Reactive Pancreatitis: Symptoms And Treatments What Is It?
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Reactive Pancreatitis, being a kind of pancreatic disease, is a sharp inflammation that develops against the background of other pathologies of the organs of the gastrointestinal tract.Reactive Pancreatitis is not an independent disease, it is the result of other, concomitant, pathologies. The most common cause of developing reactive pancreatitis is a disorder in the work of organs such as the liver, stomach, intestines, biliary tract. The course of the disease is always acute and sudden, but it does not turn into a chronic form. At timely initiated treatment does not pose a danger to the life and health of the patient. It will be enough to eliminate the underlying disease, which has become an impetus for its development.
- 1 Causes of reactive pancreatitis
- 2 Forms of the pathology of
- 3 Methods of diagnosis
- 4 Treatment methods
- 5 Nutrition rules
- 6 Why and how does the disease occur in children?
1 Causes of reactive pancreatitis
One of the functions of the pancreas is the production of juice for normal digestion. This juice includes various enzymes that create alkaline environment in the intestines and neutralize the acidity of gastric juice. Enzymes are activated and begin to perform their function after penetration of pancreatic juice through the ducts of the pancreas in the intestine. After contact with the contents of the intestines, enzymes begin to recycle into the body of food. But if the contents of the intestines penetrate the ducts, the enzymes become prematurely activated, and the pancreas begins to digest itself. The result of this process is acute inflammation - the pancreatic tissue is destroyed.
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Reactive pancreatitis most often develops in older men as they are more prone to abuse of harmful food and alcohol. Therefore, this disease is an organism's response to certain food disturbances. Progression of the disease is provoked by increasing pressure on the gall bladder and duodenum when there is a blockage of gastric juice outflow. Gastric ulcer, liver cirrhosis, hepatitis, dyskinesia of the biliary tract, gastritis and gallstone disease are often the cause of acute pancreatic inflammation. In rare cases, injury to the pancreas can lead to similar effects.
A spasmodic attack on reactive pancreatitis can be stressful. This form of pancreatitis is peculiar to women. Not the last role in predisposition to pancreatitis is played by heredity. Drug use of certain groups can also be the cause of reactive pancreatitis. These are hormonal drugs that Paracetamol, Metronidazole. At the same time, this pathology can provoke diabetes mellitus. This is due to the fact that the inflammation of the pancreas is a violation of the production of insulin, which leads to a decrease in blood glucose.
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2 Forms of pathology development
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Reactive Pancreatitis symptoms and has the following features:
The main and most striking manifestation of reactive pancreatitis is pain. Its localization depends on which part of the gland is affected by inflammation. If the inflammation covers the body of the body, then there will be pain in the epigastrium. Complaints on pain in the right hypochondrium arise from inflammation of the main part of the pancreas. If the body is inflamed, the pain is localized in the left hypochondrium.
A patient may experience chills all over the body. In addition, he has an aversion to food. The pain is greatly increased after taking any food and in any quantity. If you change the position of the body - to sit down and tilt your torso forward, then the pain may sink a little.
If there are similar symptoms and treatment is not present, the disease can go into a more severe form. When the first signs of reactive pancreatitis occur, it is necessary to seek medical assistance, since treatment at home will only worsen the patient's condition.
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Detection of signs of reactive pancreatitis causes the need for a number of analyzes: a general analysis of urine and blood, coagulograms, and determination of the level of enzymes in the blood. The development of acute reactive inflammation of the pancreas indicates increased elastase and amylase, as well as trypsin inhibitors in blood and urine.
Diagnose this pathology in the presence of symptoms characteristic of it, if there is an exacerbation of the disease of the organs of the digestive tract. When examining the patient, the doctor should pay attention to the manifestations of arterial hypotension and tachycardia, the color of the skin and mucous membranes. Palpation of the abdomen reveals pain in the upper sections and the left corner.
In the diagnosis of this disease, instrumental methods such as ultrasound examination of the abdominal cavity are used. It is informative enough and has no harmful influence on an organism. With the help of an ultrasound, you can examine the bile ducts in detail and detect the presence of concretes in them that clog them. In addition, you can find an increase in the size of the organ and its edema. For a detailed visualization of the inflammation center, an X-ray of the abdominal cavity or a computer tomography is performed.
Using magnetic resonance imaging can find concrements, estimate their size and determine the location of the site. Celiacography with reactive pancreatitis reveals increased vascularization of the tissues of the gland. All patients with reactive inflammation of the pancreas in the acute form are shown procedure of esophagogastroduodenoscopy. It is used not only for diagnostic purposes, but with the help of it it is possible to restore the patency of the duodenal papilla, the blockage of which causes inflammation. The severe course of the disease or the difficulties of its diagnosis necessitates laparoscopy.
4 Methods of treatment
For the effective treatment of reactive pancreatic inflammation, it is necessary to identify the causes that caused it. The measures of therapeutic effect pursue the following goals:
If reactive inflammation of the pancreas is mild, treatment and treatment of the underlying disease will be sufficient for its treatment.
Medicinal therapy includes the use of the following drugs:
- enzymes for digestive enzymes( Pansinorm, Creon, Mezim);
- means for eliminating bloating and gas formation;
- antispasmodic drugs for the expansion of the duct( No-Shpa);
- anti-inflammatory analgesics( Diclofenac, Ibuprofen);
- antibiotics( Ampox, Gentamycin).
Reactive inflammation of the pancreas in the acute stage requires a complete refusal to eat for 2 days. During this time, only drinking water and decoctions of medicinal herbs is allowed. For 3-4 days, liquid or rubbed food is allowed, which is administered gradually and cautiously. The main diet, provided by the diet, is allowed to be consumed in a week.
Fasting is required in order for the pancreas to calm down and the production of enzymes stopped. If the disease does not occur in a severe form, then you can do the adherence to a special diet, eliminating fasting. Both after the course of treatment and during treatment it is necessary to completely abandon the use of alcohol and smoking, you must adhere to a proper, healthy diet.
Power Rules One of the main components of the successful treatment of reactive pancreatitis is the adherence to a strict diet. Restoration of normal functioning of the pancreas is impossible without it. When selecting a diet, it is necessary to take into account the features of the underlying disease, which was the cause of the development of reactive pancreatitis.
With the help of diet, the functional rest of the inflamed gland is provided. The mode of food involves the following rules:
The basis of nutrition for patients with pancreatitis should be diet number 5. You can use such products as soups with vegetables, cereals or macaroni, porridges, low-fat meats, poultry and fish, vegetable and butter, boiled vegetables, omelet from proteinseggs, not sour berries and fruits. As a drink, a broth of wild rose, weak tea, juices and compotes is allowed.
In the case of reactive inflammation, the following products should be excluded from the diet:
- baking and fresh bread;
- carbonated beverages;
- coffee and cocoa;
- sausages and smoked;
- canned food;
- onion and garlic;
- radish and radish;
- cabbage and mushrooms;
- roasted oily meat or fish;
- meat and fish broths;
- millet, pearl barley and corn porridge;
- bananas and figs;
- ice cream;
Compliance with dietary recommendations and a strict diet will help to prevent the exacerbation of the disease and will help to restore the damaged body as soon as possible.
6 What causes and how does a child develop?
A frequent disease of the digestive system in children is reactive pancreatitis. This is due to the fact that there were many harmful products for children containing canned food. Unlike adults, in children, this pathology manifests itself more often as a reaction to mistakes in nutrition. As soon as contact with irritable digestive tract infections has occurred, an acute attack of reactive inflammation of the pancreas can develop. It can also manifest itself after an abundant intake of fatty foods for the baby. The irregularity of the diet for a long time may also be the cause of reactive inflammation in children. This happens when large breaks occur between meals.
Children under the age of 1 can also suffer from this disease. In them, it develops as a result of improper introduction of feed. The use of products that do not correspond to their age is an unbearable burden for the development of the child's kidney organs, in particular for the pancreas.
In reactive pancreatitis in a child there is an umbilical hernia in the area of the navel, nausea and vomiting, diarrhea. This condition can be accompanied by an increase in temperature. When looking at the oral cavity, there is a white plaque on the tongue and dryness of the mucous membrane. The child's behavior changes, it becomes capricious, annoying, and passive. Breast-feeding babies become very restless and react to pain with strong crying. The younger the child, the less pronounced are the symptoms of the disease.
The appearance of such symptoms should alert parents and require immediate medical attention. In the case of confirmation of the diagnosis, the hospitalization of the child is carried out. In this case, bed rest is shown. Treatment of the disease is carried out according to the same principle as in adults - hunger, diet and drug therapy. Observance of all recommendations and appointments of the doctor will ensure the child's rapid recovery.