnose this disease is not difficult, since the first signs speak for themselves. However, to assign adequate treatment, it is necessary to determine the form of the disease. For this, the doctor conducts laparoscopy - a method that allows you to examine the abdominal cavity from the inside with the help of a special tool.

In suspected acute pancreatitis, laboratory tests are carried out:

  • General blood analysis

  • Blood chemistry

  • Analysis of urine

  • Analysis of Cala

  • Ultrasound, MRI or radiography of abdominal organs

  • Computer tomography on testimony

In chronic form, the same studies are carried out, but it is better to take tests during the exacerbation of the disease.

Treatment of acute pancreatitis

When discovering acute patient pancreatitis, it is necessary to immediately hospitalize. Treatment should be held in the hospital, as this condition is very dangerous.

Antispasmodics are taken to remove pain, in difficult cases, the contents of the stomach content for removing the load on the gland are pumped.

With the exacerbation of pancreatitis, patients need hospitalization with daily over the first week by the control of blood parameters, water balance, leukocyte numbers, serum enzymes. In the first 1-3 days, hunger is recommended, alkaline solutions receiving every 2 hours.

During the exacerbation of chronic pancreatitis, the patient shows therapy similar to the acute process. The patient should abide by the diet throughout the life and take drugs from the group of spasmolitics and drugs that normalize the secretory function of the organ.

The most important thing in the chronic form of the disease to maintain a diet, which implies an exception from the diet of greasy and fried foods. With the slightest violation of the regime in the patient, unpleasant sensations and nausea can begin. With intense pain, the doctor prescribes antispasmodics. Antisecretory therapy can be used short course.

Diet with pancreatitis

Treatment of pancreatitis in "Medunion"With any form of the disease, the patient is assigned a strict diet "Table No. 5P", according to which it is forbidden to eat acute and fried food. All dishes are prepared for a pair, boiled or baked. Alcohol and smoking are also prohibited.

It is also necessary to limit the consumption of salt, to eat in small portions 6 times a day. Dishes should always be fed in warm form. It is necessary to eliminate all products with a high content of extractive substances or essential oils (fish, meat broths, cocoa, coffee, etc.), fresh berries, vegetables, greens, fruits, fruits, acidic juices, carbonated drinks, marinades.

Where to pass the treatment of pancreatitis in Krasnoyarsk?

If you or your loved ones suffer from inflammation of the pancreas, seek help in Medunication Medical Center. We are engaged in the diagnosis and treatment of any diseases in Krasnoyarsk. Powerful equipment for conducting CT, MRI and X-ray, experienced doctors who, if necessary, hold the primary inspection at home, are waiting for you to "Medunion". To find out the details or make an appointment, call 201-03-03.

Using folk recipes of treatment, you should consult in advance with a specialist.Pancreatitis can develop in acute or chronic form. Any type of disease implies mandatory drug therapy and control by a specialist. However, there are a number of methods, the implementation of which at home will help not only speed up the trend towards recovery, but also to significantly extend the term of remission.

Patients with chronic pancreatitis need to know the correct algorithm of actions in the occurrence of the attack of pathology. Home therapy of inflammation of the pancreas includes compliance with the recommendations of the doctor, diet and therapy, medication, special gymnastics and fitherapy.

1. How to treat inflammation of the pancreas at home

General recommendations

After identifying pancreatitis, the patient needs to largely change the lifestyle. Compliance with some recommendations will provide long-term remissions and improving the overall condition of the body. Violation of the regime will increase the risk of repeated seizures and complications. In pancreatitis, irreversible changes in the pancreas work occur.

Any provoking factors are able to worsen the patient's health. Some complications of the inflammatory process may cause fatal outcome.

List of general recommendations:

  • compliance with the proper nutrition mode;
  • reception of prescribed medicines according to the prescriptions of the doctor;
  • periodic rehabilitation activities and regular monitoring of the gastroenterologist;
  • providing the body of sufficient physical exertion and prevention of the consequences of a sequiguous lifestyle;
  • Using some folk remedies as a supplement to standard therapy.

Furnishing and environment around the patient

Stressful situations for patients with pancreatitis can cause exacerbation of the disease. During the period of therapy and with remission, it is necessary to rest (when attacks - bedding). Violation of psycho-emotional state will provoke stagnation of secrets or spasmodizing the vessels of the digestive tract.

The consequences of stress and constant emotional voltage:

  • reducing remission period;
  • The risk of sudden exacerbation of the inflammatory process;
  • reduced trend towards recovery;
  • Increasing the risk of complications of pathology.

Power control and diet observance

Compliance with the power mode is a mandatory part of pancreatitis therapy. The use of prohibited products can provoke an attack of the inflammatory process. The diet has a therapeutic effect on the digestive system and extends the deadline for the remission of the disease.

The duration of the period of its observance depends on the individual clinical picture of the patient's health state. In the presence of complications, it is necessary to adjust the diet throughout life.

Special nutrition for pancreatitis and diabetes mellitus allows you to prevent a sharp increase in the glucose indicator in the blood and an increase in the patient's body weight.

Features of nutrition in pancreatitis:

  • Mushrooms, legumes, whole milk, white-baked cabbage, egg yolk, baked eggs, fresh bread, saturated meat broths, chocolate, berries and fruits with sour taste are excluded.
  • It is impossible to use fried, fatty, salty and sharp dishes (such products in most cases immediately after use provoke the exacerbation of pathology);
  • Under the strict ban is alcohol (even the minimum number of alcoholic beverages causes irritation of damaged membranes of the digestive organs);
  • Prepare dishes are recommended by steam processing, cooking, extinguishing or baking;
  • All dishes in the diet should be freshly prepared (products with an expired expiration date are under the strictest prohibition);
  • The food must be fractional and balanced (eating food is recommended up to eight times a day, the volume of one portion is 200-250 g).

Gymnastics for inflammation of the pancreas

With acute pancreatitis or during periods of exacerbation of the chronic form of the disease, any physical exertion is contraindicated. When remission, the body requires a certain activity. A low-live lifestyle can provoke stagnant bile and deterioration of the digestive system. However, patients with identified pancreatitis cannot be engaged in active sports (athletics, power exercises, football, etc.).

Options for useful physical exertion:

  • Elementary morning gymnastics (squats, mugs upper and lower limbs, slopes, walking in place, exercises should not provoke excessive fatigue and pain in muscles);
  • swimming (despite the use of all muscle groups, the organism overvoltage does not occur);
  • ski walks (for short distances, with exception of excessive load and jumping from springboard);
  • LFK (classes are conducted in medical institutions, exercises can be repeated at home);
  • Walking (it is recommended to walk more on foot, the distances should increase gradually).

Video on the topic: 5 exercises from pancreatitis, cholecystitis, dyskinesia gallbladder.

Use of drugs

With pancreatitis, in no case cannot be engaged in self-medication. Incorrectly chosen drugs can not only not eliminate the attack, but also strengthen the intensity of pain syndrome. Pathology therapy implies comprehensive treatment with several types of medicines.

The timing of their reception must be observed as accuracy with the prescriptions of the doctor. Replacing any drug from the list drawn up can reduce the tendency to recovery.

Preparations for the treatment of the inflammatory process: Enzymes are used in digestion disorders.

Treatment of herbs

A good addition to the main therapy in pancreatitis is phytotherapy. The plant components in their composition are not inferior to some pharmacy drugs, but this nuance is not a reason for replacing herbal medicines. Medicinal plants can be used as an independent ingredient for cooking bravery and info, and also combine with each other. A standard recipe for the preparation of such agents is the injection of a dry mixture with boiling water.

Examples of useful herbs for pancreas diseases:

  • Chamomile pharmacy (improvement of the digestion process);
  • The root of the burdock (has a soothing effect on the digestive tract);
  • Yarrow (characterized by a favorable effect on the biliary system);
  • Sage (improvement of the digestive system);
  • Field Horsetail (useful for intestinal operation);
  • Plantain (natural antibiotic);
  • pepper mint (increases appetite);
  • Clover (contains a large amount of vitamins).

2. First aid for exacerbations at home

The first assistance rules for the attack of pancreatitis should know not only the patient itself, but also his relatives. If pain syndrome is expressed to the maximum extent, it is impossible to engage in self-medication. The patient needs urgent medical care.

In exacerbations of chronic pancreatitis, the pain is less intense and patients can cope with attacks on their own.

Algorithm of action when attacking:

  • challenge the ambulance brigade;
  • elimination of food and water during an attack;
  • Reduced the intensity of pain syndrome will help cold compress;
  • It is allowed to take a drug from the category of spasmolitics;
  • ensuring a patient of full rest and beddown;
  • The pain is manifested less intensively if you sit down, tilting the torso ahead or go to the embryo pose;
  • It is impossible to lie on the back during an attack (Bol enhanced, vomit mass can get into the respiratory tract).

3. Effective folk remedies for treating at home

When selecting folk remedies for the treatment of pancreatitis, it is recommended to take into account several factors. First, the recipes of alternative medicine cannot replace medication therapy. Before the start of home treatment, you should consult with your doctor. Secondly, some plant components can provoke food intolerance. If after eating a decoction or infusion arises nausea, then it is better to use ingredients with less pronounced flavors and aromas.

Methods for the treatment of chronic pancreatitis

Folk remedies intended for the treatment of chronic inflammation of the pancreas are a good means of prevention of exacerbations. Vegetable components strengthen the digestive system, restore some functions and prevent violations from the process of digestion of food.

If after eating a decoction or infusion is worsening, then from further therapy the selected recipe is better abandoned.

Examples of folk remedies for the treatment of chronic form of the disease:

  • Red elderberry (dining room spoon of plant flowers pour boiling water with a glass, it is necessary to insist for at least two hours, consumption 50 ml three times a day);
  • Herbal collection (30 g of dill seeds, 20 g of chopped hawthorn fruits, 10 g chamomile and 30 g of peppermint mint to connect in one container and mix, tablespoon of workpiece pour 500 ml of boiling water, it is recommended to use a thermos to use a thermos for insteading );
  • Herbal collection based on the roots of AIRA and dandelion (50 g of the main ingredients, 25 g of nettle roots, hop cones and grasses to combine in one container, five tablespoons mix mix with a glass of honey, tool to take a teaspoon several times a day) .

Video on the topic: chronic and sharp pancreatitis. Pancreatitis and calculous cholecystitis Safe treatment.

Methods for the treatment of acute pancreatitis

Use folk remedies for the treatment of acute pancreatitis can only after the binding of the attack. Recipes for alternative medicine will help speed up the process of restoring the digestive tract. Folk remedies should be used as a supplement to therapy, but not to replace medicines.

Examples of folk remedies for the treatment of acute form of pathology: Treatment should be started at the earliest stage of the disease, because the complex therapy and the result of treatment depends on this.

  • The infusion of calendula (the remedy is prepared according to the standard technique - a teaspoon of dry flowers of the plant is poured with a glass of boiling water, it is recommended to use a drink in small portions daily for one month);
  • The means based on the seeds of the milk thistle (the seeds are crushed as much as possible, you can use a blender, taking the powder at half a teaspoon thirty minutes before meals, drinking enough water);
  • Potato juice and kefir (an hour before lunch or dinner drink 50 ml of potato juice, after 10 minutes a similar amount of kefir, the remedy helps protect the mucous membranes of the digestive tract and prevent their irritation).

Methods for the treatment of reactive pancreatitis

A distinctive feature of reactive pancreatitis is considered a sudden appearance of an attack. The provoking factor in most cases becomes acute, oily or fried food. Folk remedies help protect the pancreas from irritant influence. Regular consumption of decoctions and infusions can increase local immunity.

Examples of folk remedies for the treatment of reactive inflammation form:

  • The decoction of the roots of chicory (the workpiece is crushed into the powder, the teaspoon of the component is pouring a glass of boiling water, after insisting, it is possible to strain, consumption 50-60 ml per hour before meals);
  • Infusion of cumin seeds (teaspoon of the ingredient pour a glass of boiling water, to divide the infusion into two parts, consumption 100 ml in the morning and in the evening);
  • The infusion from the root roots (ingredient is crushed into powder, a tablespoon of raw materials to pour a glass of boiling water, while insistered, the capacity is recommended to cover with a lid, take twice a day for 100 ml per hour before meals).

4. Recommendations for the treatment of pancreatitis at home

Chronic pancreatitis is characterized by less pronounced symptoms than an acute form of the disease. Long-term remissions can cause cessation by patients therapy. The consequence of the violation of the chart of receiving medicines and the power mode will be an aggravation of the inflammatory process. If pancreatitis is revealed, then home treatment and prevention of the disease must be carried out regularly.

Recommendations for home treatment:

  • Take vitamin complexes and drugs to protect the pancreas, regardless of the attacks (the exacerbation is easier to prevent than to deal with its manifestations);
  • It is impossible to independently select drugs for symptomatic treatment (the reception of some medicines can provoke a sudden attack of the illness);
  • The reason to appeal to the doctor should even become minimal, but regular deviations in the work of the digestive tract;
  • Power experiments in pancreatitis are unacceptable (acute, salted or fatty food can cause not only an attack, but also complications in the form of gastrointestinal bleeding).

Ultrasonic research at the present level will allow specialists to evaluate with high accuracy parameters of organs for further diagnostics located in the abdomen cavity.

5. Prevention of the disease

The basic measures of the prevention of pancreatitis are to prevent the diseases of the digestive tract and the biliary system. If the patient has congenital pathologies, then the gastroenterologist should be examined regularly.

After the treatment of any diseases, it is necessary to conduct a test inspection from a specialist.

Prevention measures:

  • Balanced and fractional food (in the diet should be absent or present in a minimum number of harmful foods, such as fast food, fried dishes, pickles, etc., with pancreatitis such products are prohibited);
  • Providing the body of sufficient physical activity (a sedentary lifestyle causes harm to the body, including can disrupt the work of the digestive organs);
  • In the event of signs of deviations in the digestive system, contact the doctor (in some cases, hazardous inflammatory processes are accompanied by minimal symptoms);
  • Refusal of alcoholic beverages and smoking (harmful habits provoke not only pathological processes, but also can cause the exacerbation of inflammation of the pancreas).

6. Conclusion

Self-medication with pancreatitis should be excluded. This type of pathology can cause serious complications that not only reduce the quality of life, but also create a threat to death. The most common cause of urgent surgery is the late diagnosis of the disease and the absence of its adequate therapy. In compliance with the rules of prevention and course of treatment appointed by the doctor, it is possible to achieve a rack and long-term remission even with the chronic form of pathology.

Morozova Lyudmila Vasilyevna

Endoscopist

Conducts endoscopic diagnosis of pathologies of the gastrointestinal tract. Makes conclusions on the basis of inspection results, and also conducts therapeutic manipulations in gastritis, ulcers and other disorders in the gastrointestinal tract.

Other authors Comments for the site Cackl e

Symptoms and complications of pancreatitis

Symptoms of acute and chronic pancreatitis differ exactly, as well as the features of its flow and possible complications. Symptomatics of chronic pancreatitis is often erased. Signs of the disease flowing acutely are always pronounced, but it is important not only to urgently consult a doctor, but also to exclude the development of other no less dangerous diseases, for example, acute cholecystitis or appendicitis.

Symptoms of acute pancreatitis

Symptoms of acute pancreatitis

Activating in the pancreas itself, enzymes in digestive juice are striking her fabrics. Thus, the action of lipase intended for fats splitting leads to cellular cellular dystrophy. TRIPSIN, digesting protein, causes different chemical reactions, leading to the edema of the pancreas tissues and necrosis (eliminate) of its cells. At first, necrosis is aseptic, later infections can be joined by the formation of purulent foci. The general symptoms of acute pancreatitis include:

  • Pain, often encircling, in the right or left hypochondrium. Painful feelings are intense and cannot be eliminated with drugs even with timely early treatment in the first day. In some patients on the background of an attack of acute pancreatitis, pain shock can develop.
  • The complete absence of appetite, nausea and indomitable vomiting, not bringing facilitating the patient. Massows, as a rule, consist of the contents of the stomach and bile.
  • Increase body temperature (more than 38 ° C), pulse increase (more than 90 ° C / min.) And respiration, decrease in blood pressure (less than 90 mm / RT.).
  • The tension of the abdominal wall of the abdomen in the region under the rib arc on the left.
  • Break, brightly felt in the upper stomach departments. The appearance of such a symptom is due to a violation in the work of the digestive system.

In addition, for acute pancreatitis, the skin color or the development of mechanical jaundice is characterized in the event that the cause of the disease is the gall-eyed disease.

Symptoms of chronic pancreatitis

The pain in the exacerbations of pancreatitis of chronic form is localized, as a rule, in the region of the right or left hypochondrium, and gives it in the back, gaining concerning character. Wrong the exacerbation of pancreatitis can be taken alcohol, fatty or acute food. The pain arising from exacerbations is developing against the background of the emergence of an inflammatory process affecting the nerve end of the body, as well as increasing the pancreas in size. In addition to pronounced painful sensations, patients with exacerbations of chronic pancreatitis are observed:

  • Owliness of the belly, the appearance of belching, diarrhea, nausea and vomiting. Causes such symptoms the lack of enzymes involved in digestion.
  • Reducing body weight and deterioration of the general condition of the body. Due to the violation of the exchange of proteins, carbohydrates and fats in patients with chronic pancreatitis, there is a pronounced dryness of the skin, avitaminosis, nail fragility, the development of anemia, etc.
  • High gas formation, stool disorders. This is due to poor digestion of food and excessively active formation of bacteria in it, disturbing the normal intestinal microflora.

If the exacerbation of pancreatitis is pronounced, the symptoms of the disease in chronic and in an acute form of similar to each other. Against the background of a sudden exacerbation of the inflammatory process, necrosis of the pancreas tissue may develop, causing a sharp acute pain and requiring urgent hospitalization.

Cholecystitis and pancreatitis

Cholecystitis, pancreatitis - inflammatory diseases of the organs of the digestive tract. When cholecistics, the inflammatory process is subjected to a gallbladder, and with pancreatitis - pancreatic tissues. Both processes can occur as separately and be interconnected. There is even a term for both diseases arising in the complex - cholecystopancatite.

Cholecystitis, pancreatitis cause patients painful sensations in the upper stomach departments. But their main differences is that when the gall bubble inflammation, pain is localized in the right hypochondrium, and with inflammation of the pancreas, it is looking.

In Pancreatitis, the patient feels the heaviness in the stomach, exacerbated after meals, there is a bloating and a violation of the chair. According to external signs, it is extremely difficult to distinguish cholecystitis from pancreatitis. The diagnosis is possible only after the differential diagnosis.

Complications of pancreatitis

As with almost any disease, timely appeal to the doctor and the beginning of the prescribed treatment of any form of pancreatitis will reduce the possibility of the development of complications to virtually zero and will slow down destructive processes in one of the main organs of the digestive system. Complications of the disease occurring in acute form can develop in the shortest possible time and even cost a patient of life. Chronic pancreatitis is more "cunning", and its complications develop as the pancreas tissue damage and loss of their functions.

Complications of chronic pancreatitis

Complications of chronic pancreatitis

The main complications of the chronic inflammatory process in the tissues of the pancreas are:

  • development of diabetes mellitus arising against the background of insulin hormone development;
  • The overall exhaustion of the body, in which nutrients entering the body together with food, due to the lack of pancreatic enzymes, cannot be fully absorbed;
  • development of diseases of various organs of the gastrointestinal tract, for example, cholecystitis or duodenal ulcer disease;
  • the formation of the acquired cyst in the tissues of the glandular organ;
  • Mechanical jaundice appearing against the background of squeezing bile ducts.

In exacerbations of pancreatitis, infectious processes may develop, both in the tissues of the pancreas itself and beyond. In the absence of full treatment and adherence, abscesses and bleeding can develop with pancreatitis.

Complications of the disease occurring in acute form

In the acute form of inflammation of the pancreas, complications may have an early or later manifestation. In early complications, developing directly at the beginning of the attack, development is possible:

  • hypovolemic shock leading to the lack of oxygen in the tissues of all organs of the digestive system;
  • liver and renal failure, provoked by the toxic effects of digestive enzymes;
  • peritonitis, which can be either aseptic or purulent, developing against the background of joining the inflammatory process of infection;
  • cardiovascular or respiratory failure, etc.

The development of late complications in acute pancreatitis occurs mainly against the background of infections. Such complications include sepsis, abdominal abscesses, the formation of fistulas, purulent inflammation of nearby fabrics, the formation of pseudocyst pancreatic glands, bleeding, etc.

Pancreas is a very important and extremely necessary organ in the human body, as actively participates in the work of the digestive and endocrine system. This body contributes to the correct and rapid cleavage of food, and therefore, the assimilation of its human body.

Naturally, the disease of this body can lead to very serious, unpleasant consequences, including death, so you need to know the methods of treating the pancreas with folk remedies at home.

It is important to know the methods of treatment, and symptoms of inflammation of the pancreas.

Signs of the pancreas

There are several signs of finding problems with this body:

  • constant stool violation;
  • Pain in the abdomen;
  • Possible increase in temperature;
  • vomiting and nausea.

Avoid the treatment of pancreas and diet will help several rules:

  1. It is recommended to reduce or completely abandon the use of alcohol beverages.
  2. Balance the food process, take food at a certain time, try not to abuse acute, oily food at the expense of other dishes.

Treatment of pancreas Ovat

Treatment of the pancreas at home implies the active use of this cereal plant. If the pancreas is hurt, it is Oat that can save a person from acute pain attacks.

There are two main oat preparation recipe for the treatment of pancreas:

  1. Decoction of ordinary oatmeal . One glass of the product is flooded with a liter of cold water. The mixture is boiled fifteen minutes. Put it in a thermos, within 24 hours. Use the finished means - twice a day for 30 days. The decoction will not only make the pain of pain, but will help relieve inflammation.
  2. Oatmeal milk . Oat grains are poured with water. It is important not to cleanse Oats before this procedure from the peel. For one hour, the mixture is brewed. After forty minutes, Oats, and continue the cooking for another twenty minutes. Strain. The liquid is used ten minutes to the main eating for a hundred grams - four times a day.

Any of these options is effective assistance during the treatment of pancreas in pancreatitis.

Herbs for the treatment of pancreas

Naturally, various herbs for the treatment of pancreas also use. In fact, there are countless recipes, but we will tell about the most basic - more rare and specific options can always be found on the Internet.

One of the most simplest recipes - tincture . To do this, you will need to have:

  • dill seeds (30 grams);
  • Drug chamomile (10 grams);
  • mint leaves (30 grams);
  • Twenty grams of the fruits of the hawthorn and the colors of immortelle.

All this is mixed in one dish and pour boiling water. Give to settle. Strain and use the next thirty days after meals.

Enjoy popular popularity choleretic decoction . For its preparation, you need to take the roots of the violet and dandelion, cleanly, anise, hustlese bird, corn stiggers. Mixed into a single mass, poured with water, is brought to the boiling point and is cooked for three minutes. After cooling, you can use three times a day for fourteen days.

Treatment of pancreas Seeds of flax . It is necessary to cook a decoction. To do this, take 60 grams of seed, pour them with one liter of water, to have two hours on a small fire. Strain and leave alone until the decoction completely cools. The tool is accepted for two months one cup, before each meal.

Restore the function of the pancreas will help the drug Lithuage-o, which consists from zeolite, rye and oat bran . Being a good enveloping means, Lithuanite is effective in various inflammatory processes in the gastrointestinal tract. In experiments and in clinical trials, it was revealed that its long-term coursework in the stages of treatment and rehabilitation makes it possible to significantly reduce the risk of complications.

Naturally, to effectively engage in self-treatment, first of all, it should be felt reliably - which one of the organs of the human body is sick. Therefore, it is important to know the methods of treatment, and the symptoms of inflammation of the pancreas.

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Overview

Chronic pancreatitis is a pancreatic disease associated with constant damage to its tissues under inflammation.

Chronic pancreatitis can meet in people of different ages, but men are most often sick of 45-54 years. The prevalence of chronic pancreatitis among the Russian adult population is 3-5 cases per 10,000 people.

Anatomy of the pancreasThe most characteristic symptom of chronic pancreatitis are repeated pain in the abdomen, which may be intensive. Other signs of chronic pancreatitis depend on the degree of damage to the pancreas and in time increase. One of these symptoms is the formation of a chair with a greasy, greasy shine and a flicker smell.

If the inflammation of the gland is short-term, they talk about acute pancreatitis. Repeated cases of acute pancreatitis associated with the use of alcohol can sooner or later lead to the development of chronic pancreatitis.

Alcohol abuse is the cause of 7 out of 10 cases of chronic pancreatitis. This is due to the fact that alcoholism for many years has a multiple damaging effect on the pancreas.

Less common reasons:

  • smoking that increases the risk associated with pancreatitis alcohol;
  • problems with the immune system, when it attacks its own pancreatic cells;
  • Genetic mutation due to which the pancreas functions are violated, which can be inherited.

Approximately 2 cases out of 10 causes of chronic pancreatitis cannot be determined.

Pancreas

The pancreas is a small organ, in the form of a taller, located behind the stomach below the chest. It performs 2 important features:

  • The formation of digestive enzymes that are used in the intestine to digest food;
  • The production of hormones, the main of which is insulin, regulating the level of sugar (glucose) in the blood.

Treatment is mainly aimed at changing lifestyle (see below) and pain relief. If strong long-term pains are bothering, which are not removed by the reception of drugs, surgery may be required. It is noted that people who do not smoke and avoid alcohol, as a rule, feel less pain and live longer those who failed to get rid of these harmful habits after diagnosis.

In half patients with chronic pancreatitis, the pancreas is damaged so much that insulin cannot produce insulin, which leads to the development of diabetes. Patients with chronic pancreatitis refer to a group of increased risk of developing pancreatic cancer. Always contact the doctor if you are experiencing a strong abdominal pain - this is an important sign that something is wrong.

Symptoms of chronic pancreatitis

Repeated attacks of stomach pain are the most characteristic symptom of chronic pancreatitis. The pain usually arises in the center of the abdomen or in its left half and can spread (give) in the back. Most of the patients describe their pain as stupid and at the same time very strong. Pain lasts a few hours, and sometimes days. Pain occurs after meals, more often - for no reason.

The described attacks may be accompanied by nausea and vomiting. As the chronic pancreatitis, the attacks become heavier and frequent. In some cases, the pain remains between the attacks, only changing the character on light or moderate. It happens more often in people with pancreatitis, which cannot refuse alcohol despite their diagnosis. On the contrary, people who refuse alcohol and smoking can observe the decrease in the severity and frequency of episodes of pain. Progressive chronic pancreatitis

Over time, with chronic pancreatitis, the pancreas loses the ability to produce digestive juices, which are necessary for sprouting of food in the intestine. As a rule, it occurs years of years from the first manifestations of the disease. In the absence of digestive juice, fats and certain proteins are poorly digested, which leads to the appearance of a fetus chair with a fatty glitter, which is poorly washed off when the water is drained in the toilet. Other symptoms are observed:

  • weight loss;
  • loss of appetite;
  • jaundice (yellowing of the skin and scool);
  • Thirst, frequent urination, weakness, - symptoms of joining diabetes.

Always contact the doctor if you are experiencing a strong pain - this is an important sign that something is wrong. Doctor's help will need if you have jaundice. In addition to pancreatitis, jaundice has many other reasons, however, in any case, this is a sign of improper operation of the digestive system. You should also refer to the doctor in the event of constant (indomitable) vomiting.

Causes of chronic pancreatitis

A lot of causes of chronic pancreatitis have been studied, however, no more than 2 cases find them out of 10. The most frequent factors leading to the development of chronic pancreatitis are discussed below.

At least in 7 out of 10 cases, the development of pancreatitis is associated with the intake of alcohol, especially with long-term abuse of alcoholic beverages. Acceptance of alcohol causes episodes of acute pancreatitis. Acute pancreatitis usually goes quickly, but repeating time after time, under the action of permanent admission of alcohol, causes irreparable damage to the pancreas. Frequent inflammatory processes in the gland, in the end, cause the development of chronic pancreatitis.

Regular use of alcohol carries an increased risk of developing chronic pancreatitis, however, fortunately, the disease develops only in a few.

In rare cases, the occurrence of chronic pancreatitis is associated with a disease of the immune system, in which the immunity attacks its own pancreatic tissues. This disease is known as autoimmune pancreatitis, its reasons until late are not studied.

An autoimmune pancreatitis is often combined with other diseases when immune cells damage healthy fabrics. For example, Crohn's disease or ulcerative colitis that are associated with inflammation in the digestive system.

Sometimes chronic pancreatitis is inherited. It is believed that the cause of the hereditary forms of the disease are mutations (changes) in a number of genes, including PRSS1 and SPINK-1 genes. These mutations violate the normal operation of the pancreas. There is evidence that in some people, under the action of genetic mutations, pancreatic cells are becoming more vulnerable to alcohol.

Other, more rare causes of chronic pancreatitis are installed:

  • pancreatic injury;
  • blockage or narrowing of output pancreatic ducts;
  • smoking;
  • Radiation therapy of the abdomen.

Diagnosis of chronic pancreatitis

The final diagnosis of chronic pancreatitis can only be installed after the instrumental studies. But first, the doctor asks about complaints and conducts a simple inspection. If, according to the results of the inspection, it suspects chronic pancreatitis, an additional study is assigned to confirm the diagnosis.

Research that you can assign:

  • Ultrasonic research (ultrasound), during which, using sound waves, a picture of the inner structure of the pancreas is created;
  • Computed tomography (CT) - with this study, with a series of X-ray shots, a more accurate, three-dimensional image of the organ is created; Endoscopic ultrasonography (see below);
  • Magnetic resonance cholangiopancratography or MRHPG (see below).

During endoscopic ultrasonography in the stomach through the mouth, a flexible telescopic tube (endoscope) is carried out, at the end of which the ultrasonic sensor is located. Being in the immediate vicinity of the pancreas, the sensor allows you to create a high-precision image of the organ and its structure. During the procedure, as a rule, give a sedative (sedative) drug to help relax.

To get a clearer image of the pancreas and nearby organs, such as the liver and a gallbladder, an introduction of a contrast agent must be administered to the MRHP. To create detailed images of the internal organs, the magnetic resonance tomograph uses the magnetic field energy and radio waves. MRHPG makes it possible to estimate whether the causes of chronic pancreatitis stones in the gallbladder were caused.

Sometimes the symptoms of chronic pancreatitis and pancreatic cancer are very similar. Therefore, with the appearance of jaundice (yellow color of the skin and eye proteins) and weight loss to eliminate malignant neoplasm in the gland, biopsy is prescribed. Biopsy is the take of small samples of the pancreas cells and send them to the laboratory, where the material obtained is studied under a microscope in search of cancer cells.

To take biopsy, use a long thin needle, which is injected into the place of the intended tumor through the abdominal wall. To control the accuracy of the needle introduction use ultrasound examination or computed tomography. Alternatively, biopsy is possible during the endospopic ultosonography procedure (see above).

Treatment of chronic pancreatitis

Healing chronic pancreatitis is not possible, but with the help of treatment it is possible to control the course of the disease and reduce the severity of symptoms. If you were diagnosed with chronic pancreatitis, some lifestyle changes are recommended.

The most important thing you can do is to exclude alcoholic drinks from your life, even if alcohol is not the cause of your pancreatitis. This will prevent further damage to the pancreas and reduce the severity of pain. The continued intake of alcohol increases the likelihood of painful pain and the risk of death from complications of chronic pancreatitis.

People with alcohol addiction requires additional help and support to throw drinking. If this applies to you, talk to your doctor to help you find a way to combat alcoholism. For the treatment of alcoholism use:

  • Individual consultation of the psychologist;
  • Participation in mutual assistance groups, such as society "Anonymous Alcoholics";
  • The use of drugs that reduce the thrust to alcohol.

Read more about the common myths about alcohol and their exposure.

If you are subject to this bad habit, try to quit smoking. Smoking worsens the course of chronic pancreatitis, accelerating the violation of the pancreas function. The doctor may recommend antitabachic treatment, for example, replacement therapy with funds containing nicotine (NZT) or drugs that reduce craving for cigarettes. People who use drug therapy are easier to quit smoking than those who count only on their own power.

Since chronic pancreatitis leads to a disruption of food digestion, you may need to change the nature of nutrition, for example, limit the amount of fats in the diet. Your doctor will give you relevant recommendations for changing the diet, and if necessary, will send to a nutritionist.

Medicinal treatment of chronic pancreatitis

Enzyme preparations containing artificial analogs of pancreas enzymes are used to improve digestion. Side effects may include diarrhea, constipation, nausea, vomiting and stomach pain. When developing side effects, tell us about this to your attending doctor, as you may need a dose correction of an enzyme preparation.

Treatment with steroid (corticosteroid) hormones which reduce inflammation, damaging the structure of the pancreas, is appointed in cases where the cause of chronic pancreatitis has become problems with the immune system. However, the reception of corticosteroids for a long time can lead to the development of complications, such as: osteoporosis (bone fragility) and weight gain.

Package. An important component of treatment with chronic pancreatitis is anesthesia. First, weak painkillers are prescribed. If they do not help, stronger preparations have to use.

In most cases, a paracetamol or a drug from a group of non-steroidal anti-inflammatory agents (NSAIDs), for example, ibuprofen is prescribed the first anesthetic drug. Long-term reception of the NSAID increases the risk of ulcers in the stomach, in connection with which you can additionally assign a proton pump inhibitors that protect from it.

If the NSAIDs or paracetamol does not sufficiently reduce the pain, it will be assigned opioid (narcotic) painkillers, for example, codewayin or tramadol. The side effects of this group of drugs include constipation, nausea, vomiting and drowsiness.

Publishers are particularly transported against the background of long-term treatment with opioid painkillers. In such cases, you can help the reception of laxatives. Read more about the treatment of constipation. If you feel drowsiness after taking opioid analgesics, avoid control of the machine or complex mechanisms.

If you are experiencing an attack of strongest pain, you may need even stronger drug, for example, morphine. Its side effects are similar to those of the above-mentioned opioid painkillers. Long-term techniques are not recommended for strong drug painkillers, as it can cause physical dependence on drugs. Therefore, if you are constantly experiencing severe pain, you will be offered surgical treatment.

In some cases, amitriptyline is prescribed as additional treatment. This drug was originally created for the treatment of depression, but some people helps to alleviate pain.

If the treatment is not effective, severe pain can be removed using the nervous blockade. This procedure helps facilitate a few weeks or months. The nervous blockade is an injection (injection), stopping the pains of pain that the pancreas sends.

Worsening state

In case of a sudden strengthening of inflammation in the pancreas, hospitalization is needed to the hospital for a short time. Hospital treatment will include the introduction of liquids into a vein, nutritional support using the probe (tube) and an additional suspension of oxygen to the nose on a special tube.

Surgical treatment of chronic pancreatitis

A surgical operation can be used to treat strong pain in chronic pancreatitis. The choice of surgical technique in each case depends the cause of the disease. Some of them are described below.

Endoscopic intervention. If pancreatitis is associated with the blockage of the withdrawal ducts of the pancreas with gap bubble stones, it is possible to carry out endoscopic treatment with lithotripsis. Lithotripsy is to destroy the stones using shock waves into smaller parts, which are then extracted using an endoscope (long thin tube, equipped with a light source, video camera and mini-tools at one end). This type of treatment to some extent makes it easier for pain, but the effect of the operation may be non-permanent.

Pancreatic resection. In cases where individual parts of the pancreas are inflamed and cause severe pain, they can be surgically removed. This type of operation is called pancreatic resection. Recreation is used when endoscopic treatment is inefficient. The resection technique depends on which parts of the pancreas are subject to removal. For example, some operations include simultaneous removal of part of the pancreas and gallbladder.

As a rule, all types of resection have approximately the same efficacy in terms of reducing pain and preserve the pancreatic function. However, the higher the complexity of the operation, the most likely the risk of complications, such as inner bleeding or infection, and a longer period of recovery after intervention. Discuss all the advantages and disadvantages of methods with your doctors before making a decision on the operation.

Total pankettectomy (complete removal of the pancreas). In the most severe cases of chronic pancreatitis, when most of the pancreas is damaged, it may be necessary to remove the entire organ. This operation is called total pancreatomy (complete removal of the pancreas). This is a very effective way to get rid of pain syndrome. However, after removal of the pancreas, your body will no longer be able to produce a vital hormone insulin. To cope with this situation, a new technique called Autogenous cell transplantation of the island of Langerhans is developed.

It lies in the fact that even before removing the pancreas, the cells of the Islands of Langerhans are extracted, which are responsible for the production of insulin. The cells are then mixed with a special solution and entered into your liver. In case of success, islet cells are coming out in the tissues of the liver and begin to produce insulin there. For a short time, transplantation is effective, but you may need to treat insulin preparations in the future.

Complications of chronic pancreatitis

Damage to the pancreas in chronic pancreatitis often leads to the development of complications in the future.

Approximately 50% of cases, chronic pancreatitis leads to the development of diabetes. This complication develops years after the diagnosis of pancreatitis (usually passes about 20 years before diabetes mellitus).

Diabetes occurs when the pancreas cells are no longer capable of synthesize insulin - a hormone, which is necessary for glucose cleavage in order to obtain energy. Main symptoms of diabetes:

If diabetes develops against chronic pancreatitis, you will need regular injections (injections) insulin to compensate for its absence in the body.

Any chronic disease, especially associated with constant pain, can have a negative effect on emotional and mental health. In the course of the study of patients with chronic pancreatitis, they found out that one of 7 people developed psychological and emotional problems: stress, anxiety or depression.

Another frequent complication of chronic pancreatitis are pseudokists are cavities (bubbles) filled with liquid on the surface of the pancreas. Pseudokists are formed in each fourth patient chronic pancreatitis. In most cases, pseudokists do not cause any symptoms and are a random find when CT-study (computed tomography). However, some people have pseudocysts:

  • bloating;
  • indigestion;
  • Stomach abdominal pain.

If the pseudokists of small sizes and do not cause any symptoms, then there is no need for treatment. They usually disappear independently. Pseudokists are subject to treatment more than 6 cm in diameter causing anxiety. In such cases, the risk of breaking cysts, internal bleeding or attachment infection.

The treatment of pseudokists is to remove fluid from it using the needle entered through the skin. An alternative is endoscopic drainage when through the mouth to the digestive system is carried out a thin flexible tube - an endoscope. The removal of the fluid is performed using special microinstructions.

Sometimes pseudokists are treated, removing part of the pancreas using a low-alignment operation - laparoscopic distal resection of the pancreas.

Chronic pancreatitis is associated with an increased risk of pancreatic cancer. However, in general, this risk is not great. It is believed that the pancreas cancer will only have 1-2 people from 100 patients with chronic pancreatitis. The most common initial manifestations of pancreatic cancer are almost the same as in pancreatitis. They include jaundice, pain in the stomach and weight loss.

What doctor to apply for chronic pancreatitis?

With the help of the service, you can find a good gastroenterologist who is engaged in the treatment of chronic pancreatitis. If there is no possibility to contact a specialist, find a wide profile doctor, such as the therapist or family doctor.

The aggravation of chronic pancreatitis is usually treated on the basis of gastroenterological departments of hospitals and specialized gastroenterological clinics. After reading the reviews, you can choose them yourself by clicking on the links.

If the operation takes place, find a good clinic of abdominal surgery or general surgery.

What is pancreatitis

Pancreatitis is an acute or chronic inflammation of one of the main organs of the endocrine system of our body - the pancreas. The work of the entire gastrointestinal tract and the process of digestion of food depends on the normal functioning of this body.

Pancreas is located in close proximity to the liver right behind the stomach. It performs many functions, the main of which is the synthesis of hormones, in particular, insulin. It also produces digestive enzymes that ensure the processes of splitting and assimilation of fats, proteins and carbohydrates. Food digestion occurs under the action of pancreatic juice coming directly into the duodenum.

Enzymes and pancreatic juice begin to be produced immediately after receipt of any food or beverages in the stomach. Enzymes perform different tasks:

  • lipase - splits fats;
  • lactase, amylase, maltase and invertase convert carbohydrates in monosahara - glucose, galactose and fructose;
  • TRIPSIN - ensures assimilation by the body of proteins.

In fact, pancreatitis is the self-defining of the pancreas tissue produced by it enzymes. Inflammation begins with excessive development of some enzymes in combination with high pressure in gland ducts. Extra enzymes fall into the overall bloodstream, negatively affecting the work of the brain, kidneys and other internal organs.

Causes of inflammation of the pancreas:

  • Alcohol abuse. More than half of the observations (p.36-47) pancreatitis is associated with regular consumption of large doses of alcohol.
  • Pancreatitis is often developing with bricken disease, abdominal injuries, the formation of a cyst in bile ducts, malignant formations in the gland.
  • The disease can be a side effect of the reception of some drugs, such as diuretics.

The risk group includes diabetics, people with other endocrine pathologies and hepatitis B or C. Sometimes pancreatitis develops against the background of pregnancy or after kidney transplant.

How alcohol affects the work of the pancreas

Alcohol in the body disintegrates with the formation of acetaldehydes, which are toxic to humans. Pancreatic cells are especially susceptible to their destructive effects. In addition, the use of alcoholic beverages can cause spasms and the narrowing of pancreatic ducts, which leads to the accumulation of pancreatic juice in it. As a result, digestive enzymes begin to process the gland itself, causing inflammation. Over time, if the disease is not treated, the cells of the glands die (pancreonenecosis) and are replaced by a scar tissue, the body loses the ability to function as before.

It is important to understand that the type of beverage and its quality in this case does not matter. If the drink contains alcohol, it is harmful. Especially negatively at the work of the pancreas can affect the use of alcohol together with fatty food or food with a high glycemic index, since these products create an additional load on the organ.

Types of pancreatitis

The most common classification of pancreatitis relies on the nature of the course of the disease: acute attack or long-term chronic pancreatitis with periodic recurrences. These two forms differ in terms of the severity of symptoms and require different approaches to treatment.

Acute pancreatitis

The inflammatory process in acute pancreatitis develops very quickly and is always accompanied by severe pain. In most cases, the disease occurs against the background of abuse of alcoholic beverages or after receiving a large amount of oily food. Sometimes the exacerbation is preceded by an attack of acute liver colic.

Symptoms of acute pancreatitis:

  • Strong pain in the left hypochondrium, which gives to other organs. The pain attack lasts about half an hour. Especially very pain is felt in the position lying on the back. The attack is enhanced after meals, especially fried and acute, and any alcoholic beverages.
  • Vomiting, often indomitable with an admixture of bile and bitter flavor. Permanent nausea, not passing after vomiting.
  • Subfebrile or high temperature.
  • Sometimes due to the violation of the outflow of bile, the yellowed of eye proteins is observed, very rarely yellow skin shade.
  • In some cases, pain syndrome is accompanied by heartburn and bloating.

With an attack of acute pancreatitis, immediate medical care is required. Anesthetic drugs bring only temporary relief, but do not affect the cause of inflammation. In the absence of qualified assistance, the risk of severe complications increases rapidly: infections to inflamed tissues, necrosis and abscesses.

Acute pancreatitis in severe stage can lead to shock and polyorgan deficiency.

Chronic pancreatitis

If, after the attack of acute pancreatitis, a person does not comply with the recommendations of the doctors and continues to use alcoholic beverages and do not eat, the disease with a high share of probability goes into a chronic stage. Chronic pancreatitis develops with a significant nature of the pancreas damage during the first episode of the disease.

The disease is characterized by gradual pathological changes in the structure of the pancreas cells. Over time, it begins to lose its main function - the production of enzymes needed to digest food. Surrendor deficiency manifests itself:

  • diarrhea
  • bloating,
  • By changing the nature of the forces mass - they acquire a sticky consistency due to a large amount of fat in them and poorly washed away from the walls of the toilet.

Chronic pancreatitis can leak asymptomatic: acute pain appears when significant pathological changes have already occurred in the pancreas. During the attack, chronic pancreatitis is manifested by the same symptoms as acute:

  • Strong hazing pain
  • nausea,
  • vomiting
  • Violations in the intestine.

The diagnosis is made on the basis of ultrasound research, computer or magnetic resonance tomography. During the study, narrowed pancreatic ducts are usually discovered due to the formation of stones in them - calcinates. Hardware techniques can also detect cysts at the site of atrophied tissue. Laboratory blood tests in chronic pancreatitis are little informative.

The insufficiency of the pancreas function is determined by the analysis of the carts. In the presence of a specific enzyme - pancreatic elastase - the diagnosis of "chronic pancreatitis" is made.

The importance of enzymes during digestion

The functioning of the human body is ensured by a complex system of interrelated and interdependent biochemical reactions. Thanks to special protein compounds - enzymes or enzymes - all these reactions are accelerated by providing quick metabolism. The effect of enzymes is very selectively: each of them is capable of initiating, accelerating or slowing down only one reaction.

The digestive process is based on the work of digestive enzymes. Their main task is to make the process of absorbing energy rapid and efficient. Enzymes split the components of food (proteins, fats and carbohydrates) on suction substance suitable for suction. At the same time, the amount of enzyme produced depends on the amount and quality of the eaten.

Digestion of food begins in the oral cavity. The chopped with teeth on small pieces of food is mixed with the saliva, which contains an alpha-amylase enzyme. The better we chew food, the easier it is that the enzyme of the salivary glands turn the starch molecules into soluble sugars and facilitate the process of further processing.

After primary processing, food in the esophage is entered into the stomach, where the gastric enzyme pepsin and hydrochloric acid begin work. These substances create gastric juice, which:

  • Provides antibacterial protection of the body;
  • stimulates the production of pancreatic hormones;
  • regulates the motorcy of the stomach;
  • Splits fats and performs a number of other functions.

In addition to pepsin responsible for splitting large protein molecules, other enzymes are also produced in the stomach, for example:

  • gelatinis - collagen solvent, gelatin and other connective tissue proteins;
  • Lipasa is an enzyme that cleaves some fat molecules to fatty acids and monoglycerides;
  • Hymosine - launches milk protein digestion process.

A significant role in the process of digestion is playing bile. It includes bile acids that stimulate the production of pancreatic secretions.

The stomach of the food lump is evacuated to the duodenum, where the main process of digesting food occurs. It provides more than 20 pancreas enzymes. Enzymes are contained in pancreatic juice, which is produced by iron in the amount of about two liters per day.

Pancreatic enzyme functions:

  • proteases - splitting proteins to amino acids;
  • Nucleases - affect DNA nucleic acids;
  • amylase - splits starch on simple sugar;
  • Lipases - decompose fats for higher fatty acids and glycerin.

The process of digestion under the action of fountal intestinal enzymes and beneficial bacteria living in the intestines is completed. In the intestine there is absorption of recycled food into the body (Fig. 1).

Figure 1. Some important digestive enzymes. Source: Jason Northwest

In violation of the functioning of the enzymes, the organs of the digestive system, especially the pancreas, there is a declaration of the whole organism. Such an imbalance entails nausea, diarrhea, meteorism with subsequent anemia and exhaustion.

What to take during meals with a shortage of pancreatic enzymes

In case of pancreatitis, the process of producing pancreas of digestive enzymes is broken, as a result of which a person suffers from discomfort and pain in the stomach. In this case, replacement therapy may be appointed after a complete examination.

The task of treatment with enzyme preparations is to fill their flaw in the body, while reducing the load on the damaged organ. In some cases, such therapy is appointed for life.

Important! The action of all enzyme preparations begins 20-30 minutes after eating, so drinking them is needed strictly before meals in the appointed doctor of the dosage!

Modern pharmacology offers a large number of different enzyme preparations of animal and plant origin. Some of them are directed only to the replenishment of a lack of some single enzyme, for example, splitting lactose or fats. There are also means of integrated effects appointed with a shortage of several enzymes in various organs of the digestive system.

Pancreatic enzymes are obtained from organs of cows or pigs. The composition of drugs includes basic pancreatic enzymes - amylase, lipase and tripsis. Paric acids, adsorbents or other enzymes may include, adsorbents or other enzymes. All drugs are selected strictly individually taking into account the nature of the course of the disease and the severity of symptoms.

What do you need a diet with pancreatitis

In the process of treatment of pancreatitis, nutrition plays a no less role than drugs. The main goal of the appointed diet is the restoration of the pancreas functions and the normalization of the process of producing digestive enzymes.

Heavy products for processing increase the load on the inflamed organ. After an abundant feast with fat fried pancreasses, the pancreas begins to produce enzymes to digestively. If the gland duces are narrowed, produced in extreme mode, pancreatic juice accumulates in the gland, exacerbating the development of the disease - the affected pancreas begins to digest itself.

The signals that iron works in reinforced mode include:

  • gravity in stomach after meals,
  • heartburn
  • belch
  • Attacks of pain in the area of ​​the stomach.

Of course, constantly sticking to a strict diet is not easy, especially at home. People with strict restrictions in nutrition are forced to prepare themselves separately and hold from the temptations to eat something roasted or sharp.

It is important to understand that one violation of the diet can cause a acute attack of pancreatitis with all the ensuing consequences: severe pain, nausea, vomiting and diarrhea. The only breakdown may not be reduced to all efforts to maintain long-term remission.

Rules diet number 5: What can and what can not be with pancreatitis

Diet with pancreatitis has many restrictions and for permitted products, and according to the method of their preparation. Especially for people experiencing problems with pancreas, one of the founders of domestic dietology and gastroenterology professor I.I. Peusner was developed by dietary table No. 5.

But, before meeting the specific provisions of this diet, it is necessary to take into account the general nutrition principles in Pancreatitute:

  1. It is necessary to eat 5 times a day in small portions;
  2. eliminate fried and marinated products;
  3. Under the acute stage of the disease, food is needed to grind or wipe;
  4. An animal protein should prevail in the diet;
  5. The number of fats per day should not exceed 50 g;
  6. Sugar also falls under a strict restriction - no more than 30 g per day;
  7. Under the prohibition of products that increase the meteorism - sweet carbonated drinks, any legumes, sweet apples and grapes, sweet duff and some others;
  8. Salt consumption is reduced to a minimum - no more than three to five grams.

Important! With pancreatitis, it is possible to eat slow carbohydrates, while it is necessary to monitor the ratio of nutrients in dishes. It is not necessary to deceive that sugar can be replaced with honey, its consumption should also be controlled. At first, it will necessarily need a calculator. It is necessary to immediately calculate the calorie rate per day and the balance of proteins, fats and carbohydrates based on the body mass index. This information is easy to find on the Internet on sites on proper nutrition and a healthy lifestyle. To count calories and the number of nutrients there are various mobile applications.

All listed principles are taken into account in Diet No. 5, which exists in basic and expanded versions.

The basic variant is shown in recurrences of chronic pancreatitis and in the acute nature of the disease. In the acute phase, the diet is more strict with many limitations. It is aimed at unloading the pancreas and the removal of symptoms of acute inflammation. In the first 3 days of the acute stage, the patient recommends starvation for the pancreas leisure. Next, for 3-7 days, powered by carbohydrate products with small portions with small intervals is allowed. The calorie content of the diet these days should be reduced, and food is used only in a rubber or semi-liquid form.

Important! It is common that with any problems with digestion, the boiling broth helps well, especially chicken. In pancreatitis, diseases of the gallbladder and other pathologies of the gastrointestinal gastrointestinal ribric broths are categorically contraindicated! An excessive amount of animal fat significantly increases the load on the pancreas and prevents the normalization of the state.

The diet includes porridges on water and vegetable soups with various croups, except for breast and corn, boiled or cooked with a pair of rubber vegetables. Sustained tea, kissel, compote from dried fruits are allowed from drinks. The bread is allowed only white and slightly snapped, you can eat crackers and biscuits like Galet.

On the third day of carbohydrate diet, protein products are gradually introduced:

  • Soup from lean meat, it is advisable to cook broth from veal, turkey or chicken breast, meat from the broth should be skipped through a meat grinder or crushed in a blender;
  • Omelet, cooked for a pair or eggs sick;
  • steam cutlets from lean meat or low-fat fish;
  • Curd casseled and souffle of cottage cheese with minimal fat.

Diet number 5 is recognized as to spare the pancreas, which in the aggravation stage needs a complete peace. Allowed and prohibited products for the basic diet are shown in Table 1.

Important! The predominance of protein food in the diet can lead to constipation. In this case, you need to add more raw vegetables and fruits from the allowed list. When gave preference is given to proteins of plant origin or sea fish.

Table 1. Allowed and prohibited products according to the basic version of diet No. 5.
Category Can It is impossible
Beverages

Sustained tea with lemon adding and small sugar

Decoration of Ryshovnika

Water diluted vegetable and fruit juices

Compote and fresh fruit compotes without sugar

Strong coffee

Chocolate and cocoa

Carbonated drinks

Any alcohol including beer

Packaged juices

Green tea

Soups (base diet)

Vegetable soups without roasted

Cruel soups or noodle soup

Borsch on the broth from lean meat without roasted

Dairy noodles

Classic borsch with roasted vegetables

Rassetnik

Ear

Shattered soup or spinach soup

Solyanka

Occard on kefir, kvass or serum

Cereal and products from croup

Buckwheat, oat, rice porridge on water or dilute milk

Pilaf with dried fruit

Linen porridge

Casseroles and puddings from croup

Millet porridge

Pea mash

Pasta Any of the solid wheat varieties Pasta with meat additives and sharp sauces, for example, carbonara paste
Meat and fish

Beef, Velyatin

Turkey and chicken without leather, preferably white meat

Seafood - in limited quantities

Sea fish (2-3 times a week)

Dairy sausages - very limited

Pork

Mutton

Fat river fish

Sub-products

Canned fish and meat

Smoked sausages

Sushi rolls

Meat semi-finished products

Caviar

Bread

White yesterday

Bread with bran

Cracker

Crackers

Any sweet pastries

Double Test Products

Pancakes, pancakes

Fresh bread

Roasted Patties With Any Stuffing

Milk products

Low fat dairy products

Sweepers

Natural yogurts without additives

10% sour cream

Fat milk products

Milk serum

Solid cheeses

Strong salted brine cheeses

Vegetables (better consuming seasonal)

Avocado

Potatoes

Zucchini

Cauliflower

Tomatoes (only in the remission stage and in small quantities)

Sea cabbage

Celery

Canned and pickled

Mushrooms

Onion garlic

Corn, asparagus, eggplants, radish and radishes

White white cabbage

Berries and fruits

Apples

Bananas in limited quantities

Grenades

Prunes

Watermelon (no more than 200 g)

Orekhi

Seeds

Any fresh berries

Fig

Citrus

Melon

Persimmon

Butter

Creamy - 30 g per day

Refined sunflower

Olive

Unrefined vegetable

Fat

Margarine

Eggs

Steam or cooked Omelet, preferably protein

Cool or ski

Fried egg

Fried eggs with tomatoes

Omelet in a frying pan

Salads and snacks

Squash caviar

Malossal herring

Vegetable salads

Sauerkraut

Ginger

Maslins

Canned vegetables and snacks

Sweets and desserts

Marmalade, Ledges

Kissel, jelly

Caramel

Dry Biscuit

Galley

Cakes, cakes

Ice cream

Chocolate

Walnut desserts - Kozinaki and others

After removing the symptoms of acute pancreatitis, the diet is expanding, and other products are added to it, the amount of protein in the diet and the overall caloric content of nutrition increases. At the same time, the gentle principle is maintained for a long time to minimize the risks of recurrence of the disease. All dishes should be cooked or cooked for a couple, too hot or cold products can not be. At the first signs of exacerbation, it is necessary to immediately switch to the first version of the diet with less calirage and large restrictions.

Important! Pancreatitis is especially harmful: alcohol, chocolate, coffee, carbonated drinks.

Diet with pancreatitis balanced and rational, all its components are easily absorbed. Despite significant restrictions, delicious and nutritious dishes can be prepared from the permitted products.

Partially limited products

With the second version of the diet, sometimes you can pamper yourself with marshmallow and dissolved in tea jam. Parsley and other greens are better used only for decorating dishes. Melon and pineapples can be eaten in a dried form, but in small quantities.

Approximate menu with pancreatitis for a week

Strict recommendations for the daily menu with diet number 5 is not. For a reference, you can use the menu in Figure 2, replacing dishes at your discretion, taking into account the preservation of the balance of proteins, fats and carbohydrates and general calorie content.

Figure 2 - menu for a week with chronic pancreatitis (diet number 5P). Source: Medportal

Replacing dishes in the menu, you need to adhere to the recommendations for the preparation method: products can only be cooking, bake or cook for a pair. The diet for the acute stage of the disease will always be more strict than for chronic pancreatitis in the remission stage (Fig. 3).

Figure 3. Day menu for patients with acute and chronic pancreatitis.

Dietary dishes recipes with pancreatitis

In Figure 4, we collected several simple recipes from the allowed products. More recipes for people with chronic pancreatic diseases can be found in the book "Chronic Pancreatitis Cookbook", published on the website of the American National Foundation for Support Patients with Pancreatitis. Please note that recipes in this book are not fully consistent with Table No. 5.

Figure 4. Recipes dishes for people with pancreatic diseases. Source: Medportal

What herbs can drink

To facilitate the state after consulting with a doctor, you can drink champs of medicinal herbs.

Elan

"Elan" is a finished collection of Altai herbs sold in pharmacies. It has anti-inflammatory action. Prepare a decoction must be prepared on the packaging.

Parsley

Parsley has a pronounced anti-inflammatory and antioxidant effect, stimulates the secretion of the stomach. In chronic pancreatitis, the infusion of fresh crushed parsley takes 2-3 times day half an hour before meals.

Herbal fee number 213

The collection includes a number of useful plants useful with inflammation: the chamomile pharmacy, wormwood bitter, horsetail and other herbs. Ramars based on a collection prepare on the recommendations on the package.

Diet for children

In children under 14, chronic pancreatitis is detected extremely rarely. When diagnosing an acute form of disease, food is organized in the same way as in adults.

Diet for pregnant women

Pregnant women are often faced with problems associated with the work of the gastrointestinal tract. Pancreatitis can develop due to the abuse of vitamin complexes or due to excessive pressure on the pancreas on the side of the uterus.

The principles of a diet for pregnant women are not different from a common diet with pancreatitis. However, during pregnancy it is extremely important to provide a full-fledged diet necessary for the development of the fetus. As part of food in sufficient quantities must be present:

  • proteins (low-fat meat and fish, dairy products, eggs, legumes),
  • Complex carbohydrates (cereals, pasta, fruits and vegetables),
  • Fats (vegetable oils),
  • Vitamins and minerals.

Conclusion

Compliance with a strict diet with pancreatitis - the basis of successful therapy. The effectiveness of diet number 5 is confirmed by many years of clinical practice. Proper nutrition is the same important component of treatment, as well as drugs, so the recommendations of the attending physician in no case should be neglected.

Sources

Guberngritz N. B., Krylova E.A., Gaidar Yu.A., Burka A.A. Features of pathogenesis, progression and structure of pancreatic fibrosis during chronic pancreatitis. Medical alphabet. 2019; 3 (20): 11-15.

With an inflammatory process in the pancreas, a sinking pain occurs in the upper part of the abdomen, the digestive and endocrine function is disturbed. To stop the inflammatory process, it is recommended to carry out drug treatment, adhere to dietary nutrition and use the methods of traditional medicine.

In acute pancreatitis, the attack is removed in the hospital, but in order to prevent his re-exacerbation, it is necessary to additionally carry out the treatment of the pancreas at home.

How to avoid exacerbation

To reduce the severity of pain syndrome and dyspepsia, the patient must minimize the risk of repeated pathology. The aggravation of chronic pancreatitis can be provoked by the following factors:

  • violation of the diet;
  • alcohol use;
  • infectious diseases;
  • pathologies of the digestive tract (gallway disease, neoplasms, cholecystitis, enteritis, gastritis, gliste invasion);
  • endocrine disorders;
  • Blood impairment in the area of ​​the organ.

At home, the patient must comply with the dietary table No. 5P. During the exacerbation of pancreatic gland diseases from the diet, it should be excluded:

  • Fresh vegetables and fruits;
  • Mushrooms;
  • pickles;
  • smoked and sausage products;
  • carbonated drinks;
  • baking;
  • first dishes on a strong broth (fish, meat, mushroom);
  • fast food;
  • sharp, fried, fatty dishes;
  • High sugar products (grapes, honey, sweets, cherry, strawberry, apples, bananas, lentils).

Ban alcoholIt is strictly forbidden to eat alcoholic beverages even with low alcohol content.

When aggravating the patient's menu, it is allowed to include:

  • crackers, dry cookies;
  • Soup-puree Vegetarian or on the second broth;
  • steam cutlets;
  • Eggs sick (no more than two per day), steam omelets;
  • baked apples;
  • Kissels, compotes, mineral water;
  • fermented dairy products (cottage cheese, sour cream, ryazhenka, yogurt, kefir, prostroprious, patch;
  • dried fruits;
  • Sea cabbage;
  • oatmeal, buckwheat, peashed porridge;
  • Vegetables after thermal processing (carrots, zucchini, potatoes, beets, cauliflower cabbage and white).

The patient should eat every 4-5 hours, but small portions to reduce the load on the digestive tract. Dishes Be sure to cook for a couple or boil.

Pancreas Recovery Preparations

In Pancreatitis, drugs are prescribed from several pharmacological groups that are designed to reduce pain syndrome, get rid of symptoms, improve the digestive process. Taking medicines needed for a long time - from several months to six months, and if the functional failure has developed, the drugs need to drink life.

The duration of drug therapy depends on the severity of the symptoms and severity of the pathology of the pathology, so it is established by the attending physician individually after the instrumental and laboratory surveys. Antispasmodics (but-shpa, eufillin, papaverine) can be used to remove pain. These drugs relax a smooth muscles, which makes it easier for the outflow of the secrets of the pancreas. Since the pressure is reduced in the organ itself, it is possible to eliminate pain syndrome.

To reduce the production of pancreatic enzymes, they take funds that slow down the synthesis of hydrochloric acid or neutralize it. With this purpose, antacids, proton pump inhibitors, H2-histamine antagonists can be used. Antacid agents are neutralized with hydrochloric acid, but do not affect its production, so the action will last up to several hours.

Proton pump inhibitors and H2-histamine antagonists affect cells that run the synthesis of hydrochloric acid. They need to be taken once a day. Antihistamines, such as Supratin, Zoda, Tueva, have a sedative and antiemetic effect. They are prescribed in food allergies.

Than to treat the pancreas, a doctor will tell me how to take into account the individual tolerance of drugs, the age of the patient, the stage of the disease, the severity of the course of the disease, accompanying pathologies.

At the initial stage of pancreatitis, the leading sign of pathology - pain syndrome (hurts in the epigastric region), with the development of pain pain pass, and the symptoms of functional failure come to the fore. Therefore, replacement therapy is appointed by enzymes, preparations that reduce meteorism, enveloping means are being taken.

Pancreas

How to reduce pain in exacerbation

If stomaching pains appeared and they increase in 20-40 minutes after meals, it may indicate inflammation in the pancreas. Additional symptoms of the disease are dyspeptic disorders: vomiting, nausea, stool impairment, meteorism, steatheree (bold).

With pancreatitis, it is necessary to reduce the functional load on the gland. To do this, it is necessary to completely abandon meals (in severe cases, the healing starvation lasts up to four days). In the first day it is impossible, it is possible only to drink mineral non-carbonated water, wild rose, fastening tea. For the next day, you can add steam cutlets, porridge on water, omelet, boiled vegetables.

Further, the diet can be expanded by ferrous food, fruit and berry compotes and kissels, baked apples and pears. Any fried, sharp, smoked, fatty dishes, chocolate, strong broths, canned food and sub-rods fall under the prohibition. Such a diet is required to comply with 1-2 months. In the future, you need to adhere to rational nutrition.

Diet 5P.Diet number 5P must be observed within a few months, and in severe cases - until six months

In vomiting and nausea, you can drink Cerukal or Motilium (1 tablet 3 times a day 30 minutes before meat). To reduce painful syndrome, doctors are usually prescribed omeprosol or Famotidine (40 mg per night for 10-14 days), which affect the production of hydrochloric acid, as well as enzyme preparations, such as Creon, Pancreatin (they are drunk 3 times a day before the meal, Course - about a month).

If the pain is strong, then it is recommended to take a balallgin, diclofenac or paracetamol (maximum dose - 2-3 tablets per day, drinking them no longer than 5-7 days). Capable to help reduce pain sensations of antispasmodics (but-shpa, drootaverin), they need to take 2 tablets three times a day, and then replace them with Duspatalin (200 mg 2 times a day in a month term).

Funds of traditional medicine

Composition of complex therapy can be used by chasters and infusions on the core of medicinal plants with anti-inflammatory, enveloping, antiseptic, painful effect.

Before patronating the pancreas at home, it is necessary to consult with a doctor, because, despite its naturalness, plants can be contraindicated in some concomitant pathologies, they can provoke allergic reactions. In chronic pathologies, treatment with folk remedies is justified, as it contributes to the onset of long-term remission.

Treat the pancreas at home by the following means:

Population Folk RatingsHow to treat pancreas folk remedies

  • Herbal decoction. For its preparation, daisy flowers (10 g), dill seeds (30 g), hawthorn fruits (20 g), immortelle (20 g), peppermint leaves (30 g). All components are crushed. Two spoons of collection are poured with 500 ml of boiling water and maintained on a small fire for 2-3 hours. You need to drink tea 30 minutes after meals 2-3 times a day;
  • Mix with honey. It is necessary to take 50 g of the root of AIR and dandelion and 25 g of thyme, nettle and bumps of hops. All crushed and mix. 5 tablespoons of the mixture should be mixed with 200 g of honey. Take the tool is required twice a day on a small spoon, the course lasts a month. Such therapy can be carried out only during the remission;
  • Herb tea. Make a collection of chamomile, calendula, grains of corn, peppermint and plantain. All components are taken equal to the quantity. A glass of boiling water put one spoon of collection. You need to drink such tea three times a day;
  • "Oatmeal milk. For preparation, 100 g of crude oats grains will be required. They need to be rinsed, pour into enameled dishes and pour water liter. To withstand on slow heat for about an hour. After cooking grain, you need to suppress and strain the resulting broth. Drink this drink is needed 3 times a day by half a cup. Store the remedy in the refrigerator, but not more than two days;
  • Broth with flax. It is necessary to mix 2 tablespoons of flax seeds, as many hunter, blueberry leaves, nettle, crust crust, peppermint, valerian herbs. Two spoons of collection fall asleep in thermos and pour 300 ml boiling water. The drink must be incanded to all night, after it needs to be strain. All infusion should be made in three receptions during the day;
  • Tibetan tea. In its composition, chamomile, birch kidneys, the inflorescences of immortelle and St. John's wort, taken in equal proportions. The drink is prepared from one tablespoon of the collection, which poured 500 ml of boiling water and insist for 5-7 minutes;
  • Collection with chicarium, blueberry leaves, sage, burdock root, corn strokes, vasil flowers, bean flaps. Two tablespoons of the collection fall asleep in the thermos and withstand 12 hours. Then filter and drink 50 ml. This infusion prevents the development of diabetes and congestive phenomena in the pancreas;
  • Potato juice. It needs to drink 100 ml for 14 days. After you need to make a ten-day break;
  • Oat decoction. Digid oat grains will be required. In order for grains to sprout, you need to put them in a ceramic container with water, cover marley and put in a warm place. Young shoots are washed, dried and crushed. A tablespoon of medication is poured with a glass of water, put on fire for two minutes and immediately drink. Drinking tool need in the morning on an empty stomach.

For the treatment of pancreas, decoctions and infusions need to be used before meals, preferably in 12-30 minutes. To reduce the weight, normalization of blood glucose, the intestine cleansing, folk healers advise to use buckwheat, pre-closed in kefir. Porridge is preparing: 50 g washed cereals are poured with kefir and leave all night at room temperature.

GlucometersReducing the endocrine pancreas function can lead to diabetes

Restores the function and structure of the pancreas 20% of the propolis tincture. It contains useful substances that contribute to the regeneration of tissue, have astringent, antiseptic and anti-inflammatory effects. The tool can be purchased at the pharmacy or prepare independently.

To treat the body, you need to take 1 tablespoon of crushed propolis and pour 500 ml of vodka and leave stand in a dark place for 2-3 weeks. This tincture can be drinking 50-60 drops (dessert spoon), adding them in 100 ml of warm milk or in a chamomile decoction.

In case of diseases of the pancreas, a secretory function is reduced, so official medicine recommends to use enzyme preparations, and unofficial advises during remission at the same time there is a little fresh or canned pineapple, kiwi or figs. Enzymes that are contained in fruit help digestion and do not have side effects.

If tumor processes occur in the gland, it is assigned tools containing a socket, chagu, Cyprus, a bundle and dandelion to reduce intoxicating and normalizing digestion.

If you comply with the diet, carry out the prevention of diseases that can provoke inflammation of the pancreas, apply the methods of traditional medicine, refuse to eat alcohol and smoking, it will allow you to achieve a stealing remission and avoid functional failure (to cure pancreatitis it is impossible). Otherwise, the rest of life will have to take enzyme preparations.

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We will help with the choice of drugs in pancreatitis

Content:

  • Which pills can be used in pancreatitis
    • Blockers receptors and proton pumps
    • Enzyme preparations
    • Analgesics and antispasmodics
    • Additional means
  • How to choose the drug with pancreatitis

Pancreatitis is inflammation of the pancreas that can flow in acute or chronic form. The disease is accompanied by a violation of the outflow of the secret from the authority, as a result of which the enzymes begin to destroy the cells of the gland, and the digestion of food in the intestine almost stops. To stop this process, experts practice the treatment of pancreatitis by medicines with various properties: to eliminate symptoms, neutralization of enzymes in the gland or replenishing their lack of intestines. Special attention is paid to lifestyle and diet.

Fig. one

From how correct the choice of drugs, not only the result of therapy, but also the life of a person depends on. Incorrectly chosen preparations for pancreatitis are able to reduce the efforts of doctors to save the life of the patient. As a result of improper treatment, necrosis of the pancreas, diabetes can develop. There are often cases when an abscess is formed in the authority, the breakthrough of which leads to peritonitis, the formation of fistulas between the pancreas and located near the authorities. All these diseases are dangerous to the high risk of fatal outcome or a significant deterioration in the quality of the patient's life.

Which pills can be used in pancreatitis

In case of disease, pill pancreatitis is selected taking into account the available symptoms, and the main purpose of their reception is to unload the pancreas and reducing its activity. Suspend the synthesis of digestive enzymes of organs helps the drugs of the following groups:

  • Blockers of proton pumps and inhibitors of H2-histamine receptors;
  • enzyme preparations with pancreatin;
  • Motropic spasmolyts;
  • Analgesics.

Fig. 2.

This set of funds is sufficient to eliminate the inflammatory process and restoring the functions of the pancreas. Preparations of other groups (enterosorbents, funds that save from heartburn, antibiotics, etc.) are prescribed if necessary or complications.

Blockers receptors and proton pumps

This group of medicines does not affect the gland directly on the gland, but partially or completely stops the extraction of hydrochloric acid in the stomach. As a result of the reduction in its synthesis, the pancreas receives a signal that the body does not need digestive secretion. The slowdown in the body leads to a more rapid restoration of its functionality, and the risk of complications is reduced.

Fig. 3.

When choosing funds to reduce the secretion of hydrochloric acid, it is possible to make a choice in favor of drugs that block H2-histamine receptors or inhibitory proton pumps.

N2-histamine receptor blockers (Roxatidine, Ranitidine, Famotidine and Lafutidine) suspend only one mechanism for the production of hydrochloric acid in the stomach (on garbage and acetylcholine receptors such drugs do not affect), there are short time, have side effects and cause addictive.

Fig. four

Proton pump inhibitors ("omeprazole", "Pantoprazole", "Rabeprazole" and others) are more efficient and safe, do not cause side effects and addiction, there are long and suspend the formation and separation of hydrochloric acid, acting on the shelter cells of the stomach walls. Reviews of the effectiveness of these drugs in most cases are positive.

Enzyme preparations

Enzymes - indispensable drugs for pancreatitis that allow you to restore the process of digestion and unload the pancreas. Drugs for pancreatitis of this group are represented by pills with pancreatin, including plant origin ("Pancreatin", "Mesim Forte", "Pepfaz", "Wobenzyme") and acid-resistant capsules with microgranules of the programmed release ("Creon", "Ermal", "Micrazim ").

Fig. five

When choosing enzyme preparations, the role plays not only the dosage of actors. Specialists pay attention to the course of the disease, the causes of its occurrence, the presence of concomitant diseases or intolerance to individual components.

Important! Tablets with a bile, turmeric extract and simeticone with pancreatitis are contraindicated, since they not only reimburse the lack of enzymes, but also enhance their synthesis in the pancreas, provoking inflammation.

The most efficient and safe drugs suitable for the treatment of pancreatitis, gastroenterologists call:

Fig. 6.

  • Capsules "Creon";
  • Capsules "Ermal";
  • Mikrazim capsules.

The listed drugs are used in chronic pancreatitis, as well as in power errors to prevent exacerbations. Reviews of them in most cases are positive, but the likelihood of side effects during their reception is not excluded.

Analgesics and antispasmodics

In acute inflammation of the pancreas or the exacerbation of the chronic process, it is important to eliminate pain syndrome. For this use analgesics and antispasmodics. The first is well coped with discomfort, which occurred during primary inflammation. Antispasmodics are also recommended to use with pain syndrome caused by the pressure of cyst, pseudokist and stones on the gland ductures.

Fig. 7.

Recommended to use analgesics in pancreatitis:

  • Paracetamol is an efficient and safe drug that does not irritate the gastric mucosa and helps reduce inflammation.
  • Analgin is a potent drug that is used independently or in a complex with spasmolitics.
  • Baralgin is similar in composition and action with analgic agent.

Preparations with anesthetic effect are not devoid of flaws. They can irritate the mucous membranes, cause allergies and affect the work of the cardiovascular system, liver and kidney. Therefore, they are prescribed, taking into account the individual characteristics of the patient. Nevertheless, the reviews about these painkillers are more often positive than negative.

If sharp pains appeared due to an increase in pressure in pancreatic ducts, analgesics will be ineffective. To eliminate symptoms, it is better to use antispasmodics:

  • Papaverin is a means based on the connection of the same name, which effectively relaxes the smooth muscles, from which the PJ dlys consist.
  • DROTAVERIN - Miotropic spasmolitic, which contributes to the restoration of pancreatic ducts under their spasme. It has a weakly pronounced anti-inflammatory effect.
  • Mebavverin (Duspatalin) is a drug with a pronounced and long effect, but acts mainly on the smooth muscles of the stomach, intestines and bile ducts. Its use is especially useful in secondary pancreatitis, arising against the background of the pathologies of the gallbladder.

Fig. 8

Each of the listed drugs is positively assessed by patients. In rare cases, the reviews contain negative, and often it is caused by non-quality of drugs, but their high cost.

Experts note that antispasmodics require strict dosage, as they affect smooth muscles throughout the body, including myocardium, vascular walls, bladder. They are not prescribed patients with reduced arterial pressure, some types of arrhythmias, a bowel atony.

Additional means

In addition to enzyme preparations and painkillers for pancreatitis, prebiotics based on soluble food fibers are recommended. They are needed to restore intestinal microflora and protect the pancreas from excessive load.

If the fibers and glucose, which stimulate the PZ stimulate the digestive secret and insulin are absorbed into the fiber digestive tract. Thanks to this, iron functions due to its capabilities, which allows it to recover faster. In addition, the soluble fiber is a good nutrient medium for useful microflora, as a result of which the absorption of the main nutrients in the thick intestine is improved.

The source of soluble fibers can be all kinds of cabbage, citrus, apples, beans and pumpkin, zucchini and carrots, oat groats, prunes and whole grain bread. Unfortunately, most of the products listed during exacerbation are prohibited for receiving, as they cause bloating and violation of the chair. Replace them with rye bran or husky plantain. A more convenient and safe option is the "Smart Fireber" additive. The fiber in it has a powder structure, which is dissolved without a trace in any food and beverages, without changing the taste, color and consistency of the dish. On a day, it is enough to use one spoonful tool to cover the daily need for food fibers and get rid of the unpleasant feelings in the abdomen.

How to choose the drug with pancreatitis

Make the right choice in the treatment of pancreatitis pills and soberly appreciate which one is better, can only the attending physician. Even the most expensive and modern medicine may not be suitable for a number of reasons: due to concomitant diseases, intolerance, the characteristics of the body.

A tool that helped a neighbor, a relative or friend can lead to serious complications. The lack of effect is less, which can happen when taking an incorrectly selected drug. The symptoms of pancreatitis may well join the problems with the heart, the brain, the blood system. Therefore, the choice of funds can only be entrusted with a gastroenterologist.

To reduce all sorts of risks, you need to tell the doctor about all diseases, intolerance to drugs and allergies (if any), recently transferred or existing diseases. It is also worth telling about which drugs are constantly being accepted, even if it is vitamins or biologically active food additives. This information will help you choose effective and secure funds in the desired dosage.

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