Pancreatitis treatment in hospital. Standards and course of treatment of pancreatitis in hospital

This is due to the individual characteristics of each organism and its different response to the same treatment. Moreover, there are diseases for which it is impossible to predict any time frame for treatment, since it is almost impossible to completely get rid of the disease.

The most accurate answer to the question of how long to treat pancreatitis can only be the phrase - all your life. Or rather, the process of medical intervention itself does not last long - usually the acute condition is relieved in a few days. However, everyone who has been diagnosed with pancreatitis at least once in their life must understand that how long they can avoid remembering such an unpleasant disease depends only on their lifestyle.

Another factor that will determine how long pancreatitis is treated is its form. Usually, upon initial detection of the disease (acute attack), inpatient treatment is prescribed for 7-10 days, and then maintenance therapy for up to six months, including choleretic, enzyme, hepatoprotective drugs and vitamins. Of course, maintaining a strict diet is a prerequisite. If the disease was detected at the very beginning and all rules and recommendations were followed, it is quite possible that the patient will never remember pancreatitis again.

But how long you will have to be treated if you do not care about your health and allow the transition of an acute form of inflammation into a chronic one - one can only guess. The later therapy is started for pancreatic disease, the more tissue in it will be affected, therefore, the functions of the organ will significantly deteriorate and it will be extremely difficult to talk about specific dates.

That is why the most important thing for the patient is not to find out from the doctor how long pancreatitis is treated, but to follow all his recommendations, give up alcohol and smoking, switch to a balanced diet and other factors that allow you to forget about pancreatitis, if not forever, then at least for a while. quite a long period of time. Remember, the success of therapy depends not on how long you spend in the hospital, but mostly on how carefully you adhere to the regimen.

How long do you have to stay in the hospital for pancreatitis?

The length of hospital stay for pancreatitis depends directly on the form of the disease and on the presence and severity of complications. In case of exacerbation of chronic inflammation of the pancreas, the length of stay in the hospital may take only 2-3 days, and the patient will be prescribed a specific treatment regimen for subsequent therapy at home. If there is an acute form of pancreatitis, then the patient will have to remain under the constant supervision of doctors for at least a week, up to 5-6 weeks. This is due to the abundance of complications on various organs that acute inflammation of the pancreas causes. In this case, the lungs, kidneys, and blood system can be affected. Sometimes the patient requires parenteral nutrition for an entire month. Only a doctor can decide how long a particular patient needs to stay in the hospital with pancreatitis, since the patient’s subjective positive feelings do not always indicate an improvement in the condition.

Both acute and chronic forms of the disease require strict instructions to be followed over a long period of time. And if after acute inflammation of the pancreas, the duration of treatment for pancreatitis can take about six months with further anti-relapse therapy for several years, then, unfortunately, getting rid of the chronic form turns into a way of life.

Inpatient therapy for pancreatitis

Pancreatitis in the acute stage is treated exclusively in a hospital setting. The disease can leave a mark in the form of disability or lead to death. At the first suspicion of acute pancreatitis, a person is taken to surgery or intensive care. Treatment is medicinal, in difficult cases - surgical.

Hospitalization

Treatment of pancreatitis in a hospital setting does not last long. If the form is mild, then the patient is prescribed infusion therapy, after which the patient can go home. You should contact specialists in a timely manner; the outcome of treatment and the time a person with pancreatitis spends in the hospital depends on timeliness.

If acute pancreatitis is suspected, hospitalization is recommended. A correct assessment of the condition can only be carried out in a hospital, since they have the necessary equipment with which to diagnose the source of inflammation. Not only treatment methods, but also tactics depend on an adequate diagnosis.

Upon arrival at the emergency room, a patient with acute damage to the pancreas is prescribed diagnostic procedures such as:

hemogram (assessment of the presence of leukocytes);
blood test (biochemistry), detection of pancreatic enzymes;
Ultrasound (assessment of the localization of the inflammatory process);
laparoscopy.

After initial research in the hospital, specialists calculate the form of the disease and the amount of inflammation. In addition, they look at how high the risk of complications is. Next, the specialist makes a decision on further treatment. It can be medicinal or operative (surgical), but the patient must take the medications.

What is done in the hospital during exacerbation of pancreatitis

The patient should be in intensive care under the full supervision of doctors. People usually come for treatment with an edematous or necrotic form. Statistics indicate that 70% of cases with this development of the disease require conservative treatment. The goal of therapy is to stabilize the patient's condition and prevent the destructive stage. In addition, specialists need to quickly bring the patient back to normal, since the risk of death is high.

At the early stage of pancreatitis, the pathological process can be controlled, so a whole range of procedures must be applied to remove the patient from a life-threatening condition.

What is done in the treatment of acute pancreatic damage?

Rest of the pancreas. If vomiting and pain are present, the doctor prescribes fasting, which must be followed for 3-4 days. A catheter is also installed through which the contents of the stomach are released for 1-4 days. The patient should take antacids and drink mineral water, preferably cold. In severe cases, blockers are administered to the patient.
Elimination of puffiness. To stimulate diuresis, the patient is given diuretics, this is done intravenously. A cold pack is also included.
Anesthesia. To relieve pain, novocaine blockades and analgesics are prescribed. It is worth noting that narcotic drugs can also be used. To eliminate hypertension in the bile ducts, antispasmodics are used, which dilate blood vessels.
Enzyme activity. To suppress their movement, substances are used that prevent the chemical reaction. Antienzymes in large dosages normalize processes in the pancreas and renew organ tissue.

If a serious situation with intoxication occurs, treatment is prescribed taking into account the characteristics of the person.

Therapy. Antibiotics are used only for purulent complications. Basically, bicomponent preparations are used, which have the ability to accumulate active substances in their natural form.
Metabolism. To normalize metabolic processes, it is necessary to ensure acid and water balance. To do this, soda, saline and plasma solutions are administered.
Detoxification of the body. If necessary and the patient's condition requires it, thoracic duct drainage or dialysis is performed.

Nutrition and medications

After the patient has had an acute attack, he will have a difficult period of adaptation to a new life with significant changes, especially with regard to nutrition. To get used to a new way of life, medications alone will not be enough. The patient’s diet is also controlled, since this part of the therapy is no less important for pancreatitis.

It is recommended to avoid fried foods, fatty foods and certain types of meat. Products must be steamed or baked. From the liquid, you should give preference to rosehip decoction and compote (dried fruits). Dry cookies can replace cakes and cakes.

If diet therapy is disrupted, exacerbation of pancreatitis will return in a more severe form.

The acute period of pancreatitis lasts a little more than a month, but it will take about 12 months for the body to recover after this. Treatment in a hospital involves long-term medication use - the classic scheme.

Drugs that relieve spasms (No-shpa, platifillin).
Medicines that improve digestion (Mezim, Pancreatin, Festal).
Agents that reduce acidity (Almagel).
Complex of vitamins (A, B, E, D).

When the patient begins to recover, it is advisable for him to drink herbal decoctions. The healing plants from which the drink is produced quickly have a mild anti-inflammatory effect and normalize metabolism. Drug intolerance is also important, so a qualified doctor should carefully select medications.

When drugs are not effective

Carrying out enzyme treatment in a hospital can cause pain in the mouth, irritation of the skin in the perianal area, abdominal pain, allergies, and fibrosis. Substances in the pancreas often form “sets” with folic acid and prevent it from being completely absorbed.

In almost all patients, after taking drugs with enzymes, the clinical signs of the disease stop. If such an effect is not observed, doctors attribute this to reasons such as:

violation by the patient of the prescribed treatment regimen (wrong time or skipping pills);
incorrect diagnosis (may be giardiasis or celiac disease). Enzyme therapy is often not suitable for people with diabetes or gastrointestinal disorders;
incorrect dosage of the medicine, in which the desired indicator is not observed;
an inappropriate scheme, which does not result in the formation of an acid-protective coating.

In the first hours of exacerbation of pancreatitis, antibiotics should be administered in a daily dosage as prophylaxis; this is the standard for primary manipulations at the initial stage of treatment of pancreatitis. To eliminate pathological processes and endocrine insufficiency, insulin should be used, but in fractional doses. The size of the administered substance depends on the nature of the diet, glucose, and patient activity. It is very dangerous to reduce the glucose level to less than 80 mg, since this moment can provoke hypoglycemia.

The video will discuss the symptoms and treatment of pancreatitis:

How long does it take to treat pancreatitis? Deadlines?

If you have at least once had a case of acute pancreatitis, then you will have to monitor the condition of the pancreas all your life. Because any errors in nutrition can provoke an attack of pancreatitis. You should exclude alcohol, smoked, salty, spicy, fried, fatty, sweets. Eat little by little. , but often. Acute pacreatitis is treated in a hospital, exacerbation of chronic pacreatitis is treated on an outpatient basis. Usually after 2-3 weeks there is an improvement, subsidence of pain and improvement in the functions of the pancreas, but a strict diet should continue for several months. Careful attention to the pancreas and proper nutrition will allow prevent exacerbations in the future, and therefore reduce the risk of possible diabetes.

If acute pancreatitis may last 2-3 weeks. If it is a chronic disease, then it is actually for life. However, you can treat it so that there are no exacerbations. I also recommend doing psychosomatics. From a psychosomatic point of view, the pancreas can hurt for various psychosomatic reasons:

1) Human greed, rather greed.

2) Anger because you cannot show your will. If you constantly limit yourself in something, you cannot say anything, and this makes you very angry, this all negatively affects the functioning of the pancreas.

There are other possible reasons. Every person has psychological blocks, vices or negative feelings, all of which negatively affect our health.

Pancreatitis is an inflammation of the pancreas that can be acute (sudden and severe) or chronic (ongoing). The pancreas is a gland that secretes both digestive enzymes and important hormones. Alcohol abuse is one of the most common causes of chronic pancreatitis, followed by gallstones.

Pancreatitis is one of the least common diseases of the digestive system. Treatment includes abstinence from alcohol, fasting until the inflammation subsides, medications and surgery.

Treatment depends on the cause and severity of the condition.

Treatment may include:

Treatment in hospital is in all cases of acute pancreatitis.

Intensive care in hospital - in cases of severe acute pancreatitis.

Fasting and intravenous infusions until the inflammation calms down.

Pain relief - adequate pain relief is essential and is often given by vein (intravenously).

Endoscopy - a thin tube is inserted through your esophagus to allow the doctor to see your pancreas. This device is used to inject dye into the bile ducts and pancreas. Stones can be noticed and removed directly.

Surgery - If gallstones are present, removing the gallbladder will help prevent further attacks. In rare cases, surgery is necessary to remove damaged or dead areas of the pancreas.

Lifestyle change - don't drink alcohol.

Pancreatitis is inflammation of the pancreas, which can be acute or chronic.

Treatment options include fasting until the inflammation subsides, removing gallstones, abstaining from alcohol, medications and surgery.

Treatment of pancreatitis in a hospital: stages and duration

Often, at the first attacks of pancreatitis, a person requires immediate hospitalization, especially if the abdominal pain becomes unbearable.

Due to this, planned activities have to be postponed, so many patients are interested in how long they stay in the hospital with pancreatitis. The answer to this question may depend on the type of inflammation of the pancreas, the speed of diagnosis and many other factors.

What to do in case of an acute attack of pancreatitis?

If a person exhibits symptoms of an attack of pancreatitis, the first step is to call an ambulance. While doctors are getting to the patient, it is important to quickly provide first aid. To do this, follow these steps:

Place the patient on a sofa or bed.
Apply a heating pad filled with cold water or a wet cloth to the painful area. It is strictly forbidden to heat the abdominal area.
Open a window indoors. Ventilate it.

When the doctor arrives at the site, he will carry out the necessary procedures based on the presented clinical picture. Most often, Papaverine is administered during attacks of pain. Next, the patient is admitted to the hospital, but hospitalization cannot be refused.

At the first attacks of pain in the abdominal area, you must call a doctor or go to the hospital. A delay of even a few hours can seriously affect the patient’s condition and cause complications. In addition, acute pancreatitis without proper treatment can quickly develop into chronic pancreatitis.

Hospitalization

How long does it take to treat pancreatitis after hospitalization? In case of exacerbation, infusion treatment is usually required, after which the patient is discharged to continue therapy at home. As soon as the patient is admitted to the hospital, his blood pressure is measured and he is sent for an initial examination to the doctor. Next, it is necessary to carry out the following diagnostic measures:

blood test to determine leukocytes and enzymes;
laparoscopy;
ultrasound examination.

After carrying out all the necessary procedures, the doctor evaluates the pancreas and the patient’s condition and identifies the form of pancreatitis. Based on the data obtained, a method and treatment plan are selected and medications are selected. Treatment for moderate severity is carried out in the intensive care unit; for severe pain and intoxication, resuscitation may be required.

Treatment in hospital

Acute pancreatitis in adults is treated in a hospital using the following measures:

First of all, it is necessary to relieve pain. For this purpose, medications such as Baralgin, Novocain, Analgin, Promedol in the form of tablets and injections are used.
The second step is to carry out hypertension of the bile outlet channels. A drug such as No-Shpa is suitable for this.
It is imperative to remove the load from the pancreas and ensure rest. Water fasting will help with this. In the first few days after starting treatment, you can drink regular drinking and mineral water.
Prevention of thrombosis is often important.

How long do emergency measures last? This usually takes a few minutes, but sometimes it takes the whole day. After they are completed, a period of intensive therapy begins.

It includes taking sorbents (Smecta, Almagel) and anti-inflammatory medications (Gordox and Mannitol by drip, Contrikal). To reduce hydrolysis, diuretics (Furosemide) are prescribed.

To prevent the patient's condition from worsening, the stomach must be cleaned and drained, as well as the condition of other internal organs checked, but a full medical examination is not carried out due to its dangerous condition. To facilitate the work of the pancreas, insulin injections are given.

Thus, it usually takes about 7–10 days to eliminate an attack of acute pancreatitis or an exacerbation of its chronic form, with the first 2–3 days being the period of the most intensive therapy. After discharge from the hospital, the patient must be under the supervision of doctors for one and a half to six months.

Chronic pancreatitis should be treated with periodic examinations, adherence to the regimen and self-administration of recommended medications.

Surgical intervention

How many people stay in hospitals with pancreatitis if surgery is necessary? This form of treatment can take varying amounts of time, depending on the scale of the problem.

Treatment of pancreatitis with surgery may be prescribed when complications are diagnosed. It is indicated for jaundice, lack of benefit from medications, and detection of formations in the pancreas on ultrasound.

In this case, time will be needed not only for preparation and actual surgical intervention, but also for the rehabilitation period. Thus, the patient spends about a week in the hospital after it and spends another 1.5-2 months in home treatment.

He is prescribed a special diet, drug therapy, physical exercise, and a daily routine plan is drawn up. It is necessary to be admitted to the hospital again at the first signs of complications.

Conclusion

When a person experiences severe pain and signs of acute pancreatitis, there is a high likelihood that they will be admitted to hospital. In such cases, you cannot hesitate and it is important to immediately seek qualified help.

In the most successful cases, it is thus possible to get rid of the disease within a week, however, with delay and violation of the regime, therapy can drag on for up to several months.

Treatment of acute pancreatitis in a hospital

Treatment of acute pancreatitis in a hospital setting is a prerequisite in order to prevent the development of complications. If you do not seek medical help in time and do not start treatment, this can lead to serious consequences, such as disability or death.

Hospitalization

The treatment process in an inpatient setting lasts a fairly short time, especially if the patient sought medical help at the first symptoms. When, after examinations, a patient is diagnosed with a mild form of pancreatitis, then special infusion therapy is prescribed to get rid of the disease.

Treatment is carried out quickly, especially if the patient comes in at the first symptoms

After the therapy, the patient is allowed to go home, but despite this, it is recommended to follow certain rules that will prevent the development of the disease and be sure to follow a strict diet.

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If a patient is diagnosed with acute pancreatitis, emergency hospitalization is recommended. As soon as such a patient arrives at the emergency department with signs of acute pancreatitis, he is first given certain diagnostic procedures, such as:

a hemogram is performed, based on the results of which the presence of leukocytes is assessed;
a blood test is taken for biochemistry and detection of pancreatic enzymes;
An ultrasound examination is performed, which helps to assess the localization of the inflammatory process;
Laparoscopy is performed.

After initial research, the form of the disease and the extent of inflammation are determined, and the possible risk of complications is assessed. After this, an accurate diagnosis is made and a final decision is made on the method of further therapy. Regardless of what decision is made, medications are prescribed even if surgery is planned.

Actions to take during a severe attack of pancreatitis

Even if you do not suffer from a disease such as pancreatitis, everyone should know about its symptoms and what to do in the event of an acute attack before the ambulance arrives.

If you suddenly experience pain in the rib area, it is strictly forbidden to self-medicate or endure the pain, and you must immediately call an ambulance. Before doctors arrive, you can take painkillers such as Spazmalgon or Analgin to relieve symptoms.

Under no circumstances should you run out a hot bath, apply a heating pad, or apply material to the area where the pain is manifested. Among other things, it is strictly forbidden to drink liquids, and especially alcoholic beverages. If the patient begins to vomit due to acute pain, under no circumstances should you take antiemetic drugs.

Before the ambulance arrives, the patient must be laid down and kept at rest.

Before the ambulance arrives, you must do the following:

place the patient on a sofa or bed, preferably in a semi-sitting position;
Apply a cold cloth to the area where the pain is most intense;
Thoroughly ventilate the room at all times.

As soon as the doctor arrives at the patient, the patient will be given first aid, as well as appropriate injections to alleviate his condition. In such a situation, it is strictly forbidden to refuse hospitalization, since the acute pain that appears indicates the development of a severe pathological process in the patient’s body.

Treatment of acute pancreatitis in hospital settings

If an acute attack of pancreatitis occurs, immediate treatment in a hospital setting is mandatory. After the research, certain treatment measures are prescribed, which are carried out in two stages. First of all, the symptoms of an attack of pancreatitis are relieved, and then the functions of the pancreas are restored.

As mentioned earlier, to treat acute pancreatitis in a hospital, it is first necessary to stop the attack.

To do this, the patient is strictly prohibited from eating and drinking water, and is also provided with complete rest and a heating pad with ice is placed on the stomach. The use of painkillers at this stage is strictly prohibited. If necessary, the doctor numbs the patient with injections. For this purpose, preference is given to such medicinal injections as Platiphylline, Nitroglycerin, Drotaverine, Anthropy, Papaverine and others.

If necessary, the doctor will prescribe pain-relieving injections

After the attack is stopped, you can begin to restore the functions of the pancreas. I would also like to draw your attention to the fact that you should not try to stop an attack of acute pancreatitis on your own, as this can only significantly worsen the situation.

After a stopped attack, the doctor selects restorative therapy in each case individually, depending on the established cause of the pathology, as well as the degree of damage to the organ and the individual characteristics of the body.

Note! In some cases, surgical intervention is necessary to treat acute pancreatitis. This mainly happens if the patient has strict indications.

In some situations, surgery is necessary

Basically, for the treatment of acute pancreatitis in a hospital setting, the doctor prescribes the following drugs:

Antibiotics - such medications are prescribed if the development of pancreatitis is provoked by infectious diseases or previous surgical intervention.
Enzymes - these drugs are prescribed to reduce the enzymatic activity of the organ and normalize its condition.
Medicines containing live bacteria are used to restore intestinal microflora and avoid the development of dysbiosis.

Also, if acute pancreatitis is accompanied by additional symptoms, then all associated pathologies also need to be treated. For this, the doctor also selects appropriate medications. Among other things, in a hospital setting, detoxification of the body is carried out, which includes cleansing the blood of decay products. Basically, for this procedure, an appropriate intravenous drip is performed.

When carrying out all therapeutic measures, a certain diet is recommended as a complex therapy, which is prescribed by the attending physician. As for surgical intervention, surgery is usually scheduled approximately a week after drug treatment. The main indications for the operation include:

abscess;
infected pancreatic necrosis;
purulent peritonitis;
necrosis more than 50%;
pancreatogenic peritonitis.

The doctor will prescribe proper nutrition

The operation can be performed planned, delayed or emergency. Currently, there are two methods of surgery to combat acute pancreatitis. This is a laparotomy and a minimally invasive method. The choice of method is made by the doctor depending on the severity of the pathology.

The harm of self-medication

When a person, when the first signs of pancreatitis appear, tries not to pay attention to it and prefers self-medication, this can lead to quite serious complications. Complications of acute pancreatitis include the following pathologies:

pancreatic abscess - this complication develops due to infection in the inflamed gland. The abscess tends to spread to neighboring organs;
expansion of inflammation - this complication can very quickly spread to neighboring organs and, in addition, cause a chemical burn;
formation of a pseudocyst - this complication is not very common, but is still considered very serious. In some cases, rupture of a pseudocyst can be fatal;
development of DIC syndrome - this syndrome is also a very dangerous pathology, which results in blood thickening and the formation of blood clots. Treatment of such a disease is considered very difficult and almost never brings results, but on the contrary, over time becomes the cause of the patient’s death;
sepsis - in the process of this pathology, infection penetrates into the blood and becomes infected. Such consequences in most cases lead to death.

If the patient refuses treatment for pancreatitis in the hospital and prefers self-medication, then no one is immune from the occurrence of severe and irreparable complications. That is why you should seek medical help at the first symptoms and strictly follow all the recommendations of your doctor in the future.

Conclusion

In order to never worry about the question of how pancreatitis is treated in a hospital, and how long they stay in the hospital with pancreatitis, it is necessary to regularly carry out preventive measures. To do this, you should completely stop drinking alcohol, as well as other bad habits. In addition, you should exclude fatty, spicy, fried and smoked foods from your diet. If the disease has already appeared, then in order to prevent its recurrence and exclude the development of complications, you must immediately seek help from a medical institution and strictly follow all the recommendations of the attending physician. When a doctor advises treatment in a hospital setting, you should not refuse it, since otherwise the development of pathology can not only have a negative effect on the body, but also cause death.

Treatment of acute pancreatitis in a hospital: how long do they stay in the hospital?

An acute attack of pancreatitis is accompanied by a significant deterioration in well-being; the patient experiences severe pain, up to loss of consciousness. It is impossible to cope with such a situation at home. The patient needs to be hospitalized.

Lack of adequate treatment leads to inability to work, resulting in disability, and in the worst case, death. Treatment of pancreatitis in a hospital has its own characteristics; it helps restore the functionality of the pancreas.

In which department are they treated with pancreatitis? It all depends on the clinical picture. Sometimes the patient is hospitalized in the intensive care unit, where conservative therapy is carried out. In some cases, the patient must be admitted to the surgical department if surgery is necessary.

Let's figure out when hospitalization is needed for pancreatitis, and how is treatment carried out in an inpatient setting?

What to do in case of an acute attack?

Before you find out what the treatment of acute pancreatitis in a hospital is, you need to pay attention to calling an ambulance. What can you do before medical specialists arrive, and what is not recommended? Every patient should know the answers to these questions.

If there is severe pain under the left or right rib, then it is strictly forbidden to endure it. The situation will not improve on its own. We need to call an ambulance. Before the doctor arrives, you should not take painkillers (Analgin, Spazmalgon and other drugs).

Do not apply a warm or hot heating pad to a sore spot; pull the subcostal part with a scarf or handkerchief; take alcoholic drinks to reduce pain; Drink any liquids at all. If severe nausea or vomiting is present, antiemetic medications are prohibited for use until doctors arrive.

If the disease worsens, you can do the following:

Place the patient on a bed or sofa in a semi-sitting position.
Apply a damp, cold cloth or a cold heating pad to the painful area.
Ventilate the room.

If a patient has been suffering from inflammation of the pancreas for a long time and is registered at a medical institution at his place of registration with a diagnosis of chronic pancreatitis, it means that he has suffered a complication of the disease.

The visiting doctor will provide the necessary treatment based on the clinical symptoms. To hospitalize a patient due to severe pain, they inject Papaverine diluted with saline solution.

It is strictly forbidden to refuse hospitalization, despite any difficulties at work, in the family, etc. Severe pain indicates the onset of severe pathological changes in the body.

Hospitalization of a patient with pancreatitis

How long do people stay in the hospital with pancreatitis? There is no exact answer to the question. When the patient has a mild exacerbation, infusion therapy is recommended, then the patient can go home. The duration of treatment in a hospital depends on the timeliness of contacting doctors.

After the patient enters the emergency room, blood pressure and body temperature are first measured. Next, the doctor palpates the abdominal area, looks at the whites of the eyes for yellowness, and assesses the condition of the upper and lower extremities for swelling.

Other diagnostic methods:

The presence of leukocytes in the blood is assessed.
Biochemical blood test, determination of enzymes.
Ultrasound examination to identify the localization of the inflammatory process.
Laparoscopy.

After the initial diagnosis, the medical specialist determines the form of the disease, the location and volume of the lesion. The likelihood of complications developing is calculated. Based on this information, a decision is made on further therapy. Treatment can be conservative or surgical. But the patient takes medications anyway.

In cases of moderate severity, treatment is carried out in the intensive care unit. If the patient is diagnosed with extensive intoxication, threat of coma, loss of consciousness due to painful shock, immediately go to the intensive care unit.

Inpatient therapy

The patient must remain in the hospital under the supervision of doctors. The vast majority of patients are admitted for treatment with an edematous or necrotic type of pathology. In many cases - approximately 70%; medical treatment with drugs is sufficient.

The goal is to stabilize a person’s condition and prevent destructive damage to the body. The patient must be stabilized as quickly as possible, as the likelihood of death is high.

First you need to implement a set of measures that help reduce the load on the pancreas. During the period of severe pain, nausea and vomiting, the patient does not receive food by mouth. Drinking is prohibited. In mild to moderate cases, hunger continues for 2-4 days. On days 3-5 you can eat liquid food for 3-5 days.

A catheter is placed through the nose into the stomach, which helps create low pressure. It is in the stomach for an hour. Most often, this measure reduces pain in patients within several hours.

If there is no intense pain, then antacid medications are recommended - Almagel 10 ml 4 times a day. If the course is severe, parenteral administration of blockers is carried out.

Actions to reduce swelling of the internal organ:

Cold heating pad on the organ area.
Mannitol solution is injected into a vein.
Drip Hemodez.
On the first day, Furosemide is administered.

To prevent enzyme intoxication, use Contrical. The drug is administered into the body intravenously - up to 3 times a day. Relatively often, patients experience allergic reactions to administered medications. Therefore, when removing a patient from a serious condition, it is necessary to have ampoules with Prednisolone on hand.

If an adult is diagnosed with a necrotic form, then treatment with antibacterial drugs is mandatory. Tienam is usually prescribed in doses of 250 or 500 mg, administered slowly by drip.

Analgin is prescribed as painkillers - administered intravenously or intramuscularly; Procaine, Promedol. In most pictures, analgesics of a narcotic and non-narcotic nature are combined with the use of myotropic antispasmodics.

To adjust the water and electrolyte balance, you need to administer an isotonic sodium chloride solution or a 5% glucose solution. The latter option is used only in cases where the patient's glucose concentration is within the normal range. To combat heart failure, a solution of hormones (adrenaline and norepinephrine) and catecholamines is used.

The disease cannot be cured, but in the hospital, doctors normalize the patient’s condition and improve the activity of the pancreas.

The course of therapy in a hospital setting lasts 3 weeks. After hospital therapy, it is necessary to undergo preventive treatment after 6-8 months to prevent relapse of the disease.

Treatment of chronic pancreatitis in hospital

After receiving assistance in a medical institution, the patient must be treated on an outpatient basis, follow a pancreatic diet, and take all medications recommended by the doctor. Patients are often diagnosed with cholecystitis, which is taken into account in the treatment plan.

Patients are prescribed to undergo treatment in the hospital twice a year. The full course lasts 3-3.5 weeks. Upon admission, desensitization is carried out, which involves cleansing the body of toxins and toxic substances.

Upon admission, enema procedures are performed, the stomach is necessarily washed, preventive fasting for pancreatitis under the supervision of doctors is recommended. These actions help improve the functioning of the pancreas. The patient needs to stay on a water diet for about 72 hours.

Prescribed sorbents:

Rheosorbilact is administered intravenously every day, the dosage is 200 ml. Upon completion of this stage, the patient is recommended to eat in accordance with dietary table number 14, 15 or 16.

Anti-inflammatory drugs are prescribed:

Contrikal. Contraindications: not prescribed during pregnancy, intolerance to cattle proteins, individual intolerance to the drug. The medicine is administered intravenously, the standard dosage is. It is permissible to increase according to indications.
Gordoks. Not used in the first trimester of pregnancy. It is administered dropwise, very slowly. Speed – no more than 5-10 ml per minute. Injected only into the main veins. To begin with, it is necessary to administer 1 ml - a test “portion”, since the patient may have an allergic reaction.
Mannitol is administered by drop or jet method. The dosage varies from 150 to 200 ml. Contraindications include severe liver failure, impaired filtration in the kidneys, and hemorrhagic stroke. Cannot be used if you have organic intolerance.

The choice of medications is determined by the results of laboratory tests. Based on them, the doctor describes the necessary treatment regimen.

The use of Furosemide is necessary as a diuretic drug that helps reduce hydrolysis in the soft tissues of muscles. The standard dosage is 1 tablet every three days. Furosemide is usually combined with Asparkam.

As a result, we note that it is necessary to promptly treat acute and chronic pancreatitis in a medical institution. This allows you to restore the functioning of the internal organ and the synthesis of the most important hormones of the pancreas, which significantly improves the quality of life.

How pancreatitis is treated is described in the video in this article.

The duration of treatment for pancreatitis is a long road to recovery

Currently, diseases of the gastrointestinal tract are a common pathology. With complaints of pain in the right hypochondrium, heaviness in the epigastric region or heaviness after eating, people are increasingly turning to the doctor. Such symptoms are caused by a large number of factors and diseases, which also include pancreatic pathologies.

The development of an inflammatory process in the pancreas is called pancreatitis. Pancreatitis in adults can be treated for a long time, because not all patients may develop the acute phase of the disease, and the chronic form can proceed for a long period without clear signs.

Basic forms

Based on the general clinical picture, several forms of the disease are distinguished, which differ in duration, severity and symptoms. How long pancreatitis is treated depends directly on the type and concomitant diseases.

Acute phase

In the acute phase, several forms are distinguished:

The fatty and hemorrhagic stages belong to pancreatic necrosis; during the development process there is a change in three degrees of the disease:

Enzyme toxemia.
Temporary remission.
Sequestration and purulent complications.

The degree of spread of the disease can be total, subtotal and limited. The disease acquires a confluent or focal character with the development of the fatty type.

The main characteristic of pancreatitis is the appearance of pain localized in the upper abdomen, which is girdling in nature and radiates to the lumbar region, shoulder blade, arm and neck area.

The appearance of pain, which was provoked by irritation of receptors or increased pressure in the bile and pancreatic ducts, can be protracted.

With the development of an inflammatory process in the body, the chemical breakdown of trypsin, an enzyme that is responsible for the breakdown of peptides and proteins, is activated. Due to the absence of disturbances in the innervation, a patient with edematous pancreatitis develops severe pain. If there is damage to the nerve endings, the pain becomes mild. High intoxication and severe dehydration of the entire body pose a great danger.

How long does acute pancreatitis last in an adult? The duration of an exacerbation can range from several hours to one week. Most often, acute pancreatitis lasts several days. This type of pancreatitis has an increased mortality rate, so treatment should begin as soon as possible. The overall mortality rate ranges from 7 to 15%, and with the development of a destructive form from%.

The main symptoms of the acute form include:

With pancreatitis, the patient may develop Gray-Turner's symptom and Cullen's symptom

Chronic form

In the chronic form, an inflammatory-degenerative process develops in the body. One can distinguish recurrent, painful, latent or indurative types of chronic pancreatitis.

Timely initiation of treatment for the disease will allow achieving a positive effect after two to six months. The main goal of such therapy is to achieve remission. Chronic pancreatitis can be treated for a long time; therapy generally requires adherence to basic doctor recommendations throughout your life.

Often chronic pancreatitis is accompanied by other diseases of the gastrointestinal tract, which include:

If a person is diagnosed with a chronic type of disease, then to suppress the main symptoms he needs to take medications and follow a strict diet, which will save the patient from relapse. The timing of chronic pancreatitis and its exacerbation directly depends on correctly selected therapy.

This form of the disease is characterized by the appearance of girdling pain, which radiates to the right or left hypochondrium. In some cases, the pain syndrome becomes permanent.

The patient suffers from belching, nausea, decreased appetite, vomiting, and unstable bowel movements. Pain intensifies when eating fatty foods and heavy physical activity.

In terms of treatment time, pathology occupies a leading place among other gastrointestinal diseases. This is due to the increased sensitivity of the pancreas, which reacts to junk food and alcohol. The duration of chronic pancreatitis is increased by concomitant diseases of the digestive system, which are also chronic.

Reactive form

This type of disease is characterized by immediate development and the appearance of symptoms. The main cause of an attack is food that has an irritating effect. As a result, the pancreatic ducts are blocked, leading to the digestion of the organ itself by enzymes. Since the development of symptoms is acute, the patient will require assistance from medical personnel.

After contacting an ambulance, treatment will be prescribed, during which the attack of pain will be relieved. Analgesics and antispasmodics are prescribed. The attack does not last long: with complete rest, the disease subsides after three to four days.

Treatment of the disease is selected exclusively by the doctor, based on concomitant diseases, general condition and characteristics of the patient’s body. The use of traditional medicine methods is also permitted with the permission of a specialist. It is important to remember that the pancreas is a sensitive organ that responds with the development of discomfort to the slightest irritant.

Therapy

Acute pancreatitis or exacerbation is best treated in a hospital setting. The first step is to follow a starvation diet and prescribe narcotic analgesics, which act as a pain reliever. In addition, the patient is given drips of saline solution, plasma and albumin.

Medicines are prescribed that have a blocking effect on pancreatic enzymes. In the absence of a positive effect or with the development of a severe complication - peritonitis, emergency, surgical methods of treatment are resorted to.

In such cases, the pancreas is treated by washing the abdominal cavity. To do this, peritoneal lavage is performed, which draws out the fluid accumulated from inflammation.
Another method of surgical treatment is removal of damaged tissue. Such surgical intervention is a dangerous and difficult treatment method and is prescribed in emergency cases.
Once acute symptoms have subsided, gallbladder removal may be necessary.

Another method is used to treat chronic pancreatitis. For this:

A strict diet is prescribed.
Painkillers are prescribed.
Enzymes are prescribed in the form of medications (Creon, Mezim).
They treat other diseases, especially diabetes.
Cholelithiasis is treated.

If conservative treatment does not achieve the desired result, surgery is prescribed. Endoscopic treatment is also practiced, after which pancreatitis disappears.

Thus, pancreatitis is a disease that entails a disruption in the functioning of the entire digestive system. When the pancreas is inflamed, a person should follow a correct lifestyle. First of all, it is necessary to eliminate alcohol and eat nutritiously and in portions. Food should not contain fried, salted, smoked or pickled foods.

If you have the disease, no matter how long pancreatitis lasts or at what stage it is diagnosed, you must follow the diet prescribed by your doctor and take the necessary medications. How long pancreatitis is treated directly depends on the patient himself and on correct adherence to the recommendations of the gastroenterologist.

The most common questions that interest patients

How long does it take to treat the pancreas?

The duration of treatment directly depends on the form of the disease, duration and presence of complications. It is impossible to completely restore the pancreas in chronic pancreatitis, so constant maintenance therapy for the organ is recommended.

How long does an exacerbation of pancreatitis last?

The acute form is characterized by the occurrence of a sharp exacerbation, which lasts on average from two to seven days.

Treatment methods for pancreatitis in hospital

Treatment of pancreatitis in a hospital is carried out to eliminate the symptoms of the disease if the disease has progressed to a severe phase. Treatment of acute pancreatitis in a hospital is necessary to stop the impact of the current attack of the disease on the patient’s body, as well as to eliminate factors that can cause further development of the disease.

Chronic types of illness can usually be treated at home, but in some cases they are treated on an outpatient basis in a clinic. Sometimes, if a patient has developed necrosis of pancreatic tissue, the patient undergoes surgery.

How is acute pancreatitis treated in a hospital?

Hospitalization is necessary for a severe attack of acute pancreatitis, which cannot be controlled with painkillers at home. After the patient is delivered, he is transferred from the clinic’s emergency department to the intensive care ward. Treatment is carried out with the mandatory participation of an anesthesiologist and resuscitator.

Acute pancreatitis is treated as follows:

First, doctors relieve the patient’s pain and various nervous and reflex disorders with the help of analgesics. For this, the drugs Baralgin, Promedol, Analgin, etc. are used. Novocaine blockade can be used.
To combat hypertension in the bile ducts, doctors use No-shpu, Nitroglycerin and other drugs.
The pancreas needs to be unloaded, so the patient is prescribed fasting. He should take alkaline drinks, such as Borjomi.
In combination with the above measures, the prevention and treatment of blood clots in the vessels of various organs (pancreas, liver, etc.) is carried out.

To prevent the condition of a patient with pancreatitis from worsening due to intoxication, the performance of the heart and lungs is checked, and then drainage and gastric lavage are performed. This procedure is carried out with a solution of soda, Pyrroxan or Obzidan are used.

Intravenous injections are made with solutions of insulin with glucose and potassium.

In acute pancreatitis, during hospital treatment the patient is under constant monitoring of studies of metabolic processes occurring in his body. The exchange of electrolytes (for example, sodium or potassium) is examined, the level of sugar in the blood is checked, the presence of proteins in it, etc.

Usually, during inpatient treatment of acute pancreatitis, a full examination of the patient is not carried out, since it is impossible due to the severity of the person’s condition and can lead to a rapid and sharp deterioration in the course of the disease. Therefore, the examination is carried out in 2 stages. Initially, the diagnosis is confirmed only on the basis of symptoms, and then the above measures are carried out, and after the patient’s condition improves, laboratory tests are carried out.

Treatment of chronic pancreatitis

Usually, before starting the treatment process, a complete examination of the patient is carried out. There are many methods for detecting this disease, but they are practically useless in the early stages of the disease due to the presence of a large number of different symptoms and phases of further development of the disease, interspersed with periods of remission.

Therefore, it is necessary to conduct a comprehensive examination, which includes blood, urine, and stool tests. An ultrasound is performed to identify changes in the pancreas, radiography of the abdominal organs, and other studies.

Chronic pancreatitis is usually treated at home or on an outpatient basis. Hospitalization of the patient is not required. He is prescribed a special diet and conservative drug treatment.

If a patient experiences an acute attack that he cannot stop with medications prescribed by a doctor, then he should immediately call an ambulance. After this, the patient will be treated for an attack using the above method to eliminate signs of acute pancreatitis.

Until a car with doctors arrives, it is necessary to transfer the patient to a horizontal position (put him on a sofa or bed). It is recommended to constantly ventilate the room where it is located, and the patient should put something cold, such as an ice pack, on the stomach area. If doctors are late, then there is no need to feed the patient. It is best if he fasts for 3 days.

Treatment of chronic pancreatitis in the hospital is usually carried out with medications. During the next attack, the pain is eliminated with drugs such as Papaverine, No-shpa, Atropine, etc. It is forbidden to use Aspirin and other NSAIDs, as they only thin the blood and irritate the mucous membranes.

To suppress excessive secretion of a diseased organ, Omeprozole and similar drugs are used. The gland is unloaded with the help of medications such as Mezim, Digestal, etc. To eliminate the infectious lesion on the gland, antibacterial therapy is prescribed with medications such as Ampicillin. Water and salt balance is restored using physiological solutions.

Surgical treatment of chronic pancreatitis and treatment periods for different forms of the disease

The operation is prescribed if the patient has developed complications, signs of jaundice, pain that cannot be relieved with medications, despite long-term treatment.

Indirect types of surgery on the bile ducts or stomach and intestines can be used. If necessary, surgery is performed to drain the cysts, remove stones, and sometimes pancreatic resection may be necessary.

Many patients want to know how many days it takes to treat acute pancreatitis. Typically, hospital treatment lasts from 7 to 10 days, and then he is discharged, but the person undergoes maintenance therapy for another 6 months.

The patient is treated by taking various medications, vitamins, and following a strict diet.

If the disease has taken severe forms, then after 2-3 days of intensive treatment the patient should remain under the supervision of doctors for about 1.5-2 months.

For chronic types of pancreatitis, the patient (if he does not need surgery or is in remission) stays in a medical institution for 1 day for examination.

How many days patients remain in bed after surgery depends on the type of surgical intervention and the recovery ability of the patient’s body. Usually this period does not exceed 7 days. After this, the person is transferred to home treatment, which lasts 1.5-2 months. He takes medications, follows a diet, and exercises.

To treat acute pancreatitis in a hospital, the first step is to identify the causes of inflammation in the pancreas. When the disease occurs, the secretion produced by the glandular cells ceases to be excreted into the intestines, and the tissue disintegrates under the influence of its own enzymes.

Contraindications to self-medication

Naturally, the treatment of pancreatitis (choosing a method with appropriate medications) is prescribed by a doctor. The symptoms of the pathology are varied and may be similar to other diseases. Therefore, it is categorically unacceptable to treat pancreatitis on your own. You cannot tolerate paroxysmal pain in the abdomen, apply heat and rinse the stomach. You just need to seek medical help in a timely manner.

It is possible to quickly stop the course (or exacerbation) of the disease if it is detected just after it has begun.

Diagnosis of the disease

Before treating chronic pancreatitis, the doctor prescribes urine and blood tests and an ultrasound examination of the pancreas.

A blood test for pancreatitis shows an increase in ESR and a decrease in the amount of proteins. When analyzing urine, alpha-amylase is detected during the acute period of the disease, bilirubin is observed in the presence of obstructive jaundice. Ultrasound visualizes deformation of the gland, a change in the edge, or the development of nodules (cysts).

Stool analysis also evaluates the functioning of the pancreas.

In addition to the fact that the pain occurs in the left side in the hypochondrium, it can radiate to the area of the heart or peritoneum, and become encircling in nature. At the same time, he feels nauseous and vomits. There are particles of undigested food and a greasy sheen in the stool. The patient's weight decreases sharply.

Inpatient treatment of chronic pancreatitis

An ambulance doctor performs an initial examination of the patient. If he suspects acute pancreatitis, he will inject an antispasmodic medication. If the attack was caused by cholelithiasis, the pain will decrease. If this is the initial degree of pancreatitis, then the effect of the injection will be small.

Treatment of chronic pancreatitis during the acute period in children and adults is carried out inpatiently. The patient is hospitalized in the surgery department. But this does not mean that the patient will undergo surgery immediately. He will first be observed and undergo mandatory examinations.

The classic treatment regimen shows “cold, hunger and rest.”

An ice pack is placed on the epigastric area. Eating is prohibited for two to four days. After which they are allowed to eat food in liquid form.

To eliminate pain, a thin catheter is inserted through the nasal passages into the stomach area for a couple of days and connected to a suction device to create negative pressure. Painkillers are administered intravenously at the same time. If there is no vomiting, give Almagel A. However, all drugs are prescribed only by a doctor.

Taking medications for exacerbation of pancreatitis is only first aid during an illness. Read more about which medications you should take.

Eliminate intoxication during pancreatitis and reduce the degree of swelling of the pancreas through intravenous administration of electrolytic solutions (Hemodez, Mannitol), glucose, and urinary aids.

Inhibiting enzyme activity helps prevent tissue breakdown. Why is Contrikal, Trasiol, Gordox administered intravenously by dropper?

Each patient requires the use of significant doses of antibiotic drugs, because an inflammatory process begins near and in the pancreas itself. More often than not, 2 antibiotics are prescribed (intramuscular or intravenous).

In order to maintain blood pressure in a state of shock, cardiovascular and hormonal drugs are administered.

Treatment is carried out by monitoring it with studies of electrolyte (sodium, potassium, calcium), protein (protein fractions, total plasma protein) and carbohydrate (blood sugar) metabolism.

They jointly carry out activities aimed at maintaining the kidneys and liver, since they are under significant stress during the attack and treatment. To support the liver, the patient receives large doses of glucose and vitamins. Kidney function is increased through the administration of sacrospinal blockade and aminophylline, diuretics.

It is not surprising that at an early stage of the disease (or during its exacerbation) a detailed examination is not carried out. The reason is that a comprehensive examination of patients is impossible at an early stage due to the serious condition and the existing danger of worsening the course of the pathology.

Incompetent examination at the initial stage can lead to a new wave of exacerbation of the pathological process and even progression of the disease. This can be caused by blood tests for sugar load, duodenal intubation, etc. To avoid this, the examination is carried out twice in the hospital.

If signs of peritoneal irritation appear, drainage of the abdominal cavity is performed, and medications and antibiotics are administered directly into the abdominal cavity through catheterization.

Surgical intervention (resection of the head of the pancreas) is used in situations where it is impossible to obtain results by other methods of treatment.

In the adult population, treatment of pancreatitis is often accompanied by the presence of stones in the gallbladder ducts, alcoholic cirrhosis of the liver, and peptic ulcer. Therefore, it is not possible to get rid of such a set of diseases once and for all. After undergoing treatment in a hospital, the patient is obliged to adhere to the recommendations of the gastroenterologist and therapist for a long time in order to get rid of existing pathologies.

Treatment of pancreatitis on an outpatient basis

After the acute symptoms are relieved, the patient will face a difficult period of adaptation to a new way of life and a different diet. It would be a mistake to believe that only medications are enough for treatment.

Strict adherence to the rules of diet therapy for pancreatitis is an equally important component of treatment. In this case, you should abstain for a long time from fried, fatty, lard, and broths based on fatty meats. Food is allowed to be consumed only in boiled, baked or steamed form. Drink only rosehip decoction or dried fruit compotes. Dry cookies replace cakes and pastries.

Each time you violate diet therapy, you should expect the exacerbation to return, but in a much more severe form.

The acute phase of pancreatitis lasts five weeks. It will take one year to restore the disturbed enzymatic balance.

The outpatient stage for the patient means that he will have to take medications for a long time.

This is the trick:

antispasmodics (Platifillin, No-shpa);
enzymes to improve the digestion process (Mezim, Panzinorm, Pancreatin, Creon, Festal);
agents for reducing acid in gastric juice (Phosphalugel, Almagel);
vitamin-mineral complex, including vitamins A, B, E, D, which restore lipid metabolism disorders.

The fact that the enzyme composition has returned to normal is indicated by the cessation of diarrhea in the patient and the absence of undigested food particles in the stool.

A patient with a chronic form of pancreatitis who regularly visits a doctor and takes measures under his supervision behaves competently.

Collapse

The treatment process in an inpatient setting lasts a fairly short time, especially if the patient sought medical help at the first symptoms. When, after examinations, a patient is diagnosed with a mild form, then special infusion therapy is prescribed to get rid of the disease.

Treatment is carried out quickly, especially if the patient comes in at the first symptoms

After the therapy, the patient is allowed to go home, but despite this, it is recommended to follow certain rules that will prevent the development of the disease and be sure to follow a strict diet.

a hemogram is performed, based on the results of which the presence of leukocytes is assessed;
a blood test is taken for biochemistry and detection of pancreatic enzymes;
An ultrasound examination is performed, which helps to assess the localization of the inflammatory process;
Laparoscopy is performed.

Even if you do not suffer from a disease such as pancreatitis, everyone should know about its symptoms and what to do in the event of an acute attack before the ambulance arrives.

Before the ambulance arrives, the patient must be laid down and kept at rest.

Before the ambulance arrives, you must do the following:

place the patient on a sofa or bed, preferably in a semi-sitting position;
Apply a cold cloth to the area where the pain is most intense;
Thoroughly ventilate the room at all times.

As mentioned earlier, to treat acute pancreatitis in a hospital, it is first necessary to stop the attack.

If necessary, the doctor will prescribe pain-relieving injections

Note! In some cases, surgical intervention is necessary to treat acute pancreatitis. This mainly happens if the patient has strict indications.

In some situations, surgery is necessary

Basically, for the treatment of acute pancreatitis in a hospital setting, the doctor prescribes the following drugs:

Antibiotics - such medications are prescribed if the development of pancreatitis is provoked by infectious diseases or previous surgical intervention.
Enzymes - these drugs are prescribed to reduce the enzymatic activity of the organ and normalize its condition.
Medicines containing live bacteria are used to restore intestinal microflora and avoid the development of dysbiosis.

abscess;
infected pancreatic necrosis;
purulent peritonitis;
necrosis more than 50%;
pancreatogenic peritonitis.

The doctor will prescribe proper nutrition

The harm of self-medication

pancreatic abscess - this complication develops due to infection in the inflamed gland. The abscess tends to spread to neighboring organs;
expansion of inflammation - this complication can very quickly spread to neighboring organs and, in addition, cause a chemical burn;
formation of a pseudocyst - this complication is not very common, but is still considered very serious. In some cases, rupture of a pseudocyst can be fatal;
development of DIC syndrome - this syndrome is also a very dangerous pathology, which results in blood thickening and the formation of blood clots. Treatment of such a disease is considered very difficult and almost never brings results, but on the contrary, over time becomes the cause of the patient’s death;
sepsis - in the process of this pathology, infection penetrates into the blood and becomes infected. Such consequences in most cases lead to death.

Conclusion

Pancreatitis is an inflammatory disease of the pancreas. The essence of the pathology is the cessation of secretion synthesized by gland cells into the intestines and the melting of tissues under the action of its own enzymes. Treatment of pancreatitis is aimed at eliminating the causes of the disease and its consequences.

When deciding which treatment method to choose, where and how to treat pancreatitis, you must completely trust the specialist doctor. With this disease, you cannot rely on the experience of others. The symptoms of pancreatitis are varied and very similar to other diseases. Therefore, the desire to “endure” abdominal pain, apply a heating pad or lavage the stomach, or refuse timely medical care is completely unjustified.

You can get rid of pancreatitis forever only if it is detected in the initial stage. Skeptics answer the question: “Is it possible to cure pancreatitis?” - they will answer: “No.” Optimistic doctors are much more determined.

The ambulance doctor conducts an initial examination of the patient. If acute pancreatitis is suspected, he will inject antispasmodic drugs. The pain will decrease if the attack is associated with cholelithiasis. With primary pancreatitis, the effect is insignificant.

Treatment of pancreatitis in adults and children during exacerbation must begin with the inpatient stage. The patient must be hospitalized in the surgical department. This does not mean that emergency surgical treatment is required. The patient is observed and urgent examinations are carried out.

The classic scheme requires assigning “hunger, cold and thirst”. An ice pack is placed on the epigastric region. Eating and drinking are not allowed for two to four days. Then they switch to liquid food.

To relieve pain, a thin catheter is inserted through the nose into the stomach for 2–3 days; it is connected to a suction device to create a slight negative pressure. At the same time, intravenous painkillers are administered. If there is no vomiting, you can give Almagel A orally. The attending physician decides which drug to use.

In order to combat intoxication during pancreatitis, Hemodez, Mannitol, and diuretics are administered intravenously to reduce swelling of the pancreas.

The only way to prevent tissue breakdown is by inhibiting enzyme activity. For this purpose, Trasylol, Contrikal, Gordox are used intravenously.

All patients require large doses of antibiotics because inflammation develops around and inside the pancreas. Use 2 antibiotics (intravenously and intramuscularly).

To maintain blood pressure in a state of shock, hormonal and cardiovascular drugs can be administered.

Intoxication is treated with solutions of electrolytes, glucose, and Reopoliglucin.

If there are symptoms of peritoneal irritation, the abdominal cavity is drained and medications and antibiotics are administered directly into the cavity through a catheter. There is a surgical treatment method - resection of the head of the pancreas, but it is resorted to in the absence of results from other methods.

Treatment of pancreatitis in adults is often complicated by the presence of gallstones, alcoholic cirrhosis of the liver, and concomitant peptic ulcer. Therefore, it is impossible to cure such a set of diseases forever. But after hospital treatment, the patient will have to follow the recommendations of the gastroenterologist and therapist for a long time in order to cure at least part of the pathological changes.

When acute symptoms are resolved in the hospital, a difficult period awaits the patient’s adaptation to a different diet and regimen. If anyone thinks whether it is possible to cure pancreatitis without a diet, with medications alone, he is very mistaken. Strict adherence to a dietary regimen for pancreatitis is as much a part of treatment as expensive medications. It is necessary to avoid fatty foods, lard, and rich broths for a long time. Fried foods are contraindicated. You can only eat boiled, baked or steamed foods. Instead of strong coffee and tea, dried fruit compote and rosehip decoction are recommended. Cake and pastries are replaced with dry cookies.

Any dietary disorder or alcohol intake will cause the exacerbation to return in a more severe form.

The duration of the acute period for pancreatitis lasts up to five weeks. It is believed that it takes at least a year to restore the enzymatic balance of the pancreas.

At the outpatient stage, the patient should take the following medications for a long time:

antispasmodics - recommended for increased pain (No-shpa, Platifillin);
enzymes as assistants in restoring impaired digestion in the intestines (Mezim, Pancreatin, Panzinorm, Festal, Creon), only a doctor can choose the right enzymatic preparation, taking into account its activity and combination with bile acids;
drugs that reduce the acidity of gastric juice (Almagel, Phosphalugel);
a vitamin complex, including such as A, B, D, E, which restore fat metabolism.

The normalization of the enzyme composition is judged by the cessation of diarrhea in the patient and the absence of undigested food in the stool analysis.

The correct thing to do is a patient with chronic pancreatitis who is constantly treated under the supervision of a doctor and undergoes complete and regular examinations.