In acute and chronic pancreatitis (inflammation of the pancreas), the main clinical symptoms are pain. It is pain that causes many troubles to a person suffering from pancreatitis. Only after the pain appears, the person decides to go to the doctor.
One of the priority areas for the treatment of pancreatitis are different options for the relief of pain at home.
How do pain symptoms occur when pancreatitis
In the mechanism of pancreatitis pain, a large role can be played by various processes that occur in the pancreas, for example:
- Violation of tissue microcirculation (ischemia).
- Obstruction of the duct gland.
- Dystrophic and inflammatory changes.
The predominance of certain changes due to the nature of the disease (acute or chronic form).
In acute pancreatitis, the palm belongs to inflammatory changes in the tissues of the gland itself. The development of all the classic symptoms of inflammation is observed:
Edema, which is caused by excessive fluid accumulation, has an additional negative effect. It squeezes pancreatic tissue.
The appearance of necrotic and dystrophic sites in acute pancreatitis is an individual symptom and can vary from single lesions to total pancreatic necrosis.
In the event of such a pathology, the integrity of the parenchymal lobes of the gland is accompanied by the removal of its enzymes beyond the anatomical borders of the duct. Therefore, the pain of pancreatitis is growing even more.
Inflammatory changes in chronic pancreatitis are less intense. Ischemic and glandular connective tissue replacement prevail here. In some parts of the pancreas appear cysts and calcification zones.
As a result of these changes, tissue sections that are still viable are compressed, the outflow of pancreatic digestive enzymes is disturbed. Pancreatitis pain becomes more intense.
With a protracted course of chronic pancreatitis, pathological changes in sensitivity are observed – pain occurs in response to light stimuli (allodynia).
The nature and localization of pain in pancreatitis can be considered individual, but on the other hand they depend on the course of the inflammatory process. In acute pancreatitis, pain occurs immediately after eating a food irritant. With the progression of pathological disorders, pain in pancreatitis gradually increases.
The patient rushes about in an unsuccessful search for relief posture. However, in most cases, neither the “embryo” position (legs tucked up to the stomach), nor the position on the side, nor the half-sitting position, bring long-awaited relief. In a supine position, more marked pain symptoms are noted on the back.
Often, pain in pancreatitis is localized in the upper abdomen. This is usually the epigastric part, but sometimes the pain can shift to the left or right hypochondrium. Occasionally, pain in acute pancreatitis resembles pain characteristic of angina pectoris.
They are manifested by baking, burning, unpleasant symptoms in the chest region, extending to the left side of the back, left side of the lower jaw or hand. Chronic pancreatitis manifests itself by the fact that pain does not have a clear localization. They can be different in intensity:
- In the lumbar region in the form of a full belt or left half-belt.
- In the back area without spreading to nearby areas.
- In the area of the lower part of the sternum (in the area of the lower ribs).
- In the middle or upper abdomen.
Most patients with chronic pancreatitis observe the frequency of pain that occurs, in other words, the cramping type. With pancreatitis, the pain can be of different intensity. But more often it is so high that even mental disorders can occur.
Note! The pain in chronic pancreatitis is directly related to the consumption of fatty, spicy or fried foods and alcohol. The first signs of pain are observed half an hour after eating.
Ulcer-like pain, that is, pain on an empty stomach is very rare. Sometimes after periods of improvement, there is a period of increased pain.
If the pain disappeared, it is not always a reason for joy. Especially it concerns those situations when the pain was very strong. Her sudden disappearance indicates that necrosis develops in most of the tissues.
How to relieve pain at home
In acute pancreatitis, the disappearance of severe and sudden pain can have negative consequences. The emerging picture of acute abdomen is correctly diagnosed and evaluated by a surgeon only under natural conditions.
That is, the use of any painkillers dulls the pain, as a result of which the disease is difficult to diagnose. With the development of acute pancreatitis, the most effective method is to apply a hot water bottle to the stomach.
You can relieve pancreatic pain at home with non-narcotic (non-steroidal) analgesics. The most effective substances in this segment are:
Paracetamol is available in tablets, syrup or capsules with liquid contents. The dose of the drug in each case is selected individually. It is advisable to start treatment with a minimum dosage, and if necessary it should be gradually increased.
If the analgesic effect is very weak, prescribe ibuprofen or diclofenac. Pain can be relieved by potentiating the effect of NSAIDs with tranquilizers or neuroleptics only with extreme pain.
The complex treatment of chronic pancreatitis includes the following groups of drugs.
In other words, pancreatin. On the one hand, it improves the digestive processes and reduces the load on the glandular tissue. On the other hand, a decrease in functional load can immediately relieve pain or, in extreme cases, their intensity.
Somatostatin hormone and synthetic compounds with it
Somatostatin has the ability to reduce the body’s sensitivity to pain and, in particular, to pain during pancreatitis. Synthetic analogue of the drug is octreotide. The drug has a long duration of action, so even a three-day short course allows you to achieve a rather long-lasting effect.
However, somatostatin has a fairly wide range of contraindications and side effects, so it and its analogs cannot be used to treat absolutely all patients. The drug is prescribed individually, as is the treatment of pancreatitis medications.
H2-histamine receptor blockers
The so-called functional rest for the pancreas can be created not only by direct suppression of secretion by pancreatic enzymes. You can use a direct effect on this process of proton pump inhibitors or H2-histamine receptor blockers.
Among the H2-histamine receptor blockers, the drug famotidine is the most popular. It has antioxidant activity, has a minimum of side effects, improves the rheological characteristics of blood.
With the help of famotidine, it is possible to minimize the activity of the secretion of the remaining pancreatic residues. This is due to the fact that the drug rather quickly suppresses the secretion of hydrochloric acid in the stomach. Proton pump inhibitors
To proton pump inhibitors include:
These drugs have fewer side effects. Therefore, the use of these drugs is almost safe. With an individually selected dosage, proton pump inhibitors can be taken for a long time.
It can be noted that sometimes herbs for the pancreas also help, which cannot be the main treatment, but in the complex they do an excellent job.
Pain relief in the hospital
In case of severe pancreatitis, the patient must be urgently hospitalized in the hospital. Narcotic analgesics may be used to relieve pain in the hospital. Which ones are commonly used in acute pancreatitis? Most often used:
In particularly aggravated situations, narcotic analgesics are combined with tranquilizers, antidepressants and antipsychotics. These drugs enhance the effect of each other.