Chronic pancreatitis

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Chronic pancreatitis is a long-term inflammation of the pancreas (more than 6 months), characterized by a decrease in function, degenerative changes in the tissues of the pancreas.

Chronic pancreatitis is extremely common. It usually accompanies diseases of the stomach, intestines, liver and gallbladder. Chronic pancreatitis can drag on almost asymptomatically, manifesting itself only in laboratory or instrumental diagnostics, but periodically worsen.

Causes of chronic pancreatitis

In first place among men – long-term alcohol abuse. In women, the predominant cause is gallstones or biliary dyskinesia.

In addition, in the development of chronic pancreatitis nutrition plays a big role. Eating fatty, fried and smoked foods can exacerbate existing chronic pancreatitis or, with constant intake, lead to the development of inflammation of the pancreas.

Secondary reasons are infections, injuries, pancreatic cysts, condition after abdominal surgery.

Symptoms of chronic pancreatitis

Outside of exacerbation, chronic pancreatitis manifests itself mainly by a decrease in exocrine function. For long-term inflammation part of the active tissue of the pancreas is replaced by connective tissuecicatricial, the blood supply to the gland tissue is disturbed, and therefore its enzyme-excretory function.

Not enough digestive enzymes enter the intestine during digestion, which is manifested by dyspepsia. An unstable stool appears, with a tendency to diarrhea. Food is not completely digested, nutrients and vitamins are poorly absorbed. This leads to flatulence, bloating, weight loss, hypovitaminosis. As a result of a change in the environment in the intestine, the composition and number of intestinal microbes change, which leads to dysbacteriosis.

often changes and endocrine function of the pancreasbecause it secretes insulin into the blood – the main hormone of carbohydrate metabolism, develops diabetes second type. Appears dry mouth, itchy skin, thirst.

With errors in diet, stress, after drinking alcohol, exacerbation of pancreatitis is possible. The clinical picture of exacerbation is similar to manifestations of acute pancreatitis, but less pronounced. Girdle abdominal pain, nausea, weakness, vomiting, loose stools are characteristic.

Read more: Treatment of chronic pancreatitis

Treatment of chronic pancreatitis:

Outside of exacerbation, patients are advised to adhere to diet No. 5. In the diet, fried foods, animal fats, spices, seasonings and spices are limited. It is not advisable to eat foods that cause bloating and stimulate secretion: cabbage, legumes, carbonated drinks, sweet fruits (grapes, raisins, bananas), strictly limit alcohol. Food should be taken fractionally 5-6 times a day, in small portions.

During a meal, a course intake of enzymes (Mezim, Creon, etc.) is prescribed, which facilitate the activity of the pancreas and normalize the digestion of food.

For pain, it is recommended to take antispasmodics (“No-shpa”, “Platifillin”, etc.). Great importance is given to the normalization of bowel function, carminatives are prescribed to reduce bloating, pro- and prebiotics, etc.

Exacerbation of chronic pancreatitis is desirable to be treated in a hospital. However, with a slight exacerbation, the patient is allowed to stay at home.

In case of exacerbation, drugs are prescribed that reduce the secretion of the pancreas, detoxification agents, and painkillers.

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