1 Signs of the disease

During the period when chronic cholecystopancreatitis has passed to the stage of exacerbation, the patient may experience the following symptoms:

• disorders of the digestive tract;
• pain after eating;
• weight loss;
• flatulence;
• presence of fats in stool;
• pain or discomfort in the area under the right rib;
• skin in the navel can acquire a bluish tint;
• the presence of a seal in the area where the pancreas is located;
• the presence of a rash near the navel;
• decrease in the volume of the muscles of the abdominal cavity, combined with the thinning of the subcutaneous fat layer.

If for a long time the patient is not treated with pancreatitis and cholecystitis, this can lead to pancreatic insufficiency. At the same time, a lack of digestive enzymes can cause the following symptoms:

• fats are not absorbed;
• pancreatic lipase is produced in small amounts;
• feces become liquid and becomes whitish in color;
• observed the presence of undigested muscle fibers in the stool.

In some cases, the disease can acquire a special form - obstructive cholecystopancreatitis of chronic course. It is characterized by occlusion of the excretory ducts of the duodenum.

In many respects, the symptoms of the disease may depend on its shape. Thus, pain in the right lower rib area can be observed with cholecystopancreatitis in chronic form or in an exacerbation stage.

In the presence of inflammatory processes in the pancreas or in the gallbladder, the pains tend to increase after ingestion. These sensations can decrease if the patient is sitting and leans forward slightly.

Severe nausea and vomiting are the main symptoms of alcoholic cholecystopancreatitis. In this case, the pathology develops, as a rule, as a result of damage to the epithelium of the pancreas.

Nausea with vomiting can also indicate a strong poisoning of the body with ethyl alcohol. The latter is processed in the liver, after which it enters the bloodstream. With prolonged accumulation of it in the body in large quantities in cells, biochemical processes may be disrupted, digestive enzyme production may decrease, and the release of biologically active substances may decrease. These are the main causes of nausea, vomiting, dyspepsia.

2 Need to know

Painful sensations in chronic cholecystopancreatitis can cause:

• inflammation near the nerves;
• pancreatic tissue destruction, which can provoke various factors;
• narrowing of the bile duct.

Violation of the production of certain hormones can cause a chronic ailment, in which the process of digestion of fats can be significantly disturbed, because of which they can even go out in unprocessed form together with the calves.

At the initial stages of the development of the inflammatory processes of the pancreas in the patient, a violation of glucose tolerance is possible.

Initially, this may not cause any symptoms and can only be detected when carrying out laboratory tests.

With timely access to medical care, you can make a diagnosis even before the blood sugar level rises above normal.

One of the main signs of high blood sugar is the deformation of the vessels of the fundus.

In severe cases, with the accumulation of lactic acid in the digestive tract in the patient, there may be signs of complications of diabetes mellitus. If the blood glucose level reaches 200 mg / dl, the patient has a lesion of the nerve fibers, nervous disorders, as well as mental illnesses can occur.

There are also more rare symptoms that indicate a disease such as chronic cholecystopancreatitis:

• yellowing of the skin;
• ascites;
• protrusion of the pleural part;
• formation of false cysts;
• is an arthritis that affects small joints of brushes.

According to nosology, deaths are 50%.Therefore, it is important not to engage in self-medication. Only the doctor knows how to treat these diseases correctly.

The likelihood of a fatal outcome may increase if the patient has the following complications:

• formation of blood clots in the veins;
• significant obstruction of the bile duct;
• presence of malignant neoplasms in the pancreatic duct;
• affection of peripheral nerve fibers;
• of the endocrine system.

When examining a patient with chronic cholecystopancreatitis, the doctor can detect a white coating on the tongue, "jam" in the corners of the mouth, excessive dryness of the skin, exfoliation of the nail plates. The presence of red spots on the abdominal cavity may indicate a violation of blood circulation.

3 Diagnosis of the disease

Diagnosis of this disease can be:

• direct;
• indirect;
• revealing a proteolytic enzyme in fecal matter;
• revealing an increased amount of fat in the stool;
• respiratory test;
• blood test to determine the level of hormones.

The doctor can use direct diagnostic methods if laboratory tests do not show a clear picture of the disease. In some cases, pancreatic insufficiency and chronic cholecystopancreatitis can easily be confused, so the doctor can conduct a direct diagnosis, which includes MRI and ultrasound.

Thanks to indirect methods, the doctor will be able to assess the secretory capacity of the pancreas. However, in some cases, these methods may not be sensitive enough.

With the help of a breath test, you can determine the level of activity of digestive enzymes.

A change in the number of certain pancreatic enzymes may indicate a disorder in the patient's hormonal background.

4 Conducted activities

The first thing a doctor assigns to a patient with this disease is antibiotics. They are needed in order to get rid of the infection that could provoke the disease. During the treatment of chronic cholecystitis and pancreatitis, many drugs are prescribed to remove unpleasant symptoms, the treatment consists in the use of pain medications and antispasmodics.

Your doctor prescribes some preparations that improve digestion. With the help of tablets containing analogues of human digestive enzymes, you can get rid of steatorrhea, prevent the ingestion of certain enzymes in the stool. With a deficiency of bile, the doctor prescribes cholagogue preparations.

Drug treatment for cholecystitis and pancreatitis is primarily directed to the following measures:

• normalization of pancreatic enzyme production with special medications;
• elimination of foci of inflammation;
• disposal of a person from complications that develop as a result of illness;
• recovery of the patient.

To cleanse the body of harmful substances, the doctor can prescribe some types of mineral waters, which are recommended to be used 5 times a day for 1 glass. Speeding up the recovery will help physiotherapeutic procedures, diet and medicinal herbs in pancreatitis.

5 Diet in the pathology of

If a patient does not follow a diet, he will be disturbed for a long time by symptoms of cholecystitis. This is due to the fact that most of the diseases of the gastrointestinal tract arise precisely because of eating disorders. Doctors recommend even healthy people eat small portions, thoroughly chewing. The last meal should be at least 3-4 hours before bedtime.

With pancreatitis and cholecystitis, first of all you need to give up fried, sharp and fatty foods. It is recommended to exclude salted and smoked food, canned food, sausage, chocolate, cocoa and all drinks containing alcohol.

It is strongly recommended to eat cottage cheese, dairy products, stewed vegetables and fruits, steamed meat and fish, various porridges. You can drink jelly and compotes.

All the food that the patient uses must be "easy", quickly digested and not overload the digestive organs.

6 Physiotherapeutic procedures

Physiotherapy procedures are prescribed only if the disease is not in the phase of exacerbation.

In cholecystitis the doctor may prescribe electrophoresis, ultrasound or UHF.Thanks to this, blood circulation in the liver region improves, the production of bile increases. After these procedures, inflammation decreases in patients.

UHF, ultrasound and electrophoresis are used for pancreatitis and for a combination of diseases. These procedures differ only in that they are carried out in different parts of the abdominal cavity.

Once the symptoms of the disease have disappeared, you can apply mud treatment. The latter removes inflammation, anesthetizes and strengthens immunity.

7 Prevention of the disease

In order to prevent the development of this disease, the patient must abandon bad habits, such as smoking or drinking alcohol, to observe the regime of work and rest.

In chronic inflammation of the pancreas, the patient feels pain after eating in the upper abdominal cavity.

In this case, it is not recommended to use provocative products. You can not often eat fatty foods, tolerate the development of vitamin deficiency.

Never take self-medication.

Seek medical attention for the first symptoms that indicate cholecystitis or pancreatitis, only qualified personnel can treat these diseases.