If in the last century, only people who consumed alcohol suffered from pancreatitis, today the disease is found in people who can do without it. This is due to genetic predisposition, the abuse of harmful food, the side effects of drugs. When the disease affects the pancreas, responsible for the proper operation of the gastrointestinal tract. To avoid complications that may follow the disease, the patient should carefully consider their own diet. When acute abdominal pains of different etiologies, discomfort, and general weakness are concerned, the patient most likely has pancreatitis. What can you eat with this disease, and what products should you give up? How to recognize the form of the disease? What treatment for pancreatitis is effective? These and other questions are of interest to many people suffering from this disease.
How pancreatitis develops. His forms
When pancreatitis proper nutrition – a prerequisite!
As you know, pancreatitis is not a simple disease, which even after careful treatment leaves a long trail. During the development of the disease, the pancreas becomes inflamed. Pancreatitis of acute and chronic forms occurs, which differ significantly from each other. If the acute form can be found almost at the very beginning of the disease, then the chronic form develops very slowly, has hidden symptoms, which then appear violently and painfully, then they subside for a while. Therefore, it is very difficult to determine the form of the disease without proper diagnosis. In turn, chronic pancreatitis is different. He may have:
- primary form;
- secondary form.
In the primary form, the pancreas is affected, as a result of alcohol abuse, drug intoxication, smoking, heredity, stress. The secondary form of pancreatitis develops through concomitant diseases of other organs located near the pancreas. A patient may suffer from cholecystitis, hepatitis, cirrhosis of the liver, Crohn’s disease, Cystic fibrosis, various allergies, parathyroid dysfunction, and parasites in the biliary tract.
In primary pancreatitis, the use of alcohol adversely affects the pancreas, since it activates the enzymes of this gland. As a result, the glands are destroyed, forming fibrosis, that is, the normal tissue of the gland is replaced by connective tissue. Allergies in the patient’s body produce antibodies that direct their activity against the pancreas, gradually destroying its tissues, destroying its structure. The result of such antibody activity is inflammation of the chronic course, in which it is enhanced, fibrosis of the pancreas is formed. Great danger for the gland are stones in the gallbladder.
How to recognize signs of acute pancreatitis
With acute pancreatitis, acute inflammation of the pancreas occurs, as a result of which the own tissue is digested, the organ increases in size, swelling appears, healthy cells die. The acute form develops through excessive use of alcohol, pathologies of the biliary ducts, unhealthy diet, various injuries of the abdominal cavity and pancreas, medication in inadmissible doses, diseases of the endocrine system, infections affecting the pancreas. Pancreatitis of acute form, characterized by:
- acute, encircling pains, which give to the right hypochondrium and epigastric region;
- lack of appetite;
- nausea and vomiting;
- intoxication, in case of development of purulent foci in the gland;
- temperature rise;
- shock in pain and dehydration;
- discomfort and bloating;
- frequent diarrhea;
- pallor of the skin;
- in violation of the microcirculation develop cyanotic spots on different skin areas;
- the intensity of the abdominal cavity on the left side under the costal arch.
Pain syndrome can last even a day, because in the process of inflammation the death of nerve endings and pancreatic tissue occurs. The pain is felt constantly, almost not inferior, but only subsides under the influence of painkillers. Appetite disappears through the absence of the necessary enzymes in the intestine, which the pancreas produces. For the same reason, the patient has frequent urge to vomit and nausea, which in turn leads to dehydration and pressure reduction.
As soon as the patient has noticed similar symptoms, he should immediately go to the doctor, who will conduct a survey, diagnosis and prescribe the correct treatment. If you delay with a visit to the doctor, acute pancreatitis may take the form of chronic pancreatitis.
The clinical picture of chronic pancreatitis
In chronic pancreatitis in the process of inflammation of the pancreas, connective tissue in the gland grows, as the production and secretion of enzymes and hormones in it stops. The loss of enzymes such as trypsin, amylase and lipase leads to impaired digestion. This form is characterized by periods of severe exacerbation of the disease and periods of remission, when the symptoms of pancreatitis bout – that would subside and pass. Chronic form occurs as acute:
- through drinking large amounts of alcohol;
- pathology of the biliary tract;
- other diseases of the gastrointestinal tract;
- diseases of nearby organs;
- genetic predisposition;
- abnormalities of the congenital type of the pancreas;
- the presence of venous stasis in the gland;
- use of toxic drugs;
- production of autoantibodies by the body.
Herbal decoctions can replace the usual coffee!
When a patient develops chronic pancreatitis, then his symptoms are expressed somewhat differently, in contrast to the acute form. Since the inflammatory process inflames nerve endings, the outflow of juice from the pancreas is disturbed, it increases in size. This pathology leads to a strong pain syndrome of a burning or oppressive nature, which gives to the right or left side and goes to the back.
Most often, the pain appears after the patient eats fat, fried or spicy foods in large quantities. As soon as the patient stops consuming the wrong foods, the pain subsides a bit. In dyspeptic symptoms, symptoms only increase. Severe salivation, vomiting and nausea, diarrhea, abdominal distention begin to appear, the work of the digestive tract is disturbed.
In some cases, in the chronic form, the patient at an accelerated rate loses body weight, since the body is disturbed by metabolic processes, it appears dry skin and brittle nails. The body lacks beneficial vitamins and iron. Chronic form is characterized by the development of diabetes mellitus, through endocrine insufficiency, as a result of which insulin production is disturbed.
Diagnosis of acute and chronic pancreatitis
In order to make the correct diagnosis and establish the form of the development of the disease, you must first undergo a full examination. Diagnosis of pancreatitis is carried out with the help of special equipment using laboratory and instrumental methods. Detecting a disease at an early stage of development is not an easy task, so the patient is prescribed the following tests and examinations:
- general blood analysis;
- blood chemistry;
- blood for sugar;
- Analysis of urine;
- Abdominal ultrasound;
- endoscopic retrograde cholangiopancreatography;
- computed tomography;
- feces analysis;
- passing functional tests.
A blood test allows you to learn about the presence of inflammation in the body, an increase in ESR, the number of leukocytes in the blood, the level of enzymes of certain substances, including glucose. If the examination of urine reveals the presence of amylase, then the patient has exactly pancreatitis. Thanks to the instrumental method of examining the abdominal cavity, one can learn about the state and the changes that occur in the pancreas, stomach, gallbladder, duodenum, and bile ducts. Using computed tomography, the doctor examines the body from all sides and in different planes.
A thorough examination and questioning of the patient will make it possible to draw up an accurate picture of the disease, with the result that the treatment will be aimed at eradicating pancreatitis.
What is the treatment of pancreatitis?
Pancreatic health is directly dependent on the diet
Of course, treatment without medication is not enough, but the main thing is to eat right and live a healthy lifestyle. The patient is prescribed medication, the action of which is aimed at eliminating pain, cleansing the blood from pancreatic enzymes. In addition, during the period of the disease, as well as after it, a person must follow a diet and refuse junk food, which can lead to the return of the disease.
For pancreatitis, pain relievers are prescribed for the treatment of pain, as well as intravenous infusion of special solutions that dilute blood and help reduce the amount of pancreatic enzymes. Trasilol, Kontrykal and other drugs have a destructive effect on enzymes. Also, when vomiting prescribed antiemetic drugs, drugs that increase blood levels of calcium. In order to avoid infection in the damaged organs take antibiotics. In addition to drug treatment, you must follow a diet, it is known as table number 5. It contains foods that are beneficial and can be eaten with pancreatitis.
First, you need to abandon the use of beverages containing alcohol, coffee, highly concentrated broths. With pancreatitis, there are big restrictions on food, which are important to observe in order to speed recovery. But it is not forever. It is enough to suffer one or two months, and it will be possible to eat the usual foods, although then you will need to refrain a little from spicy, fatty and other not very healthy dishes.
They feed on pancreatitis often, but the rations should be small. Thus, the patient’s body weight loss will not be noticeable, but when his health recovers, weight will be restored. In case of illness, it is necessary to limit the consumption of foods that contain carbohydrates and sugar, fats, dishes that increase the production of juices in the digestive system:
- pastries, pasta, other flour dishes;
- sweets, honey, sweet desserts;
- concentrated meat broths;
- decoctions cooked in vegetables.
When strong attacks of pain from eating food is better to refrain. When hunger intensifies, you can drink some liquid. Only it is better if it is usual, a little warm water, tea, broth from a dogrose.
Choosing the right foods for pancreatitis
Fried – is strictly prohibited!
Even though some products will need to be abandoned, not everything is so hopeless. Even among the allowed products you can find those that are sure to please. Bread is desirable to eat dried or sliced, vegetable soups with pasta or cereals. Dishes made from lean meat, steamed.
Fish are cooked in the same way, it can also be eaten boiled. When the disease is permissible to use dairy products, with the exception of being too sweet. Animal and vegetable oils are significantly limited during treatment.
Vegetables can eat almost everything, but only in boiled form or mashed potatoes, fruits are not too sweet or sour.
Of course, not necessarily eat under duress. If products or dishes are not pleasant to the patient, it is better to replace them with other more appropriate ones. It should also be clarified, from all sweets you can eat not too sweet kissels, compotes, herbal teas and rosehips, not very strong teas. Coffee lovers better to give it up or use very diluted. Also during the period of treatment and dieting, it is better to stop consuming whole milk, which, although beneficial, may cause increased gas formation and diarrhea. Fresh vegetables and fruits will cause irritation of the digestive system and the spleen, so it is better to use them boiled, steamed, that is, in any other form.
Treatment of pancreatitis is difficult, but if you follow all the prescribed recommendations, have a great desire to recover, then success will come by itself. The main thing is not to buy dietary dishes in the store, but try to cook by yourself, then the patient will be sure that there are no additives, preservatives, dyes that negatively affect the digestive system. This rule applies to virtually all products, including the preparation of crackers at home, jelly and stewed fruit with homemade fruits and vegetables. Proper nutrition is the main path to recovery.
Once again, the following material will remind you about nutrition in case of pancreatitis: