Exacerbation of chronic pancreatitis treatment

In order not to treat the exacerbation of chronic pancreatitis, doctors recommend taking measures to prevent the development of this pathology. First of all, it is necessary to study the main causes of acute inflammation of the pancreas, and to avoid them as much as possible. In most cases, exacerbation of the disease does not require mandatory surgical intervention, but ignoring conservative treatment, there is a risk of serious complications in the form of problems with the digestive process and the absorption of substances in the body.

Why aggravated illness?

A disease such as chronic pancreatitis is a progressive inflammatory process in the pancreas, which gradually leads to the overgrowth of an organ with tissue that is unable to fully perform its functions. Pathology can occur in both adults and children. Pancreas may worsen for the following reasons:

  • excessive drinking;
  • propensity to overeat;
  • smoking;
  • biliary tract dysfunction;
  • excess weight;
  • regular stress;
  • abuse of large amounts of fat;
  • infectious diseases.

ICD 10 disease code

The unified international classification of ICD 10 is of great importance in medicine, as it allows you to share experience in treatment and diagnostic examination among specialists in various countries. The code for chronic pancreatitis according to ICD 10 is as follows:

  • Main symptoms

    How does chronic pancreatitis manifest itself in the acute stage? Distinctive features of this disease are severe pain in the left side. In case of damage to the entire organ tissue, pain is localized in the lower back and may radiate to the scapula or back. Thus, the main symptoms of chronic pancreatitis are as follows:

  • pancreatic swelling;
  • abdominal pain on the left side;
  • accumulation of biological fluid in the abdominal cavity;
  • pain in the stomach.

In addition to the above symptoms, indicate that worsened pancreatitis may include symptoms such as:

  • increased body temperature;
  • vomiting;
  • nausea;
  • diarrhea;
  • cyanosis of the skin;
  • burning in the esophagus;
  • decreased appetite;
  • flatulence.

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How long does a seizure last?

Chronic pancreatitis in the acute phase may be accompanied by severe pain and a significant deterioration in health. However, not all patients have such severe pain, but instead they suffer other symptoms: lack of appetite, high fever, vomiting, diarrhea, etc. But how long is the acute phase? Doctors do not give a definite answer, since many factors affect the duration of the attack, for example, the causes that have led to the development of this pathology or the presence of accompanying ailments. On average, during an exacerbation of pancreatitis, an attack lasts 1-2 hours or more days.

How is the acute period?

The chronic form of pancreatitis lasts until the end of life and is not amenable to any treatment. Sometimes there are exacerbations, but in all patients they occur with different frequency. When giving up bad habits and following the prescribed diet, pancreatitis becomes extremely rare. But when patients neglect preventive measures and continue to lead their earlier lifestyle, the disease progresses and leads to a severe stage of acute pancreatitis. The patient’s condition significantly worsens, symptoms of collapse and toxic shock appear. Signs of collapse are as follows:

Exacerbation of chronic pancreatitis treatment

  • oxygen starvation;
  • a sharp drop in blood pressure;
  • general weakness;
  • decrease in body temperature;
  • dizziness;
  • cold sweat;
  • pallor of the skin.

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Diagnostics

Before you begin to treat the worsening of the inflammatory process in the pancreas, it is necessary to conduct a diagnostic examination. To make an accurate diagnosis, a specialist will need the results of the following studies and analyzes:

  • X-ray, which will reveal the calcium in the tissues of the organ.
  • Urine tests to determine the presence of amylase.
  • Analysis of feces for the presence of undigested fiber.
  • Blood tests, which include general clinical analysis and biochemical analysis. The results determine the increase in leukocytes, ESR and the level of enzymes.
  • Ultrasound examination, which allows to consider the size of parts of the gland.
  • CT scan. Conducting this kind of diagnosis reveals the degree of fibrosis.

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Treatment of the condition

What to do when there is pain in the pancreas in chronic pancreatitis? First of all, it indicates its aggravation and, as mentioned earlier, it is impossible to cure the chronic form once and for all, therefore therapy in this case is aimed at eliminating the pain syndrome, normalizing the functioning of the pancreas and preventing possible complications. It is possible to stop the exacerbation of the chronic form of pancreatitis with folk remedies and medicines, and a special diet is also prescribed to the patient.

During exacerbation of pancreatitis, the patient immediately needs starvation, with the help of which enzymes become less active and severe pain is reduced. In this regard, the majority of patients wondered how much to refrain from eating? According to specialized experts, you need to withstand fasting for 3 days, while the patient is allowed to drink water. It is compulsory for fasting to receive medications.

General rules

Therapy of exacerbated pancreatitis in adults and children from the first minutes should be carried out under the supervision of doctors. According to doctors, first aid in this case can only harm and complicate the diagnosis of the disease. However, if an exacerbation of pancreatitis happened, but it is not possible to immediately consult a doctor, then you need to be able to properly assist:

Exacerbation of chronic pancreatitis treatment

  • provide complete rest to the patient;
  • Give to drink every 30 minutes. 50 ml of water;
  • not to water the victim with enzyme-containing preparations until the arrival of the doctors;
  • to remove the pain, you can give 0.8 mg No-shpy;
  • Seat the patient so that his body was bent forward.

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Drug intake

Drug treatment for acute exacerbation of chronic inflammation of the pancreas is aimed at eliminating the associated symptoms and restoring pancreatic secretion by using enzymes. To relieve vomiting, nausea, you can take drugs such as Smekta, Hofitol, Enterofuril, etc. You can bring down the high temperature with antipyretic drugs: Paracetamol, Ibuprofen, Aspirin.

The basis of the treatment of exacerbation of chronic pancreatitis is medication, containing enzymes. But they should be taken only when the patient’s condition begins to improve and there is a pronounced painful symptoms. The enzyme-containing drugs include: Pancreatin, Papaverin, Mezim, Creon, Festal. You can relieve pain in adults with such medicines as Atropine, Ketorolac, No-shpa, Tramadol, and Meperidine. Also, the pain can be removed and due to the suppression of pancreatic secretion, for this drink medication – prokinetics.

Folk remedies

Non-traditional medicine comes to the aid of drug therapy. In order to cure the described disease with folk remedies and stop the accompanying pain, it is necessary to make special decoctions and infusions that have a choleretic effect. Most of the recipes of traditional medicines are based on adult dosage, it is extremely dangerous to use them in the original form for children.

Representatives of alternative medicine offer the following pancreatic infusions:

    Take 10 g of celandine, mountaineer, violet, corn silk, rhizomes. Herbal extracts are used in addition to drug therapy.

dandelion and aniseed fruit. Mix ingredients and pour ½ liter of boiling water. Put to boil for 4 minutes, then strain and take three times a day before meals.

  • Prepare 10 g chamomile inflorescences, 30 g mint, 20 g immortelle. Make an infusion according to the previous recipe and use after a meal for a month.
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    In the process of treatment of exacerbation of pancreatitis can not do without a special diet. Eating is necessary 2–3 days after a full hunger strike. Medical diet involves the rejection of fatty, fried foods, alcohol, preservation, smoked meat, pickles and sweets. In the patient’s menu with pancreatitis, dairy products, fish and lean meat, steamed or boiled, should prevail. Introduce a new product is recommended gradually, watching the reaction of the pancreas.

    If therapy does not help?

    There are cases when, after a 2-week therapeutic course, there is no improvement in well-being, then doctors insist on surgical intervention. If a patient has pancreatitis with complications, then surgery is required much earlier. During the operation, a dead part of the organ is removed from the patient and the abdominal cavity is reorganized.

    Exacerbation of chronic pancreatitis treatment

    What to do when preventing the exacerbation of chronic pancreatitis?

    In order not to have to treat the acute form of chronic pancreatitis, doctors recommend that you follow prophylactic measures. It is important to completely give up bad habits, visit a doctor in a timely manner and not engage in self-treatment. In addition, you should eat a balanced diet, do not overeat and reduce the amount of carbohydrate and fat in the menu.

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