Pancreatitis - symptoms and treatment, signs of an attack

At the heart of pancreatitis is an inflammatory process that occurs in the tissues of the pancreas. As a result, the detrimental effect leads to damage and correction of the internal and external-secretory functions. This process contributes to metabolic disorders.

Because of pancreatitis, enzymes that are produced by the pancreas by default for digesting food do not begin their work in the lumen of the duodenum, but in the pancreas itself.

As a result, the gland begins to digest itself, thereby giving an impetus to the appearance of pancreatitis symptoms. Enzymes are produced in the circulatory system, and spread throughout the body of an adult - causing abundant intoxication of the body.

The number of people suffering from pancreatitis is increasing every year. People who are prone to overeating, lovers of fatty foods and alcohol are in the danger zone, and are prone to pancreatitis.

Causes of Pancreatitis

Gallstones and alcoholism are the causes of almost 90% of hospitalizations due to acute pancreatitis. According to some reports, over 40% of all patients are alcoholics with pancreatic necrosis or destructive pancreatitis.

If a person has a tendency to chronic overeating, the risk of pancreatitis increases significantly, especially with the abuse of fatty, fried foods. Also to the development of pancreatitis can cause colds, flu, herpes, food allergies, gastritis, appendicitis.

As for risk factors, people who have these habits or diseases are most susceptible to the occurrence of pancreatitis:

  • alcoholism and smoking;
  • abdominal trauma;
  • vascular diseases;
  • violation of the outflow of bile;
  • constant consumption of large amounts of fatty, fried, smoked, spicy foods;
  • connective tissue diseases;
  • diseases of the stomach and duodenum (peptic ulcer, gastritis, tumors);
  • genetic predisposition;
  • taking certain drugs (tetracyclines, sulfonamides, cytostatics);

After suffering acute pancreatitis, the chronic form can develop, and this is already fraught with the development of diabetes and other serious consequences, up to pancreatic cancer.

Symptoms of Pancreatitis

Pancreatitis and its symptoms will depend on the form of the disease, only acute and chronic pancreatitis is emitted.

During the period of acute pancreatitis, symptoms develop as with severe poisoning. First of all, it is the strongest pain in the upper abdomen (the epigastric region, the right or left hypochondrium), as a rule, of shingles. After taking painkillers or antispasmodics, the pain does not subside. In case of late delivery of medical care and pain relief, the patient may experience a painful shock.

Also characteristic is a pasty foamy stool with an unpleasant odor, containing particles of non-digested food. In most cases, nausea, repeated vomiting, sometimes it can be without gastric contents. The patient has a characteristic look: he is exhausted and covered in sweat, his pulse is quickened, his breathing is shallow, frequent. As a result of intoxication, dehydration of the body, blood pressure drops, consciousness is disturbed. Collapse and shock may develop.

Acute pancreatitis develops unexpectedly and usually lasts a short period of time. With the above symptoms of pancreatitis in a person, the condition worsens with every minute, it is impossible to delay in such cases and it is necessary to call an ambulance as soon as possible.

As for the chronic form of the disease, the pain syndrome is less pronounced.

Symptoms of chronic pancreatitis

In the case of chronic pancreatitis, symptoms of disorders of the digestive and endocrine functions of the gland come to the fore. Chronic pancreatitis can take some time without visible symptoms or mask itself as other diseases of the abdominal organs.

During chronic pancreatitis, two periods are distinguished, the initial one, which can last for years and then manifest itself as specific symptoms, then subsides, and a period when disturbances and injuries in the pancreas are pronounced and annoy the person regularly.

In the initial period, the main manifestation is pain syndrome. Pain (less intense than in the acute form of the disease) shingles, localized in the upper abdomen. Pain can be shingles, decrease in a sitting position, when the body is tilted forward, often occur 20-40 minutes after a meal.

Chronic pancreatitis is also characterized by dyspeptic disorders of the body: loss of appetite, belching, diarrhea, nausea, vomiting, flatulence, constant rumbling in the abdomen. A person loses his appetite and quickly loses weight. Most characteristic pains are provoked by excessive consumption of fatty, fried foods, alcohol or an abundance of carbonated drinks, as well as chocolate and coffee.

Based on the various symptomatic complexes experienced by patients with chronic pancreatitis, there are several types of disease, each of which has its own clinical symptoms.

  1. Dyspeptic - marked bloating, diarrhea, weight loss.
  2. Asymptomatic - may not manifest itself for years.
  3. Pseudo-tumoral - the main sign of yellowness of the skin, sclera and others.
  4. Pain - after eating and especially alcohol, pain occurs.

As a result of chronic pancreatitis, the form of the pancreas can change so much that it will begin to put pressure on the duodenum and interfere with the passage of food, besides its ability to produce enzymes and hormones is reduced, and secretory insufficiency is formed.

In chronic pancreatitis, Tuzhilin's symptom can be observed - the appearance of bright red spots in the abdomen, back, chest, which are aneurysms and do not disappear when pressed.

Pancreatitis treatment

Patients suffering from acute pancreatitis are subject to immediate hospitalization in the intensive care unit, where they are examined on an emergency basis and prescribed the necessary treatment.

The main goal of treatment is to eliminate pain, correct pancreatic dysfunction, prevent and treat complications. Medications for pancreatitis are prescribed to relieve the inflammatory process, eliminate pathogenic factors, reduce pain, normalize digestion in the small intestine.

In the first few days of the development of severe acute pancreatitis, the question of surgery may arise. Surgical treatment is indicated for suspected destructive pancreatitis and for signs of peritoneal inflammation, as well as for the failure of conservative therapy.

Severe pancreatitis caused by gallstones is treated endoscopically or operatively. Surgical intervention involves removing the gallbladder and sanitizing (cleaning) the ducts.

How to treat pancreatitis folk remedies

It is important to understand that folk remedies can be used in the treatment of pancreatitis at home only as an additional therapy with the permission of the attending physician.

  1. It is necessary to take one tablespoon of infusion of motherwort, immortelle and calendula. All this mix and pour boiling water. Infuse for 60 minutes, then strain and drink 5-6 times a day. The volume of a single portion is 125 ml.
  2. Crush and mix the infusion of iris and wormwood in equal proportions. Type a tablespoon of the mixture and pour boiling water. After 50 minutes, you can drink, pre-straining the decoction. Take 1/3 cup three times a day 20 minutes before meals.
  3. Extensive decoction of herbs. This will require such components in equal proportions - a string, dried bread, horsetail, chamomile and calendula flowers, St. John's wort, wormwood and sage. All grind and mix. Cook as well as the above recipe. Drink should be 3 times a day, for 125 ml, 30 minutes before meals.
  4. Multicomponent decoction, which consists of burdock roots, roots of elecampane, chamomile flowers, calendula flowers, wormwood grass, St. John's wort grass, dried grass, horsetail grass, succession grass, sage grass. Two tablespoons of the collection pour 2 cups of boiling water, insist in a closed thermos for 3-4 hours. Strain. Take 1 / 3-1 / 2 cup of infusion 30 minutes before meals 3 times a day.
  5. On an empty stomach during the week you can drink fresh juice from carrots and potatoes.
  6. Two teaspoons of cumin seeds, pour a glass of boiling water and insist 120 minutes. Strain and you can drink 2-3 times a day for 1/2 cup, before meals.

In general, popular treatment of pancreatitis includes dieting, medicinal herbs, and gymnastics.

Pancreatitis Diet

The main principle of diet therapy is the consumption of food that spares the stomach, pancreas and liver. And so, what can you eat with pancreatitis, as well as a detailed list of products below:

  1. Boiled or baked vegetables - zucchini, beets, carrots, potatoes, cauliflower, broccoli, cucumbers (in the form of mashed potatoes).
  2. Dairy products - fermented milk products like kefir are considered the most suitable, but milk itself is not recommended to drink. You can eat 5-7% cottage cheese. Mozzarella, Adyghe and Gouda are allowed to eat from cheeses.
  3. Meat only boiled, lean. For fish the same criteria.
  4. You can pineapples, sweet apples, bananas, strawberries, avocados.
  5. Various cereals are recommended - buckwheat, oatmeal, rice, semolina.
  6. It is necessary to eat slowly, chewing food thoroughly, 4-6 times a day.

In the period of exacerbation of chronic pancreatitis, hunger is prescribed for the first 1-2 days. Only liquid is allowed - rosehip decoction, weak tea, and alkaline mineral water without gas.


The following healthy lifestyle rules should be followed:

  • moderate alcohol use;
  • compliance with the principles of proper nutrition;
  • timely diagnosis and treatment of gallstone disease.

The goal of prevention is to stop the progression of inflammation, to prevent the development of complications.

Gymnastics with pancreatitis

It is recommended 2-3 times a day to perform special breathing exercises, which have the effect of massaging the internal organs. Gymnastics should be performed after the symptoms of an attack of pancreatitis subside.

  1. Inhale, exhale and hold your breath. Smoothly, but at the same time, it is enough to significantly draw in the stomach and count to three, then relax the abdominal muscles.
  2. Inhale, exhale and hold your breath. During the respiratory pause, “inflate” the stomach as much as possible, count to three. Exhaling - relax.
  3. In the middle of the inhalation, hold your breath for 1-2 seconds and continue to inhale further, as if directing the air into the stomach and at the same time sticking out the abdominal wall. At the end of a breath with an inflated abdomen, hold the breath again, count to three. Continuing to six, begin to slowly retract the abdominal wall. Exhale and relax the abdominal muscles.
  4. Strongly pull the belly to exhale. Holding your breath for a few seconds, relax your abdominals. While inhaling, actively inflate the stomach, and as you exhale, draw it in again.

To avoid the appearance of unpleasant symptoms of pancreatitis, you should thoroughly reconsider your lifestyle by limiting alcohol intake and refusing too fatty foods. Exercise, lead a balanced diet, carry out timely prevention of gallstone disease, and in this case - pancreatitis will not disturb you.

Watch the video: What is Pancreatitis? Q&A (April 2020).


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