The pancreas is an important organ of the digestive system, located deep inside the abdominal cavity. It consists of several types of tissues at once and is characterized by difficult access to itself due to the peculiarity of the anatomical location.
It is not possible to diagnose an organ by palpation, auscultation or percussion. Identify any problems with different parts of the pancreas, possibly based on the results of magnetic resonance imaging (MRI) or ultrasound diagnosis (ultrasound).
It should be noted that the diagnosis, which indicates an increase in the size of the organ in a child, cannot be made definitively and there are reasons for this. If individual parts of the pancreas are enlarged (body, tail, or head), then this may be a peculiar reaction or feature of a particular organism, for example, a congenital anomaly, which cannot become a threat to the life of the patient.
In some situations, it may be wrong to diagnose an enlarged size of the tail or body of the pancreas. To clarify the diagnosis should pass not only laboratory, but also instrumental examination.
The main reasons for the increase in organ in a child
Medicine knows two types of pancreatic enlargement: local and total. With a total increase, a proportional process is noted, and with a local increase only one section of the pancreas will be affected, while the rest of the organ will be within the normal range. For example, the tail may be increased in size, but the body and the head may not.
The reasons that have become a catalyst for increasing the size of the body are diverse, but the most frequent include:
closed types of abdominal injuries;
autoimmune processes in the body;
- mucosal ulcer;
- chronic or acute inflammation;
- the effect of toxins;
- cystic fibrosis;
- abnormal development of the pancreas;
- illnesses of the duodenum with the exit of the ductus of the gland.
A disproportionate increase in any part of the pancreas can be caused by various reasons. These include:
- tumors of different nature (they can be benign or malignant);
- the occurrence of a false or true cyst;
- replacement of some places of glandular tissue with connective tissue (if we talk about chronic pancreatitis, these may be calcinates);
- pancreas suppuration and abscess development;
- blockage of the duct of virsungov.
Why does a child’s pancreas grow?
Childhood problems with enlargement of the gland are similar to those with which adults are affected. Children of any age should be carefully examined for an increase in this organ of the digestive tract. This is extremely necessary for the reason that over time it is able to grow several times, but such an increase will not always be proportional.
It often happens that the growth of the pancreas can not match the tables and graphs, however, it will be proportional to the rest of the surrounding organs. In addition, it is important to note that it is in early childhood that congenital malformations of the gland and its increased size are diagnosed for the first time.
Signs of pancreatic enlargement
Regardless of age, the disease is different. It can be acute manifestations of the disease, which do not leave a single drop of doubt in the diagnosis or so latent symptoms, which require the conduct of a number of additional studies to establish the truth.
If the pancreas undergoes inflammation, then in such cases, a bright onset of symptoms will begin. With tumors and various cystic tumors, the symptoms can begin to manifest themselves after some rather long time. In these situations, a quick and correct diagnosis, which will lead to a speedy recovery, is possible only with the combination of certain symptoms. The most frequent among them are:
- pain sensations of varying degrees (aching, baking). They can be localized at the top of the abdomen and given in the back or hand;
- repeated vomiting, nausea, unpleasant feeling of bitterness in the mouth, belching, complete lack of appetite;
- problems with the stool, which are manifested by diarrhea without impurities;
- jumps in body temperature from subfebrile to high.
An increase in the pancreas in children is a rather dangerous phenomenon, regardless of the specific reasons that led to this condition. There are others around the organ, which can lead to their compression. In particular, we are talking about the head of the gland, because it is precisely because of its large size that it is able to exert pressure on the duodenum of a child. Cases when similar increases in an organ became the reason of intestinal impassability are noted.
How is the treatment in children?
Each specific case and the reason for an increase in the pancreas in children provides its own treatment, as well as pancreatitis in children offers symptoms and treatment, based on the individual characteristics of the child’s body, including.
Treatment may be conservative and prompt. If we talk about general principles, they are as follows:
- mandatory compliance with the strictest diet, which provides for the complete elimination of fatty, spicy and fried foods. In addition, physicians strongly recommend abstaining from eating at least a few days or even the introduction of nutrients into the body by injection (parenteral nutrition);
- reduction of swelling of the pancreas by applying cold warmers to the body;
- maximum reduction of the organ’s secretory activity with the help of special proton pump inhibitors, hormones or special histamine receptor blockers;
- additional input of artificial digestive enzymes to adjust the pancreas;
- surgery to eliminate the source of inflammation or dead tissue.
How to eat with an increase in the pancreas?
One of the components of the recovery of children will be normal and proper nutrition. It becomes an addition to the treatment and removal of the causes of the development of the disease. In the majority of cases we are talking about a special diet, which has the name “Pevzner’s diet number 5”. It provides for the maximum restriction of fatty foods and fatty constituents. Instead, they are offered protein components that are beneficial for the body of a sick child.
Diet number 5 involves the complete elimination from the diet of sick children of such products:
- sweets in the form of chocolate, ice cream, jam;
- all types of juices, especially fresh ones;
- vegetables and fruits in their natural state (not thermally processed);
- fatty broths, broths and dishes cooked on their basis;
- dairy products with high fat content (sour cream, cream, whole milk).
Instead of prohibited foods, the child should better offer:
- steamed and boiled meats and dishes prepared on their basis;
- dairy products with a minimum percentage of fat;
- any kinds of porridges boiled in water;
- vegetables in the form of stews or steamed;
- black tea with a minimum amount of sugar;
- baked fruits and desserts based on them;
- dried bread, crackers, biscuits.
There are cases where diet alone is impractical and not effective for different children. It can be in those situations when there are neoplastic processes in the child’s body. No rational diet and strict diet will not be able to affect the growth rate of the tumor in the pancreas. The only way out is to remove the affected area of the organ surgically. As for the acute course of pancreatitis, in such cases, the diet will also be powerless.
However, you can not put aside food on a secondary plan, because with these pathologies, even after surgery, it is necessary to provide high-quality rehabilitation or intensive treatment of the child. In addition, it will be important to reduce the burden on the body, especially since as a result of the manipulations carried forward, its functions are violated. We must not forget that a strict diet reduces the possibility of a recurrence of an increase in the pancreas in a child, and of course, you need to know what you can eat during an exacerbation of the pancreas, this is extremely important information.
There are problems with the gland, when only one diet will be more than enough. Such an approach will help the diseased body to guarantee complete functional rest, quickly reducing puffiness. In some cases, additional treatment and examination of a sick child at a hospital is also provided.
In case of any diseases, only on condition of timely identification of the causes and high-quality medical care, it will be possible to talk about a favorable outcome. Proper treatment and compliance with all recommendations of the doctor will provide an opportunity to prevent the likelihood of complications and to maximize the symptoms of the disease.