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Symptoms of pancreatic pancreatitis in women, men

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Content

  1. The first symptoms of the disease
  2. Symptoms of acute pancreatitis
  3. Signs of a chronic illness
  4. Complications
  5. Diagnosis of pancreatitis
  6. Laboratory research
  7. Instrumental diagnostics
  8. Video about pancreatitis

Symptoms acute and chronic pancreatitis pancreas are slightly different. In the first case, the signs are more pronounced. Pancreatitis is an inflammation of the gland with impaired production of digestive enzymes. As a result, they accumulate and can provoke serious complications. To make a diagnosis, they are guided not only by symptoms, but also by laboratory and instrumental diagnostics.

The first symptoms of the disease

The symptoms of the disease in the initial stage are approximately the same. Regardless of the form of pathology, pain appears. In acute pancreatitis, it is sudden, strong, constant. Appears in the depths of the abdomen, radiates to the left and up. Poorly relieved by analgesics, worse after fatty foods or alcohol. In a chronic disease, at first it may be asymptomatic. If pain occurs, then it is weak, sluggish, pulling.

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Enzymes for digestion do not enter the duodenum or there are not enough of them. Then the work of the digestive tract is disrupted, nausea and vomiting appear. The attacks are strong, long-lasting. But after them the patient's condition does not improve. It is difficult for him to eat, there is a fear that after eating the pain will intensify. Therefore, appetite decreases, sometimes absent altogether. Upset stools and bloating begin.Symptoms of pancreatic pancreatitis in women, men

The skin becomes bluish or yellow, the patient sweats a lot. Blood pressure can rise or fall sharply. Heart rate often increases. But most of the initial symptoms are limited to nausea and vomiting, diarrhea and bloating. Intoxication of the body begins later.

The appearance of symptoms as a percentage:

  • 10% - yellowness of the skin and pain under the right ribs;
  • 9% - hepatic colic in the lower abdomen, sometimes shortness of breath, angina pectoris and heart attack;
  • 6% - the symptoms are similar to inflammation of appendicitis, another option is a sharp pain in a tense abdomen;
  • 2% - the symptoms are similar to those of an acute infection (fever, headaches, severe weakness, diarrhea, nausea and vomiting often join).

In contrast to chronic pancreatitis, the symptoms are pronounced, but with a combination of symptoms, they may be weak (excluding pain).

Symptoms of acute pancreatitis

The symptoms of pancreatic pancreatitis depend on the stage and degree of inflammation. The main symptom is sharp, severe pain. For the first 3 days, it is encircling, but mainly concentrated in the upper abdomen, often radiates to the left - it radiates to the back, shoulder blades and collarbone. Then the pain begins to decrease, becomes dull and lasts another week.

Such attacks occur after consuming fried and fatty foods, carbonated drinks. This provokes a spasm of the sphincter of Oddi. If, in addition, the patient has cholelithiasis, then periods of exacerbation are accompanied by jaundice.Symptoms of pancreatic pancreatitis in women, men

Also, in the acute form of pancreatitis, there is:

  • Heart palpitations. Appears against the background of severe intoxication - a few days after the onset of attacks.
  • Vomit. The attacks are multiple, do not bring relief. May occur with pain or after a couple of days.
  • Temperature increase. Usually begins on the third day after the onset of the disease, but may occur earlier. The higher it is, the stronger the inflammation of the gland.
  • Bloating. It occurs at the onset of the disease. Often accompanied by constipation, gas accumulation. In the later stages, it indicates the development of peritonitis.
  • Infiltrate. It is determined during palpation, starting from the fifth day from the onset of the disease.

The pathognomonic sign of acute pancreatitis is the Mondor triad. It includes several symptoms at once - pain, bloating and vomiting. Sensations appear suddenly, are of strong intensity, and can lead to loss of consciousness. With the Mondor triad, the pain is girdle, and the bouts of vomiting are repeated, but they do not bring relief.

Symptoms of acute pancreatitis of the pancreas largely depend on the stage of the disease:

  1. Early (first 5-7 days). Pancreatic cells swell, die, and inflammation of the soft tissues surrounding the organ develops. This causes severe pain, weakness, deterioration of the general condition. Intoxication of the body with the decay products of the gland may begin. The patient's condition is serious, often leads to death.
  2. Reactive (2nd week from the onset of the disease). During this period, a dense pancreatic infiltrate is formed. The main symptoms are yellow skin, fever, and stomach ulcers.
  3. Purulent complications (begins at the end of the 2nd week from the onset of the disease). Phlegmons, fistulas, abscesses are formed. Pus spreads through the surrounding tissues, the abdominal cavity. Internal bleeding opens, sepsis (blood poisoning) begins.

Symptoms of pancreatic pancreatitis in women, menThe latter is restorative. With a mild course of pancreatitis, the symptoms disappear within 2-3 weeks. The disease of moderate severity often becomes chronic. In advanced cases, recovery is divided into 2 phases.

First (exhaustion):

  • weakened immunity;
  • depressive state;
  • wounds do not heal well;
  • hair fall out;
  • asthenic syndrome appears;
  • infectious diseases join;
  • thrombophlebitis is observed;
  • bedsores appear.

The second phase is the development of a cyst of the gland, chronic pancreatitis or diabetes mellitus.

Signs of a chronic illness

Symptoms of pancreatitis of the pancreas for a long time may not appear at all or they may be mistaken for disruption of the gastrointestinal tract, manifestation of abdominal diseases. The main signs are divided into several categories. Symptoms appear depending on them.

Chronic pancreatitis develops for a very long time. The first 10 years, periods of exacerbation and remission alternate, accompanied by pain of varying intensity and localization. The rest of the symptoms are quickly treated with treatment.

Symptoms of pancreatic pancreatitis in women, men

For the second 10 years, the pain decreases, and the symptoms of a malfunction of the gland come to the fore - problems with digestion, the production of enzymes, the development of complications. When they appear, pain can appear not only during exacerbations.

Category Description of symptoms
Abdominal pain The pain does not have a clear localization, it radiates to the back, it is sometimes encircling. If the ducts are partially or completely blocked, then the symptom appears immediately after eating, in the form of seizures, but is quickly stopped by drugs.

If the pain is caused by inflammation, then food intake does not affect its appearance. It can appear at any time, first in the epigastrium, and then in the back. It passes quickly after taking analgesics. If it is due to a lack of enzymes, then the pain is bursting, associated with excessive production of gases.

Exocrine (exocrine) insufficiency It occurs due to indigestion. As a result, the substances needed by the body are not absorbed from the intestines. Therefore, symptoms appear:
  • nausea;
  • vomit;
  • flatulence, bloating;
  • stool disorder - up to six times a day;
  • belching;
  • sharp weight loss;
  • rumbling in the stomach;
  • offensive, runny stool.

In addition, symptoms of vitamin and mineral deficiency appear - brittle nails, peeling of the skin, hair loss and headaches.

Externally, exocrine insufficiency manifests itself late, when the concentration of enzymes decreases to 90-95%. Then the unbroken fats are excreted along with the feces, which become thin and frequent.

Intoxication of the body If, due to a violation of the production of enzymes, intoxication of the body occurs, then general weakness occurs, the temperature rises, and the appetite decreases. Sometimes poisoning is accompanied by tachycardia and a decrease in blood pressure.
Biliary hypertension It is characterized by obstructive jaundice, enlargement of the head of the pancreas, compression of the common bile duct.
Endocrine Disorders A third of patients develop ketoacidosis, hypoglycemia, and diabetes mellitus.

Tuzhilin's syndrome is characteristic of chronic pancreatitis. The appearance of bright red spots on the abdomen, chest and back. These are aneurysms that do not disappear with pressure.

Symptoms of pancreatic pancreatitis in women, men
Symptoms of exacerbation of pancreatitis

In chronic pancreatitis, symptoms are less intense, more often due to dietary disorders. The pain is gradually replaced by the appearance of discomfort in the left hypochondrium. Stool abnormalities often appear, and a large amount of stool comes out during bowel movements. It becomes offensive, gray in color. The patient's tongue is dry, with a yellow coating. On the anterior wall of the peritoneum in the area of ​​the pancreas, a site of atrophy of the subcutaneous tissue layer is formed.

Complications

If you do not start the treatment of pancreatitis (regardless of the form - acute or chronic) on time, then infiltrates will begin to form. Gradually they are transformed into purulent, necrotic phlegmon in the retroperitoneal space. When pancreatitis is severe, multiple organ failure is formed. If the lesion affects several organs and systems, then the risk of death is approximately 85 percent.

In chronic pancreatitis, fibrosis, calcification, and exocrine insufficiency are formed in the pancreas. When the islets of Langerhans are affected, secondary diabetes mellitus develops. Cysts form and rot (true and false). Bleeding begins from the deformed veins due to portal hypertension.

Diagnosis of pancreatitis

Symptoms of pancreatitis of the pancreas help to determine the severity of the inflammatory process, in what form the pathology proceeds - in acute or chronic. Therapist and gastroenterologist are engaged in diagnostics, treatment. First, a general examination is carried out using tapping and palpation.Symptoms of pancreatic pancreatitis in women, men

This helps to identify the following symptoms:

  • Unpleasant sensations in the Shoffard area - 5-6 cm to the right and above the navel. There is the head of the pancreas.
  • Gubergrits-Skulsky. During palpation in the pancreas, the patient feels soreness (to the left of the Shoffard zone).
  • Grotte. Insufficiency of the layer of subcutaneous fat is felt.
  • Mussi-Georgievsky (otherwise called the phrenicus symptom). When you press on the area above the left collarbone with your fingertips, soreness occurs. In this place, the phrenic nerve passes - between the muscles.
  • Kacha. On palpation in the region of the thoracic vertebrae (on the right - 9-11, on the left - 8-9) pain appears. Nerve fibers are located in these places.
  • Mayo-Robson. The pain is felt on palpation and tapping of the left costal-vertebral angle. There is the tail of the pancreas.
  • Voskresensky. With it, it is impossible to feel the pulse of the abdominal aorta. This indicates an enlarged pancreas or swelling of the fiber.
  • Tuzhilin. This is a hemorrhagic symptom (red droplets) that manifests itself in the area of ​​the pancreas as a small burgundy rash or brown pigmentation.
  • Desjardins. Press on a point that is 5-6 cm above the navel - on the line connecting it with the armpit. Soreness appears on palpation. In this place is the projection of the head of the pancreas.

Disorders of the gastrointestinal tract can also indicate pancreatitis - flatulence, stool disturbance, frequent belching. The patient often complains of nausea. During the examination, it is clarified whether there is a sharp and strong weight loss. It can also be a symptom of pancreatitis due to digestive problems. Enzyme deficiencies and malnutrition often cause anemia, dizziness, and dry skin.

Laboratory research

Symptoms of pancreatic pancreatitis may not be fundamental in the diagnosis.

To confirm it, laboratory tests are required:

  • Blood analysis. With pancreatitis, it is thick, it reveals a high concentration of enzymes (there are at least 3 times the norm), which accumulate in the gland. These are mainly lipase and amylase. Inflammation is indicated by a low ESR, a high concentration of leukocytes. Additionally, blood glucose levels are checked (diabetes mellitus can also be a consequence of pancreatitis).
  • Analysis of urine. With a mild form of pancreatitis, no changes are observed. In other cases, amylase (pancreatic enzymes) is detected in it. But in the chronic form, they are rarely found.
  • Stool analysis for the presence of parasites (if necessary), detection of elastase by ELISA.
  • Coprogram. Determine the amount of steatorrhea (fat), creatorrhea (undigested muscle fibers).Symptoms of pancreatic pancreatitis in women, men

Also make tests:

  • Lund;
  • fluorescein dilaurate;
  • secretin-pancreozymin;
  • bentiramide;
  • iodolipolic.

Laboratory diagnostics help to confirm a malfunction of the pancreas.

Instrumental diagnostics

If pancreatitis is suspected, instrumental diagnostics are additionally performed.

Method Benefits, why you need it
Ultrasound This is the main diagnostic method that provides enough information. Minus - before the study, you need to follow a strict diet for 2-3 days. In the acute form of pancreatitis, echogenicity is reduced, an increase in the pancreas, blurring of the contours of the organ are visible. An accumulation of free fluid is observed in the peritoneum.

In chronic disease, the endoscopic version of ultrasound will be more effective. Transabdominal is poorly suited for confirmation. With its help, it is possible to determine calcifications, calculi, pseudocysts, expansion of the channels of the gland and the compaction of its walls.

Symptoms of pancreatic pancreatitis in women, men
Pancreas on ultrasound
CT (computed tomography) It is performed if the ultrasound data is insufficient and with poor visibility of the organ. This method helps to detect foci of tissue necrosis, to assess the state of cellulose, to reveal what changes have occurred in the abdominal cavity. Most often, CT is performed before surgery.

A chronic disease is indicated by organ atrophy, the presence of cysts, the expansion of the ducts, the appearance of calculi in them. The outer shell is thickened. Indirect symptoms - enlargement of the gland, its blurred contours, heterogeneous structure.

X-ray It is not very informative, its variety is used - retrograde cholangiopancreatography (endoscopic method). It helps to identify stones, clots that have blocked the ducts.
Gastroscopy Performed to assess the degree of inflammation of the gastrointestinal tract walls
MRI This method helps to thoroughly examine the ducts.

If acute pancreatitis is suspected, diagnostic laparoscopy may be prescribed. The method allows not only examining the pancreas, but also, if necessary, immediately (without reoperation) perform surgical manipulations and place drainage.

Symptoms of acute and chronic pancreatitis of the pancreas are always accompanied by pain of varying intensity. This is the first sign of illness. In a chronic disease, the pain is less intense, but in order to avoid complications, you should immediately consult a doctor.

Video about pancreatitis

The first symptoms of pancreatitis:

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