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Symptoms of pancreatitis and treatment

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If you have vomiting and girdle pain in the abdomen, as they say, after a hearty lunch, it means that you have a health problem, as it is the main symptoms of acute and chronic pancreatitis. In this disease, no matter it occurs in the chronic form, or is it acute pancreatitis – symptoms: severe vomiting, which brings relief to the patient.

I want to say that in the chronic form of the disease the symptoms are not as fast, but with a long course of the disease. Pain in pancreatitis, as mentioned above, surrounding and extending to the lower portions of the chest. There are cases that the ill manifested paroxysmal pain, but this symptom is more often seen in those who have acute form of the disease.


Symptoms of acute pancreatitis

In the acute form of the disease localized pain in the stomach at the top, left and right hypochondrium, if amazed the entire gland, you have pain shingles character. As patients get vomiting with admixture of bile, which does not bring him relief, dry mouth, hiccups, nausea and belching.

Overall health of the patient with progressive disease is deteriorating rapidly – rising body temperature, quickens the pulse, shortness of breath, reduced blood pressure, the tongue becomes dry, stands a clammy sweat, turn pale skin, then they acquire an earthy-grayish color, and facial features sharpened.

The stomach during the examination swollen, there are signs of paresis of the stomach and intestines, which means there are no cuts. On palpation, on the background of painful sensations in the abdomen, a long time is not determined by his muscle strain, and only in the later stages revealed signs of peritoneal irritation. In the acute form of the disease complications arise not only from the abdomen, but also those bodies that are located beyond its borders.

The main group included suchdiseases such as cellulitis of the stuffing bags and suppuration, peritonitis, intra-abdominal, acute erosion and ulcers gastrointestinal tract. The second group: swelling and abscesses of the lungs, pneumonia, fluid accumulation in the pleural cavity or pleural effusion. Very often in this disease occur diseases such as hepatitis, failure of carbohydrate metabolism – raising blood sugar and its manifestation in the urine.

Among all the symptoms of pancreatitis can present with pain because of obstructed outflow of secretions of the pancreas. It is expressed in the tension of the capsule of the pancreas and increase the pressure on the solar plexus. The pain symptom appears then that the pancreas has a large number of nerve endings which cause the pain of the process.

The pain may continue for from one hour to two days, in some cases more. The intensity of the pain completely depends on the shape of the inflammatory process in the pancreas. Her swelling appears intense or severe pain. In some cases, the symptoms of pancreatitis are expressed, so give pain in the chest and heart region of the patient. In the diagnosis of disease this fact should be taken into account. Symptoms in the chronic form of the disease can be similar to obstructive, that is, with the acute form of pancreatitis, which are long term and aching in nature. All these symptoms of chronic form of the disease caused by presence of stones in the ducts and other obstructions, obvious swelling of the abdominal cavity, is associated with intestinal dysbiosis and poor performance of the digestive tract.


Symptoms of pancreatitis cholangiogenic

A person with this form of the disease, that is, with the presence of stones in the ducts, symptoms after eating a meal containing bile ingredients. These include, first and foremost, fats, and especially those which contain fatty acid (fried products), as well as acids, proteins, alkaloids, essential oils, fats and others.


The symptoms of chronic alcoholic pancreatitis

The symptoms of this form of the disease occur in those who abuse alcohol, and they are expressed after the intake of acidic and fatty foods, fresh vegetables and fruits. In some cases signs of chronic alcoholic pancreatitis masked biliary colic, which is clinically expressed vividly gives a picture that is manifested by pain in the right hypochondrium,which gives back, and also appears vomiting admixture with bile.

At an early stage this form of the disease can happen constipation, combined with hypomotor dyskinesia of the bile ducts and colon. Next, you may receive the diarrhea, which is expressed in unstable chair, with a change of diarrhea and constipation. For those patients who suffer this form of the disease diarrhea is a common symptom in General.


Symptoms of severe pancreatitis

Expressed in this form of the disease, the patient in the form of shock and collapse. In purulent disease the body temperature rises and when the collapse and swelling of the pancreas goes down.

Skin symptoms

As we have said above, if you were careful, if this disease is change the color of the skin. It can be:

  • Pale;
  • Yellowish;
  • Cyanosis

What is cyanosis? Cyanosis, or color of the skin and mucous membranes have a bluish tint. Cyanosis is extremely rare, it is accompanied with severe forms of chronic and acute recurrent disease. Can manifest local and General boards on the patient's body, side and front surfaces of the abdomen, in the navel and on the face.

In some cases you may notice redness of the patient's face with minor cyanations shade. After the study, we can say with certainty that thirty percent of patients with pancreatitis revealed jaundice, which is usually associated with compression of the bile ducts, and as a consequence the combination of pancreatitis symptoms of gallstones. Causing the blockage of the bile duct a gallstone and inflammation of the sphincter and spasm. During palpation very often on the skin you can see the spots, symptoms of reddish droplets. As can be seen in the places of projection of the pancreas expressed the pain, there is bloating, especially in the upper part and is manifested in the abdominal cavity severe skin sensitivity. For correct diagnosis, you should apply other methods of diagnostics of this disease. It is necessary to exclude other diseases that are similar to pancreatitis. In the diagnosis the importance of biochemical analysis of blood.

On topic: is it Possible to get rid of chronic pancreatitis and diabetes?

Drug treatment of pancreatitis

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The treatment of this disease is appointed by the doctor individually for each patient, for the reason that without an integrated approach in any case can not be treated.

The treatment is accompanied by antifermental therapy, which helps stop the pancreas destructive processes. The patient during attacks needed rest and bed rest. Strictly on a strictly prohibited to take heavy and fried foods, because it is harmful for the sick organism.

It is recommended to follow a specific diet for three weeks. From one to three days the patient, who suffers from a severe form of the disease, and is appointed famine. The body at this time is fed intravenously.

Treatment of acute pancreatitis

Patients who suffer a severe form of this disease are placed in intensive care, because the only way to establish a stable monitoring of hemodynamic parameters, and can be easy to treat beginners complications.

As a rule, the acute form, applied surgical procedure, which is assigned to the patient only in the case if he was found to have severe and even running form. During the operation use the method of laparoscopy, resulting in installing drainages.

After surgery, the patient, the doctor will prescribe antibiotics and drugs that block the inflammatory processes in the body. If necessary, the doctor appoints to the patient dehydration therapy. As we have said above, in the treatment of pancreatitis, is of great importance replacement therapy by enzyme preparations which are taken for a long period of time. In addition, the doctor also appoints and such drugs as:

  • Calcium;
  • Cholagogue;
  • Sedatives;
  • Metabolic complex;
  • Hormones;
  • Enveloping drugs.

Treatment of chronic pancreatitis

For chronic forms of the disease characterized by a lull and the remission of the disease, so at this time recommended by doctors to completely eliminate alcoholic beverages, do not eat heavy and greasy foods, smoked and fried, and to prevent overload of the pancreas to eat food in small portions. The best option is to eat often, but little. During the treatment of chronic forms of pancreatitis are appointed vitamins, A, D and E. To and choleretic drugs andenzyme, such as:

  • Festal;
  • Kreon;
  • The were;
  • Digestal;

In the treatment of chronic forms of the disease receiving enzyme preparations the patient can continue the rest of my life. If there is a violation of the intestine, the doctor prescribes: prokinetics, i.e., cisapride and domperidone or duodenitis.

Now there are several forms of chronic pancreatitis:

  • Painful form, which is manifested by constant pain in the upper abdomen, and during acute growing pains to severe;
  • Asymptomatic or latent form, in which the patient may not feel pain or any changes in health for a long time;
  • Pseudo tumoral form, which is very rare and which affects the head of the pancreas, and because of the proliferation of fibrous tissue, increase its size;
  • Chronic recurrent form, in which there are no complaints during the exacerbation, and relapse – pain.

Medications prescribed for pancreatitis

In order to stop pain, be prescribed by the doctor m-anticholinergics:

  • Metabin (0.1% solution 1-2 ml.);
  • Atropine (0.1% – 1 ml.);
  • Chlorosis (0.1% – 1 ml.);
  • Subcutaneously or platformneutral (0.2% – 2 ml) subcutaneously; and inside gastrozepin.

Patients who have persistent pain, the doctor prescribes drugs H2 blockers:

  • Famotidine (day 60 mg.);
  • Ranitidine (300 mg. day);

So well appointed and such drugs as:

  • Nosh-PA (2% – 2-4 ml.);
  • Papaverine hydrochloride (2% – 2-4 ml.);
  • Pentameron (0.25% – 2 ml.);

- subcutaneously or intramuscularly with anticholinergic.

With this purpose is assigned:

  • Baralgin (5 ml) intramuscularly;
  • Analgin (50% – 2 ml.);

The above drugs are prescribed together with anticholinergic and antihistamine drugs. The doctor prescribes antacids (Almagel, gastal, fosfalyugel, and other) five or six times a day.

If the reception has just listed medicines does not give positive results, the doctor prescribes a lytic mixture, andfollows:

  • Novocaine (0.25 per cent 100 ml.);
  • Atropine sulfate (0.1% – 1 ml.);
  • Aminophylline (2.4 % solution – 1 ml.);

  • Cocarboxylase (one hundred milligrams) sodium chloride solution (0.9 percent – 300-500 ml) intravenously (treatment lasts from three to seven days);

  • Baralgin (5 ml.);

  • Magnesium sulfate (25% – 5-10ml.);

  • Diphenhydramine (1 % solution 1-2 ml), papaverine (2 % solution 2-4 ml.);
  • Novocaine (0.5% – 50 ml) sodium chloride solution (0.9 % solution – 300-500 ml) intravenous drip.

If there is a severe case, I used promedol (1% solution 1-2 ml) that is administered antispasmodics.

In order to inhibit the activity of pancreatic enzymes should be administered kallikrein-protease inhibitors, namely:

  • The trasilol (50-100 thousand IU);
  • Contrical (20-40 thousand UNITS);
  • Gordoks (50-100 thousand IU).

Only that these means are part of a "political mix".

Such chemical inhibitors of trypsin are used with the same purpose: pentoxy (0.2 grams), or methyluracil (0.5 grams) four times per day for three or four weeks.

The most effective is Epsilon-aminocaproic acid (five per cent of 100-200 ml.), which should be administered by intravenous drip, a course of ten or twelve injections. So it may be taken orally one gram four times per day.

Aminocaproic acid is a plasmin inhibitor that slows down the transition of trypsinogen and chymotrypsinogen in trypsin and chymotrypsin. Anticanonical activity has a parmidin prodektina or which is accepted by the doctor, namely, 0.25 – 0.5 grams three times a day, the course lasts from one month to two. Peritol is taken in a dose of four milligrams inside three times a day, it helps to reduce the level of histamine and serotonin, and decrease in blood amylase and trypsine. In addition, using these drugs can eliminate vomiting and nausea, which helps to eliminate pain attack.

If pancreatitis occurs with externally secretory insufficiency of the pancreas, is used after removing the signs of exacerbation therapy, namely a doctor prescribed medical preparations containing pancreatic enzymes, namely:

  • Festal;
  • Panzinorm;
  • Digestal;
  • Mezim Forte;
  • Vegeration;
  • Pancreatin;
  • Anchorman, Kreon.

    • On the advice of doctors, these drugs should be taken three or four pieces after a meal. Medicines relieve nausea, normalize the stool, flatulence, the patient is gaining weight, they improve the patient's condition.

    Parenteral nutrition administered to patients with severe disorders of digestion and poor absorption in the intestine: there are mixtures of essential amino acids, namely, alvein, aminosol, livesin "New" - 250-400 ml drip by intravenous; solutions of electrolytes are administered by intravenous drip (ten per cent solution of potassium chloride – 10-15 ml., ten per cent solution of calcium gluconate or ten millilitres).

    The doctor prescribes vitamins such as B6, B12, C, cocarboxylase, lipoic acid or lipemic inside, and also anabolic steroids, namely, Probolic, metabolic other one milliliter (five percent) intramuscularly once every seven days, the treatment three or four injections, that is at the discretion of the attending physician.

    After treatment in patients returning to normal serum protein spectrum of blood, the patient is gaining weight, and it improves the trophic processes. If there are signs of toxemia, the doctor prescribes intravenous four hundred milliliters of gemodez, gemodez-N, which are based on polivinilpirolidona. Drugs improve microcirculation and reduce toxicity.

    Information on medicines is not a guide to action, and is given for reference so you mean, what is the approximate treatment will prescribe you doctor!

    Everyone should take care of your health, as this disease, no matter in what form it occurs, is incredibly dangerous for its terrible complications. And worst of all of them is necrosis of the pancreas – pancreatic necrosis and diabetes, and the first in turn may develop into cancer of the pancreas. It is for this reason that those who suffer from chronic pancreatitis, is obliged at least once a year to do ultrasound of the pancreas in order to identify who started the necrotic change of the body.


    Supreport – peptides to the pancreas

    This drug belongs to the group of dietary supplements. Subreport is positioned as a bioregulator activity of the pancreas. It was developed by the Institute of Bioregulation and Gerontology of SZO RAMS (St. Petersburg).

    Oligopeptides – peptidesof animal origin

    The drug belongs to a new class of dietary Supplements – to class parapharmaceutical created solely for research-and-Production Center of Revitalization and Health (GPCRS). It is based on a new technology for isolation of peptide fractions. These low-molecular compounds extracted from the tissues and organs of animals.

    The direction of application of the drug Supreport:

    • The maintenance of metabolic processes at the optimum level;
    • Prevention and treatment of various pathologies;
    • Rehabilitation and recovery after injuries, operations, serious illnesses;
    • Slowing of age-related changes in the body of an aging person.

    The use of Supreport allowed at any age.

    Nonapeptide

    A definite sequence of short chains of a few amino acids contains the information code. Nonapeptide is amino acids based on them are peptide bioregulators. They affect cell metabolism, causing cell to promote protein synthesis. Such a mechanism allows one to delay for several years age-related changes.

    Drugs with nonapeptide used for the prevention of premature aging to improve the quality of life, increase of the number of years. Treatment of the causes and symptoms of various pathologies, their prevention with the help of nonapeptides shown for all age categories.

    Types of tissue used for the isolation of peptide bioregulators:

    • Cartilage
    • Muscle,
    • Articular,
    • Bone.

    Selective effect on organs and tissues depends on the type of drug. In General, Subreport is a complex drug that effectively affects all metabolic processes.

    Composition:

    • Peptide complex a-1 (produced peptides from the pancreas of animals),
    • Beet sugar,
    • Starch,
    • Microcrystalline cellulose,
    • Lactose,
    • Additive tween-80.

    The effect of the drug

    From the pancreas of young animals secreted peptide fraction. It acts selectively on cells of the human pancreas, regulating its functions and normalizing cellular metabolism.

    Clinically established efficacy of the drug – conditions and diseases:

    • Disorders of carbohydrate metabolism;
    • Aging;
    • Migrated pancreatic disease of different etiologies – recovery functions;
    • Malnutrition;

    Indications for use:

    • Diabetes mellitus type 1-2;
    • Pancreatic insufficiency;
    • Secretory failure;
    • Normalization of work of digestive system;
    • Chronic pancreatitis;
    • Recovery metabolism of lipids and carbohydrates.

    How to use Suprefact:

    Adult dosage – 1-2 capsules 1-2 p./day. The tool is taken during meals, the course of treatment is 4 weeks.

    Contraindications:

    • Allergic reaction;
    • Individual intolerance to the components of Suprefact;

    • Lactation,

    • Pregnancy.

    Video lecture on natural peptides:



    orshenin Elena Ivanovna, doctor-gastroenterologist