What is pancreatitis?
Pancreatitis (English name is Acute Pancreatitis) refers to inflammation of the pancreas. The pancreas is a large gland located behind the stomach and near the duodenum. The pancreas secretes digestive enzymes into the duodenum through the pancreatic duct to help digest fats, proteins, and carbohydrates in food every day. The pancreas also secretes active substances into the bloodstream, helping the body use glucose from food for energy.
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The pancreas is a large gland located behind the stomach and near the duodenum.
What causes pancreatitis?
Alcoholism and gallstones are the two main causes of pancreatitis, accounting for about 80-90% of cases.
Alcoholic pancreatitis usually occurs in patients who drink alcohol for a long time, at least 5-7 years. Most cases of chronic pancreatitis are caused by alcoholism.
Gallstones are usually created from substances found in the gallbladder, or from other organs in the abdomen. Gallstones can block the pancreatic duct, preventing pancreatic juice from draining out of the duct. Gallstone pancreatitis is common in women over the age of 50.
Gallstone pancreatitis is common in women over the age of 50.
In addition, the remaining 10%-20% of pancreatitis cases are caused by the following:
– Exposure to certain chemicals.
– Injury (trauma) from a car accident or a fall that causes abdominal trauma.
– Inherited diseases.
– Surgery and some surgical procedures.
Infections, such as measles (uncommon).
– Pancreatic or intestinal malformations.
– High blood fat.
However, about 15% of cases of acute pancreatitis and 40% of cases of chronic pancreatitis have no known cause.
What are the common symptoms of pancreatitis?
Pain is the most common symptom of pancreatitis. The pain can come on suddenly or gradually increase. If pain comes on suddenly, it is a common sign in severe cases. If the pain progresses slowly, it can start out mild but can also become severe.
Pain is usually concentrated in the upper half of the abdomen or the upper left abdomen. Pain may radiate to the back.
Pain usually lasts for several days.
Pain often occurs or worsens with eating.
Pain increases when lying on the back.
The pain can come on suddenly or gradually increase.
Also people with acute pancreatitis may feel tired. In addition to pain, patients may also have other symptoms such as:
Nausea (some people may vomit but it still does not relieve the feeling of nausea).
Fever, chills, or both.
The abdomen is distended and sensitive to the touch.
+ Tachycardia (may be due to pain or fever, can also be due to compensatory reflex when the patient has internal bleeding).
In severe cases of infection or bleeding, the patient can become dehydrated and have low blood pressure with the following symptoms:
Weakness or feeling tired.
+ Dizziness, dizziness.
+ Easily irritated.
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Restlessness or difficulty concentrating.
How to treat pancreatitis?
In most cases, home treatment cannot cure pancreatitis. However, patients with mild symptoms can be treated at home with the following methods:
– Stop all alcoholic substances such as wine, beer.
Avoid foods with a lot of fat, cow’s milk, cheese. These foods can make inflammation worse.
Use over-the-counter pain relievers.
Pancreatitis can cause severe pain. Your doctor will give you medicines to help control the pain.
Treatment of acute pancreatitis
In acute pancreatitis, the choice of treatment is based on the severity of the patient. If there are no complications, the following treatments usually aim to relieve symptoms and improve the condition so that the pancreas can heal:
Most patients with acute pancreatitis recommend hospitalization.
– Patients who have difficulty breathing will be given oxygen.
Patients who have difficulty breathing will be given oxygen.
Intravenous infusion, usually in the forearm, so that drugs and fluids can be given through this route. Fluids are given to replace fluid loss due to vomiting or the patient’s inability to drink, helping the patient feel better.
If necessary, the patient will be given antiemetic and pain relievers.
Antibiotics are used if the doctor suspects an infection.
Do not eat or drink by mouth for several days to give the intestines time to rest. This way, the digestive tract and pancreas will have a chance to begin to heal.
Some patients will need to use a nasogastric tube, which is a flexible plastic tube that is placed through the nose to go down to the stomach to suck out gastric juices so the intestines can rest and the pancreas has time. recuperate.
If the pain persists for more than a few days, food may be given intravenously.
Treatment of chronic pancreatitis
In chronic pancreatitis, treatment focuses on pain relief and avoidance of aggravation of the pancreas. The following treatments increase the patient’s ability to eat and digest:
– Pain relievers in case of severe pain.
Eating a low-fat, high-carbohydrate diet and eating smaller meals can prevent the pancreas from getting worse. If the patient is having trouble following this diet, pancreatic enzymes are given to the patient in pill form to help digest food.
Patients diagnosed with chronic pancreatitis will be advised to stop drinking alcohol altogether.
If the pancreas does not produce enough insulin to regulate blood sugar, injectable insulin may be needed.
If the cause of pancreatitis is gallstones, surgery may be needed to remove the gallbladder and remove the stones.
If complications develop (widespread pancreatic damage, bleeding, pancreatic pseudocyst, or abscess), surgery is required to drain or remove affected tissue.
Prevention of pancreatitis
– Stop drinking alcohol.
– Stop smoking.
Choose a low-fat diet. Eat plenty of fresh fruits and vegetables, whole grains, and lean protein.
– Drink more water.
Vitamin and mineral supplements, such as vitamins A, C, and selenium, may help reduce the need for pain medication in people with pancreatitis.
– Acute pancreatitis caused by worms: Need to deworm periodically every 4-6 months.
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– Acute pancreatitis due to increased Triglyceride: Treatment to lower blood lipids – minimize the intake of fats, especially fats of animal origin such as: egg yolks, fat, animal viscera, weight restriction for humans overweight or obese, increase your intake of vegetables and fiber.