Pancreatitis

Pancreatitis

is a group of diseases associated with inflammation of the pancreas. Enzymes produced by the body do not enter the duodenum. They begin to act in the pancreas itself.

Pancreatitis can lead to serious complications, which in particular can be caused by ingestion of pancreatic enzymes and toxins into the bloodstream.

There are following types of this disease: chronic, acute and reactive pancreatitis. The clinic of different types of pancreatitis differs.

Acute pancreatitis requires immediate treatment, often surgical intervention is required. Pancreatitis can be caused by cholelithiasis, alcohol abuse and overeating, especially the combination of the above.

Pancreatitis is an inflammation of the pancreas.

It develops as a result of the action of pancreatic enzymes on the tissue of this organ. In very simple terms, the pancreas begins to digest itself.

Pancreatitis develops due to the consumption of fatty foods.

Of course, not everyone has it. This is in the first place. And secondly, this statement refers to the excessive use of fatty, spicy and fried foods, which entails a violation of the normal functioning of the body. Negative effects on the pancreas are alcohol poisoning, overeating and neuro-psychic overexcitation. All this contributes to intensive pancreas production of pancreatic juice.

Pancreatitis is mostly men sick.

Invalid statement. The risk of pancreatitis is highest in men who often abuse alcohol and are prone to overeating, as well as in women during pregnancy and at some time after birth.

The attack is associated with the lack of possibility of pancreatic juice entering the duodenum.

Partly true. Indeed, in the case where the damaged ducts of the gland can not remove the juice, it falls into the tissues of the organ itself. This causes her inflammation. However, the attack can be associated with a long reception of hormonal drugs, with peptic ulcer, with diseases of the bile duct and gall bladder, as well as with cirrhosis and cholelithiasis. The attack may well provoke any physical trauma to the abdomen.

If an attack of pancreatitis occurs, then urgent hospitalization is needed.

You can not joke with this disease, that’s for sure. An attack can provoke the necrosis of any part of the pancreas, as well as some other complications. Serious cases of the disease can lead to lowering of pressure, dehydration of the body, loss of consciousness. With pancreatitis, the normal functioning of the heart, lungs, and kidneys is at stake.

Pain in pancreatitis does not have a clear localization.

However, it is pain in the abdomen that is considered the main symptom of the disease. Where it is localized depends on the place of inflammation of the pancreas: inflammation of the head of this organ pain in the right upper quadrant, inflammation of the body of the pancreas pain is localized in the epigastric region, with inflammation of the tail of the organ pain in the left hypochondrium. When the entire pancreas is inflamed, the pain is shrouded in nature. But pain is not the only symptom of pancreatitis. Often with inflammation of the pancreas, there are aversions to fatty foods, and in general loss of appetite. With pancreatitis, there are frequent eructations, increased salivation, severe attacks of nausea, bloating.

Acute pancreatitis is diagnosed by a blood test.

The content of lipase and amylase (this is actually the digestive enzymes that form in the pancreas) that make up the blood, in acute pancreatitis is increased more than 3-fold. The blood also changes the content of potassium, sodium, calcium, magnesium, glucose, bicarbonate.After improving the condition and functioning of the pancreas, the indicators of these substances come back to normal.

Pancreatitis is divided into chronic, acute and reactive.

In the first form of pancreatitis, the inflammation of the organ tissue progresses gradually. This process (rather slow) is characterized by impaired pancreatic function. Chronic pancreatitis is associated with the presence in the body of small areas of necrosis (tissue decay), which is parallel to the growth of the connective tissue. Over time, the tissue of the organ becomes scarring. tissue. The latter replaces the tissue of the pancreas. The periods of exacerbation in chronic pancreatitis alternate with remission.
For acute pancreatitis, inflammation of the organ tissue with subsequent decay is typical. This disease can be presented in the form of acute inflammation of the entire pancreas or part of it. Necrosis (disintegration) of the tissue sometimes occurs with hemorrhage, suppuration or with the formation of abscesses. The third type of pancreatitis – jet – is an attack of acute pancreatitis. It occurs when the disease of the duodenum or stomach, liver or gallbladder worsens.

Pancreatitis is treated surgically.

Not always. Surgical intervention becomes necessary, for example, with ineffective therapeutic treatment of pancreatitis for three to five years. Another reason are with fairly frequent pain in the upper half of the abdomen. The pain is mainly related to the shingles and is given back. In any case, surgical departments of hospitals deliver all patients with acute pancreatitis or suspected of this disease, and in an emergency. The efforts of doctors are primarily aimed at eliminating the pain shock.

Acute pancreatitis is treated only surgically.

This is absolutely wrong. In recent years, conservative methods are increasingly being used to treat this disease. These include the introduction into the blood of the necessary solutions that help to remove the pain syndrome (to reduce pain, spasmolytics are always prescribed) and to bring the acid-base balance to normal. To maintain the normal functioning of the heart, cardiac drugs are prescribed. When pancreatitis is a good effect on the body have vitamins C and B, in particular, they are necessary for normalization of metabolic processes in the body. Diuretics are necessary in order to remove from the patient’s body some of the decay products, and also to remove the edema in the area of ​​the organ. And more: since the cause of pancreatitis is due to the action of the enzymes produced by the pancreas on it, it is necessary to prescribe drugs that can to some extent suppress the production of enzymes by this organ.
In general, if conservative treatment lasting about fourteen days is ineffective, the patient needs surgical treatment. This need may also be caused by any complications of the disease.

Surgical intervention in pancreatitis can lead to serious postoperative complications.

The latter include the appearance of cysts and fistulas of the pancreas, calculosis and calcitosis of this organ, disruption of the gastrointestinal tract, and mechanical jaundice.

Fasting is the main cure for pancreatitis.

Indeed, proper nutrition plays a significant role in the treatment of this disease or, at least in the maintenance of the normal functioning of the pancreas. It should be understood that for a fairly long time (preferably for the rest of life) from the diet, fat, fried and spicy foods, smoked products, sour juices, various degrees, and also alcohol should be completely excluded. The reason for this is simple: a person who once fell ill with pancreatitis is not immune from the return of the disease after some calm.Follow the diet is really necessary in order to prevent the situation when it will be necessary to surgical intervention.
But the diet still plays not the only role in the treatment of pancreatitis. Traditional medicine also attaches importance to antibiotic therapy, the appointment of enzymatic drugs, the removal of pain.
It should be understood that all of the above is rare, when it can lead to a complete cure for pancreatitis. The fact is that it is not always able to restore the structure of the pancreas and the functions of this organ.
Very often, there are phenomena associated with disabling the operation of the pancreas itself due to prescribed medications. There is always the possibility that if you cancel the drugs, the problems will return again.

People with chronic pancreatitis lose weight.

Not everything, but the phenomenon is frequent. Even in those cases when the preferences of people with this form of the disease and their appetite remain at the same level. The fact is that weight loss is associated with a violation of the pancreas. The human body in this case can not absorb the amount of pancreatic enzymes necessary to digest the food that has arrived. This leads to the fact that nutrients are not absorbed by the body properly (as in a healthy person). This situation leads to the formation of fat, sugar and protein. They are excreted from the human body in the form of a liquid stool.

Pancreatitis leads to the development of diabetes mellitus.

This occurs if the pancreas cells that are responsible for the production of the biologically active substance of insulin are damaged. There is indeed a connection between chronic pancreatitis and diabetes. One disease provokes the development of another. For example, in 20-70% of patients with diabetes mellitus develops chronic pancreatitis. This is due to a decrease in the exocrine part of the pancreas (this is the part of the body that is responsible for producing enzymes), the development of chronic organ ischemia and some other reasons.
Feedback also exists. 20-30% of people with chronic pancreatitis are sick and diabetes, which in this case is pancreatogenic. The reason for this connection is that in addition to the exocrine part of the pancreas, the endocrine part of this organ is affected (the endocrine part of the pancreas is responsible for the secretion of hormones) – islets of Langerhans (or pancreatic islets).

Children rarely get pancreatitis.

It’s true. The chronic form of the disease is rare in children. If the child is still diagnosed with pancreatitis, then the cause of this disease can be either a pancreatic injury or heredity. Very often the cause is unknown.

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