Exacerbation of chronic pancreatitis

Most often chronic pancreatitis is formed gradually, against a background of cholelithiasis, chronic cholecystitis, ulcers, infectious diseases, intoxications and malnutrition (alcoholism, consumption of fatty and spicy foods in large quantities). But it can also occur as a result of several attacks of acute pancreatitis.

Signs of exacerbation of pancreatitis

Chronic pancreatitis is a long-term disease, most often of a wavy course, with periods of exacerbation and remissions. During an exacerbation pains in right hypochondrium or shingles are observed, which can be accompanied by nausea, vomiting, bloating.

Attacks of pain have no clear periodicity, but usually intensify with active movements and eating. Patients may have jaundice (not a permanent sign). At the last stages of the disease, diabetes can develop.

Exacerbation of chronic pancreatitis is most often associated with a disturbance in the patient's diet - by eating fatty, salty, spicy foods, alcohol.

Treatment

The doctor-gastroenterologist is engaged in treatment of patients with chronic pancreatitis, and usually it is aimed at relief of pain and compensation of endocrine insufficiency. With pain accompanying exacerbation of chronic pancreatitis, non-narcotic analgesics (aspirin, diclofenac, etc.) can be prescribed. These drugs in addition have anti-inflammatory effect, and with a decrease in inflammation, pain decreases.

With very severe pain, a drug used to treat chronic pancreatitis - octreotide - can be prescribed. It inhibits the production of hormones that stimulate the pancreas. Also, funds are prescribed that reduce the production of certain enzymes (trasilene, pantripine), metabolic (methyluracil, pentoxyl) and lipotropic medicines (lipocaine, methionine). With exocrine insufficiency of the pancreas, enzyme preparations are prescribed: pancreatin, festal, cholenzyme. In addition, multivitamin complexes are recommended.

During treatment, the patient, even in the absence of severe pain, requires a sparing regimen - limiting mobility, lack of psycho-emotional stress and stress.

Food

In chronic pancreatitis, as with any other disease of the gastrointestinal tract, one of the most important components of treatment is a diet. Patients need to exclude from the diet salty and smoked dishes, fried and spicy, carbonated drinks, coffee, white bread, alcohol is contraindicated.

With an exacerbation on the first day, you can generally refrain from eating, using only mineral water (Borjomi) without gas, warmed to room temperature, teas, broth of dogrose. In the following days, when the attack weakens, fractional meals in small portions are recommended, every 3-4 hours. In the diet, the patient should reduce the amount of coarse fiber (vegetables, fruits, coarse bread), so as not to increase intestinal peristalsis and not to impair the absorption of the stomach and intestinal mucosa of important microelements and minerals. Added products with a high content of calcium and potassium - juices, especially carrots, compotes of dried fruits, fermented milk, and lean meat, rich in iron. With a clear reduction in weight, you should increase the amount of protein in the diet.

Drug treatment is carried out exclusively on the advice of a doctor.