Pancreatitis. Symptoms and treatment of adults with folk remedies, herbs, what drugs, pills better diet. Nutrition: what can not be eaten. How to treat acute, chronic, reactive at home

The inflammatory process in the pancreas, caused by disturbances in the digestive and endocrine system, called pancreatitis. The appearance of symptoms of acute disease in adults requires immediate treatment and preventive measures to using medical and surgical treatment, prolonged preserving subsequent rehabilitation period.

What doctor treats pancreatitis

Pancreatitis - digestive system disease (dysfunctional pancreatic inflammatory process). Characterized by impaired production of enzymes, hormonal imbalance system.

Choosing a specialist, the condition, the treatment of thinning depends on the form of pathology:

• acute inflammatoryth process is accompanied by the destruction of (self-digestion) pancreas.

It appears:

1. strong, sudden onset, pain encircling;
2. fever, chills;
3. nausea, vomiting;
4. diarrhea.

Eliminates surgeon inpatient surgical department. Necrosis of tissues and conducted emergency analgesic drug therapy aimed at relief of the inflammatory process. In the case of suppurative complications assigned operational excision of lesions.

• Chronic pancreatitis It develops over time. Appear gradually decreased production of enzymes, substitution glandular connective tissue. In case of pathology (during exacerbation process) the patient is placed in the stationary separation, and after normalization of the observed general practitioner and gastroenterologist. Applied outpatient therapy, diet (5th table). In the case of deterioration caused by ambulance.

The main symptoms of acute pancreatitis in adults

The acute form of pancreatitis - the inflammation cells, pancreatic tissues, causing enhanced production of enzymes (nucleases, amylases, lipases, steapsina), launching the process of autodigestion body. Under the action of lipase begins the splitting of glandular tissue structures.

Trypsin (enzyme solubilizing proteins) activates the chemical process, causing swelling, necrosis, the destruction of pancreatic cells. Most often diagnosed in patients between 20 and 45 years old.

Precipitating factors of disease:

• poor quality alcohol intoxication;
• consequence biliary dyskinesia;
• eating food, saturated fats, carcinogens, food dyes, additives;
• toxic effects of drugs;
• endocrine diseases characterized by too high amount of calcium in the body;
• infection of mycoplasmosis, tsitamegalovirusom abdominal organs.

symptomatology:

• sharp pain, epigastric Bow (at the level of the stomach) area, right and left upper quadrant, extending the lumbar region;
• increase in body temperature;
• pallor of skin tissue;
• occurrence of nausea, vomiting, caused by violation generation enzymes;
• a complete lack of appetite;
• severe diarrhea;
• increasing respiration rate;
• tachycardia, bradycardia in passing;
• dyspnea;
• lowering blood pressure;
• cyanosis of the skin, which manifests itself due to the process of blood circulation failure;
• tension left abdominal wall beneath the costal arch.

With the rapid inflammatory (pathological) process is required to hold an emergency hospitalization, medical therapy. When joining purulent necrosis surgical removal of damaged body portions.

Symptomatology of chronic pancreatitis

Pancreatitis, occurring in the form of chronic inflammation - Slow (10-15 years) changes in the structure pancreas that occurs under constant pressure provoked pancreatic stagnation juice.

With the passage of time:

• decreases production of substances, separating the complex food components to simple pieces, subsequently absorbed into the digestive tract (enzymes);
• deteriorating blood supply body;
• gradual substitution glandular connective tissue;
• formed scars.

The causes of chronic pancreatitis include:

• gastric ulcer and duodenal ulcer;
• chronic cholecystitis, hepatitis, gastritis;
• infectious contamination of the abdominal cavity (typhus, viral hepatitis, mycoplasmosis);
• the constant abuse of spirituous beverages;
• preference for fatty, fried foods, soft drinks;
• irregular meals during the day;
• overreliance on diets;
• atherosclerosis;
• worm infestation;
• harmful substances intoxication (arsenic, mercury, lead).

There are several stages of the disease:

1. easy - asymptomatic.
2. Central - is characterized by a small endocrine disorders. Shown 3-4 bouts for a year, during which the patient complains:

• poor appetite;
• nausea;
• abdominal pain spazmoobraznogo character;

Perhaps the appearance of weight loss caused by the refusal of food. Heavy stage manifests strong dysfunctions of the digestive and endocrine systems. Characterized by the presence of 5 or more acute episodes of pain in the course of the year. The patient complains of diarrhea. It may be diabetes.

Symptoms of chronic pancreatitis stage:

• spasms of varying severity, localized in the region epigastricheskoy, left upper quadrant, worse after a meal (characterized by the presence of more than 3 attack in a year);
• nausea, vomiting;
• stools with inclusion of fat inclusions white;
• discomfort arising for 15 min. before meals;
• weight loss due to poor appetite.

Forms of pancreatitis

Types of pancreatitis:

• Acute - suddenly arising inflammatory process in the pancreas, caused by the destruction of the glandular tissue organ cells produce enzymes. Manifest severe pain, increased production of lipases, trypsin, amylase, necrosis of tissue structures. In urgent need of medical and surgical treatment.
• Chronic - a common disease of the pancreas, accompanied by periodic antispasmodic pain in the left iliac region, disruption of the endocrine and digestive systems.
• medical - appears under the influence of large doses of drugs. It is most common in young children, HIV-infected individuals.
• pseudotumor - a disease of the pancreas caused by stagnation of enzymes, self-digestion, self-destruction of the body. Characterized by the appearance of hypertrophy of the parenchyma, changes in breast size. In the course of the disease there is a local increase in one of the affected organ sections to form a high density hearth.
• destructive - a consequence not previously diagnosed acute pancreatitis manifested development inflammatory process in the tissue, ducts, metabolic disturbances body, leading to cells dying off. Without proper treatment may provoke the occurrence of death.
• parenchymal - frequent pathology of the wave-like character (relapse replaces aggravation). Accompanied by pain, scarring of tissues, modification of secretory and endocrine function, reduced insulin production. It leads to changes in the metabolic processes of the whole organism.
• Hemorrhagic - the most severe form of injury to the pancreas. Characterized by the rapid destruction of the parenchyma, blood vessels, tissue necrosis. It causes organ destruction, hemorrhage, peritonitis, abdominal cavity. Simptomatiziruetsya very strong spasms in the left hypochondrium, the umbilical region of the abdomen. It requires urgent surgical intervention.
• biliary - pancreatic dysfunction occurring as the body's response to liver and biliary tract. Exacerbated in the case of the offset position of gallstones. Eliminated by diet, drug therapy.
• Reactive - the response to the action of pancreatic dysfunction of the abdominal cavity of a chronic nature. Triggered by errors in diet, allergic reactions, poisoning. The main reason the disease is considered to cholelithiasis. relapse disease quickly under the influence of provoking factors. Disappears within 2-3 weeks after normalization nutrition and medication.
• Alcoholic - type of chronic disease that appears when intoxication liquor. May occur abruptly, in the case of a one-time consumption of large quantities of alcohol, combining alcohol and high-calorie food and manifest in the form of low intensity.

aggravation of pancreatitis

Pancreatitis (symptoms and treatment in adults varies depending on the form of disease) is exacerbated in the case of:

• eating disorders: decrease in receipt of protein foods, increasing the amount of fat;

  

• taking alcohol (even in small doses);
• hit in stressful situations;
• prolonged use of medicaments (antibiotics, corticosteroids, hormonal contraceptives);
• exacerbation of chronic cholecystitis, promotion of stones in bile ducts;
• poisoning;
• occurrence of an acute infectious disease.

Attack tissues characterized by inflammation, decreased production of enzymes. During compression of the pancreatic duct, there is internal organ edema, impaired blood circulation.

Symptoms of an acute attack of pancreatitis:

• sharp, blunt, antispasmodic pain in the left upper quadrant, smack in the lumbar region;
• loose stool with an oily sheen, undigested food residues;
• bitter taste in the mouth;
• nausea, vomiting eaten food or bile;
• the appearance of white patches on the tongue;
• increase in body temperature;
• lowering blood pressure;
• bluish skin.

When you see these symptoms should immediately call an ambulance.

Until the arrival of the doctor should conduct activities that reduce pain:

• The patient should take a horizontal position for the outflow of blood from the inflamed organ.
• Discard any food. You can drink the water without carbonation. Food absence suspends production of enzymes, interrupting the inflammatory process.
• Attach to the epigastric heating pad filled with cold water. Lowering the temperature blocks nerve endings, reduces pain, swelling.
• Take spasmolytics (Baralgin, Drotavirin) drugs stoped inflammation pancreas, reduce congestion in the ducts, stabilizing enzymatic function (Creon Pancreatin).

Arrived medical team examining a patient transports to a medical facility, where carried out:

• visual, palpatsionny inspection of the surgeon;
• US organs located in the peritoneum;
• clinical diagnostic study of blood, urine amylase, diastase, coprogram, fecal analysis for elastase-1.

To clarify the diagnosis may be required:

• CT scan;
• Retrograde holetsistopankreatografiya.

Elimination of an acute attack and further treatment is carried out in stationary conditions. After normalization of the medicine (surgical excision of suppurative necrosis), patient is sent home and put on record gastroenterologist.

medication

Pancreatitis (symptoms and treatment in adults occur depending on the course of the inflammatory process) are removed by the complex drug therapy.

Prescribe drugs:

• antibacterial treatment is necessary for pancreatitis, occurs in acute form. Bactericidal drugs eliminate inflammation, preventing tissue destruction body. The preparations are taken orally (250-500 mg / 3 rows per day) or in the form of w / o Injection. Duration of therapy is 4-5 days.

apply:

1. Biseptol;
2. tsiprolet;
3. amoxicillin;
4. Levomitsitin.

• sedatives drugs used to relieve pain symptoms. Assigned Amitriptiden 200 mg / 3 divided doses.
• Medicines that reduce the secretion of stomach:

1. Ronitidin - 150 mg / 2 times daily or 300 mg once only at night;
2. Omeprazole - 20-80 mg in 1-2 divided doses.

The therapeutic course of 14-45 days.

• To reduce the acidity are accepted:

1. Fosfalyugel;
2. Gaviscon.

The dosage and duration of treatment is determined individually.

• enzyme preparationsNormalizing the pancreas, helps digest food and disengagement.

Drink continually, after each meal:

1. pantsitrat;
2. Creon;
3. mezim;
4. festal;
5. Pancreatin.

• antispasmodics, eliminate pain, are assigned to 1 tab. 3 times a day during the period of exacerbation.

In chronic during use as required:

1. No-spa;
2. baralgin;
3. Papaverine.

During patient treatment (for relief of an acute attack) intravenously administered drugs which inhibit the secretion of the enzyme.

Droppers are set on the 1st once for 3-5 days:

1. contrycal;
2. Gordoks.
3. Trosikol - registers in / in to reduce the edema of the pancreas.
4. Motilium, Reglan appointed in / orally to reduce nausea, eliminate gag reflex.

• Blockers produce digestive juice:

1. omez;
2. ranitidine;
3. Losek;
4. Pariet.

Applied 3 times a day for 1 st capsule strictly after meal.

Patients suffering from chronic pancreatitis need to constantly carry around:

• Pancreatin, Kreon;
• Nospanum, papaverine;
• baralgin;
• Reglan.

During an acute attack medication are drunk at the same time to eliminate the pain.

The herbs used to treat

In adults, symptoms of pancreatitis treatment can be carried out with the help of herbal.

During chronic disease applies:

• chamomile - reduces inflammation, flatulence;
• mint - has sedative, antispasmodic, anti-quality;
• Fennel - activates the enzyme system stops bloating;
• Hypericum - has an anti-inflammatory effect, reducing the craving for alcohol;
• meadowsweet - relieves pain, removes inflammation, reduces nausea;
• red elderberry - enhances the regeneration and blood circulation;
• celandine - stops spasms of smooth muscles;
• wormwood - relieves inflammation.

Fitootvary:

• 2 hours. l. camomile flowers required to fill in 250 ml of boiling water. The mixture should be placed in a thermos insist, take 1/2 Art. 2 times a day.
• 30 g of crushed Hypericum zaparivat 300 ml of hot water. Broth infused, filtered, used at 100 ml, 2 times a day.
• 20 g of ground peppermint leaves be mixed with 400 ml adjusted to 90⁰S liquid. To improve the taste of the infusion can be added for 1 hour. l. honey. Drink mix 1 tbsp. l. during the day with small breaks.
• 30 g of Filipendula connects with 300 ml of hot fluid. Languishes under cover for at least 30 min., Filtered, consumed by 1/2 art. before eating.
• Herbal mint, sage, Leonurus, Hypericum (50 g of each plant) filled with 500 ml of hot fluid. It is placed on the plate, boiled (15 min.), Removed from the heat, is cooled, is used in food with 100 ml of 12 days. The course is resumed after 14 days.
• Fennel and violet (30 g), elecampane, valerian (70 g) are mixed, are connected with 700 ml boiled water. Warm to heat (20 min.), Cooled, taken with 50 ml daily for 15 days.
• Red elderberry (20 g) is mixed with wormwood (30 g), meadowsweets (20 g), celandine (20 g) zaparivat hot liquid. Broth infused, filtered using gauze consumed 40-50 ml after meals.
• The crushed leaves burdock (50g) connected to the warm water. The resulting mixture was boiled to heat until boiling. It is cooled, filtered. It is taken as a tea.

recommendations:

• It prohibited the use of herbs (except the weak chamomile tea) in the acute phase of pancreatitis.
• Independent use of traditional medicine is not desirable. Before choosing an herbal treatment you should consult with a specialist.
• During pancreatitis prohibited infusions and tea from the leaves of currants, strawberries, elderberries.
• Duration of herbal therapy is not more than 15 days. At the end of the interim period should be followed by a break of not more than 10 days and a change of treatment.

Treatment of pancreatic folk remedies

Pancreatitis (Symptoms and Treatment in Adults vary in accordance with the form of disease) treated with the use of traditional medicine:

• A decoction of the dandelion. 50 g of roots zaparivat 250 ml of boiled water, 40-50 min, 3-dy are used per day.
• Propolis eliminates inflammation. During a relapse of chronic pancreatitis can chew propolis or take 15 Cap. alcoholate diluted in 300 ml of milk.
• Tincture of radiograms pink (15 Cap.) Consumed within 30 min. before meals to improve the digestive process.
• Garlic, parsley (30 g), 1 lemon pulverized in a blender. The prepared mixture was placed into a glass dish, removed in a cold place. Daily required to eat 1 hour. l. suspension fasting.
• Hercules prepared with water without the addition of salt and sugar, relieves the inflammatory process and normalizes fermentation.
• 1 tbsp. l. milled buckwheat poured 350 ml nonfat yogurt. The mixture was infused for 8-10 hours in the refrigerator. Eaten for breakfast.
• Kissel from flaxseed envelops the abdominal organs, preventing irritation, stopping inflammation. For its production of 40 g of untreated seeds are filled with liquid. Put on the plate, the lid languishing 10-15 min. Eat drink should be in the form of heat.
• Germinated grain oats (30 g) was mixed with 250 ml of cold water. Put on the fire, prepared under constant stirring for 20 minutes. The suspension is taken fasting (porridge temperature not less 40⁰S).
• Compress of curdled removes pancreatic edema and inflammation. The gauze is wetted with liquid, it is located in the left part of the epigastrium. Fabric covered with polyethylene. The patient wraps blanket for 12 hours.

Authorized products

Pancreatitis (symptoms and treatment in adults are different depending on the stage of development and course of disease) requires continued compliance with dietary intake. On acute phase of prohibited any food (1-3 days), you can drink non-carbonated water, a decoction of rose hips and chamomile flowers, unsweetened tea.

With 4 days permitted lean meat, cooked, pyurirovannye soups from vegetables, cereals. From the 2nd week after the disappearance of acute symptoms, the patient is transferred to the food diet of the 5th table.

ration basis:

• Protein foods, regenerating cells of the pancreas.
• Refusal to rapidly digestible carbohydrates (honey, jam, sugar). Release of the trace elements must occur group of cereal porridges.
• Exception fatty, fried food products containing carcinogens, dyes, food additives, soft drinks, sweets industrial production.
• Split meals (3-4 times a day in small portions). It is forbidden to overeat and fast.
• All food should be consumed only lukewarm. Cold and hot food can provoke biliary spasm.
• The patient should avoid alcohol-containing beverages.

Authorized products:

• Lean meat (rabbit, veal), poultry (quail, chicken, turkey), fish (carp, pollack, ling, hake). Products permitted in the stew, boiled, baked form, allowed to cook a souffle, steam meatballs.
• You can eat boiled in water, seafood (shrimp, octopus, mussels).
• Root vegetables (carrot, beet, potatoes, peas) cooked in a double boiler, stew, bake. Used as a separate dish, side dish in the form.
• Dried in the oven for bakery products from flour of the 1st and 2nd grades.
• Milk products (not more than 20% fat). Showing cottage cheese, yogurt, cheese. Milk is used only for cooking cereals at remission.
• Cereals: buckwheat, rice, oat, oatmeal.
• Fruit can be baked apples, bananas, pears. Watermelon and cantaloupe solved in a small amount (no more than 1-2 pieces).
• It is possible to use any fruit in an amount of up to 300 g per day.
• Vegetable, cream fats are used only for the preparation and improve the taste of food (25 g).
• Desserts should be prepared from the berries, fruits with minimal added sugar. You can eat homemade cakes with apples, pears.
• From drinks shown fitootvary herbs, fruit uzvar, jelly, fruit drinks, diluted with water. The coffee can be drunk only stable remission. It is recommended to prepare a drink from chicory.

prohibited products

The list of forbidden foods for people suffering from inflammation of the pancreas:

• And solid fat meat (pork, lamb), poultry (duck), fish (mackerel oil) fried, smoked meat products. For digesting said cooking requires a large number of enzymes.
• Hamburger, chisburgery, chips, crackers industrial production.
• Fresh vegetables. Completely eliminated the use of tomatoes, cucumbers, cabbage, radish, beans, cause fermentation in the gut.
• Mushrooms and mushroom broths.
• Eggs, especially the yolk. It permitted only steam omelet.
• Wheat, pearl barley.
• Sausages, smoked meats.
• Pickles, pickles.
• Sweet confectionery manufacturing, Candy, chocolate (except bitter), marshmallows, candy, fruit candy.
• Fresh bread.
• Carbonated soft drinks, fruit juice concentrates, nectars.
• Strong tea, coffee, hot chocolate, cocoa.
• Milk in its purest form. Fermented products more than 25% fat, acute and salted cheese.
• Canned fish and meat.
• Grapes, figs, citrus fruits.
• Any spices except the green ground.

Dietary food for pancreatitis

The daily menu is chosen at the rate of 150-250 g per serving. The dishes are steamed, boiled, stewed, baked. Should not be used spices in cooking. Oil is permitted in a limited amount (less than 20 g). For the manufacture of desserts limited to the use of sugar. You can use fructose.

Approximate diet on the third day:

1st day
breakfast	herculean porridge, rice, oats, cooked in milk or water; toast of white bread with cheese; drink from chicory
2nd breakfast	omelette steamed with crackers; Baked pear; fitootvar rosehip
dinner	vermicelli soup with chicken; stew of potatoes, carrots, eggplant with steam meatballs rabbit; uzvar apples
afternoon snack	cottage cheese soufflé with bananas; Mint tea
dinner	steam cod with baked potatoes; currant jelly; chamomile tea
before bedtime	atsidolakt
2nd day
breakfast	Purified buckwheat, flooded yogurt (15% fat); Toast with Gouda cheese; tea of ​​chamomile flowers
2nd breakfast	Curd pudding with berries; diluted pear nectar
dinner	potato and squash soup with shrimp; chicken baked souffle with pyurirovannoy from carrots; berry pudding
afternoon snack	diet apple pie, homemade fitootvar rosehip
dinner	fish balls of pollock with carrot salad; pear soufflé; Mint tea
before bedtime	kefir
3rd day
breakfast	pumpkin porridge toast with curd cheese green tea
2nd breakfast	salad of boiled vegetables with chicken, seasoned with low-fat sour cream; berry juice
dinner	vegetarian soup; Steam hedgehogs of rice pasta and veal; jelly linseed
afternoon snack	applesauce with low-fat cream; mineral water without carbonation
Dinner	zucchini braised in cream sauce with beef; banana; chamomile tea
before bedtime	bioyoghurt

In no case can not go hungry and overeat. When the feeling of hunger is possible to arrange a light snack toast with lean cheese, banana.

Any kind of pancreatitis - inflammation of the pancreas. When the symptoms in adults, indicates the beginning of an acute inflammatory process, it is necessary Immediate treatment with subsequent rehabilitation consisting mandatory application of proper nutrition, rejection of bad habits.

Registration of the article: Mila Friedan

Video of pancreatitis

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