Pancreatitis - what is it, causes, first signs, symptoms and treatment of pancreatitis in adults. Chronic pancreatitis: symptoms and treatment

This article will consider characteristic symptoms and methods of treating pancreatitis in adults. This disease implies inflammatory and degenerative. In men, this disease is diagnosed more often than in women. Pancreatitis is usually divided into acute and chronic.

Main causes of pancreatitis in adults

Among the likely causes of pancreatitis in adults are the following:

alcohol abuse;
fast food and fatty foods dominating the diet;
presence of stones in gallbladder or bile ducts;
duodenitis;
peptic ulcer of the stomach and intestines;
operations in the area of epigastrium and biliary tract;
injuries, wounds of the abdomen;
endoscopy and radiography of the bile ducts;
against the background of taking a number of medications (sulfonamides, antibiotics, estrogens);
infectious diseases (viral hepatitis B or C, mumps);
helminthic invasions;
anatomically incorrect structure of the ducts of the gland;
disturbed metabolism;
hormonal disorders.

Unfortunately, in every third patient it is not possible to establish the exact etiology of the development of acute pancreatic disease.

Signs and symptoms of acute pancreatitis in adults

It is possible to suspect acute pancreatitis in adults by such a basic one - it is a sharply arising intense pain more often in the left side of the abdomen. Depending on the area of the organ lesion, the pain may also be more felt on the right or be girdle in nature. If timely assistance is not provided, then the patient may even develop pain shock.

But, in addition to this, in adults, the following can also appear:

fever;
blood pressure jumps up and down;
cold sticky sweat appears;
the skin turns pale;
bluish spots appear in the navel and on the lower back;
in some cases, there is icterus of the sclera and skin;
nausea, belching, hiccups;
bouts of vomiting with bile;
frequent, frothy, offensive stools;
bloating, constipation, tense abdominal muscles;
loss of consciousness.

In the presence of at least some of the symptoms listed above, the patient urgently needs to be hospitalized.

Signs and symptoms of chronic pancreatitis in adults

As for chronic pancreatitis, it often proceeds without a pronounced clinical symptoms. Signs of inflammation of the pancreas in adults are often disguised as signs of other diseases. somatic diseases(gastritis, biliary dyskinesia).

But, as in the case of an acutely current process, when chronic course the patient's diseases are also primarily concerned about pain. They, as a rule, are localized in the "pit of the stomach", often give to the left or right hypochondrium and back. Often the pain is diffuse or girdle. If you lie on your back, then it intensifies, and in a sitting position, with the body slightly tilted forward, the pain weakens.

The pain occurs and intensifies after meals in violation of the principles of a sparing diet. With alcohol abuse pain syndrome may only come after a few days. Sometimes the pain reaches the region of the heart and can be confused with an attack of angina pectoris.

In addition, in adults, the following symptoms of chronic pancreatitis are observed:

loss of appetite with aversion to any kind of food;
general dyspeptic symptoms (belching, hiccups, salivation, bouts of nausea, vomiting);
diarrhea (mushy stool with particles undigested food, plentiful, fatty);
bloating and rumbling between meals;
if the disease is prolonged, then the person intensively loses weight;
slight increase in body temperature;
irritability;
chronic fatigue syndrome;
sleep disturbance.

And also, focusing on the symptomatic complex, several types of the disease can be distinguished:

Asymptomatic - does not manifest itself in any way and the person does not even know about the presence of the disease.
Painful - after eating or drinking alcohol, there is a clear pain syndrome.
Dyspeptic - chronic bowel disorder, bloating, weight loss.
Pseudotumor - the course and symptoms resembles an oncological disease.

If there are at least some signs of chronic pancreatitis in adults, then it is imperative to consult a specialist.

Diagnosis of pancreatitis in adults

To make and confirm the diagnosis, the doctor will first examine the abdomen. Palpation will help determine the main focus of the pain syndrome. But it is possible to fully palpate the gland only if the patient is very thin, and the pancreas is greatly enlarged.

symptoms of chronic pancreatitis in adults - diagnosis

But even very experienced specialist won't put final diagnosis only on examination and history taking. The following diagnostic measures will be recommended to the patient:

clinical blood test;
biochemical samples;
analysis of feces and urine;
radiography;
ultrasound abdominal cavity;
CT scan;
gastroscopy;
proserine test.

The main indicator of the degree of the inflammatory process is how high the elastase levels are. And an increase in diastase in the urine also indicates chronic pancreatitis. If the gland is affected by 90%, then in the feces it will be found a large number of fats and undigested food.

Treatment of pancreatitis in adults

If the first signs of pancreatitis in adults were confirmed by the results of the examination, then it is necessary to immediately begin treatment.

Acute pancreatitis

If an adult has acute symptoms pancreatitis, then he urgently needs to be taken to the hospital and treated only in a hospital. And before the ambulance arrives, you can put a cold heating pad on your stomach and take antispasmodics (Papaverine, Drotaverine).

During treatment acute pancreatitis special attention is always given to hunger, cold and rest. In a hospital setting, the following drugs are usually used:

Plasma substitutes are administered intravenously and saline solutions(Reopoliglyukin, Reosorbilact).
Diuretic drugs to prevent pancreatic edema (Furosemide, Lasix, Diakarb).
For the relief of pain - antispasmodics and painkillers (No shpa, Papaverine, Ketanov, Dexalgin).
With persistent vomiting (Cerukal, Metoclopramide).
IN acute period enzymatic inhibitors are used (Kontriven, Trasilol).
Antisecretory drugs (Kvamatel, Omeprazole).
Vitamin therapy to maintain a weakened body.

Within 4-5 days the patient is recommended fasting. If the course of the disease is especially severe and you have to starve for more than 14 days, then parenteral nutrition is prescribed. Protein hydrolysates and fat emulsions are administered intravenously to the patient. Gradually, yogurt, cottage cheese appear in the patient's diet, and after another 3 days you can switch to - table No. 5P.

In some cases, if destructive pancreatitis is suspected and if conservative therapy is ineffective, surgical intervention is indicated.

Chronic pancreatitis

Symptoms of chronic pancreatitis in adults and treatment are almost identical, as in the case of an acute course of the disease. Dieting for such a patient should become a lifestyle. He must also take enzyme preparations and occasionally antispasmodics. In addition, it would be good to visit resorts specialized in the treatment of gastroenterological diseases.

A diet for pancreatitis can seem very tough, because it excludes the most beloved foods from the diet (chocolate, sweets, barbecue, mushrooms, fried, spicy, fast food). Food processing methods that should be a priority - boiled or stewed. You need to eat fractionally and often, and also do not mix different kinds proteins, fats and carbohydrates.

They have also proven themselves in the treatment of chronic pancreatitis. Herbal preparations (with chamomile, calendula, dandelion roots, corn stigmas, plantain, mint) are used to prepare infusions or decoctions. It is usually taken 30 minutes before a meal or 1 hour after a meal.

Regardless of how pancreatitis manifests itself in adults, it is necessary to combine various treatments in such a way as to keep the pancreas working and avoid relapses and exacerbations. healthy image life and timely recognition of the symptoms of the disease will help in the fight against this disease.

Produces pancreatic juice, which includes substances that break down carbohydrates, proteins and fats. These elements start working when they fall into duodenum. If they began to function in the pancreas, this leads to damage to its tissues and the appearance of pancreatitis.

What causes pancreatitis

We list the factors that provoke the onset of the disease.

Excessive drinking . Most often, this is the main cause of pancreatitis. As a result of the use of alcoholic beverages, the amount of enzymes in the pancreatic juice increases, which leads to their premature activation. Also, alcohol disrupts the functioning of the sphincter. IN normal condition it releases enzymes into the intestines, but under the influence of alcohol, the sphincter does not have time to open and the pancreatic juice remains in the ducts.
Improper nutrition . Abuse of spicy and fatty foods leads to exacerbation of chronic pancreatitis.
gallstone disease . In 20% of cases, complications of the disease lead to the appearance of pancreatitis. Stones block the bile ducts, because of which enzymes cannot enter the pancreas, and stagnation forms.
Infectious diseases . Often pancreatitis is a complication of viral hepatitis and influenza.

Types of pancreatitis

There are three types of disease.

Chronic. Inflammation is accompanied by hormonal dysfunction and digestive problems. The chronic form is more common in adults aged 35-65 years. The disease develops gradually and can progress over time.
Spicy. With this form, pancreatic enzymes begin to digest the gland, which causes severe hemorrhages. Often accompanied by problems with the biliary tract and gallbladder.
Reactive. The disease appears suddenly and abruptly. The reactive form leads to spasm of the pancreas, due to which the enzymes in it begin to accumulate and destroy tissues. Appears during illness bad taste in the mouth and sharp pain under the ribs.

Video information

Symptoms and signs of pancreatitis

Symptoms of pancreatitis depend on the form of the disease. The acute form is accompanied by pain in the lower abdomen. They appear as a result of pancreatic juice entering the pancreas. Over time, the pain can spread throughout the abdomen. Acute pancreatitis has other symptoms:

nausea and vomiting;
muscle spasms;
heat body;
headache.

During the illness, the patient becomes weak, begins to sweat profusely, the skin turns pale. If not treated, the person will begin to periodically lose consciousness.

At chronic form less severe symptoms, which are similar to signs of gastrointestinal diseases. For some time, the disease proceeds in latent form, after which the first signs appear:

diarrhea;
loss of appetite;
pain in the abdomen after eating;
pain in the lower back and heart.

When using carbonated drinks and fatty foods, relapses occur, accompanied by diarrhea, vomiting, dizziness and nausea. If not treated chronic pancreatitis, can appear the following complications:

blurred vision;
convulsions;
chronic fatigue;
low pressure.

Ignoring the disease leads to the appearance of diabetes mellitus and dysfunction of the pancreas.

Video plot

Diagnostics

It is difficult to diagnose the disease, especially if it is on early stage. To establish a diagnosis, tests are taken and various studies.

Blood chemistry . With its help, the amount of enzymes is determined.
General blood analysis . Helps to determine the level of leukocytes in the blood.
ultrasound. It is done to study the gallbladder and other organs located in the pancreas.
Radiation diagnostics . Determines the location of damaged areas of the gland.

First aid

Before using the main methods of treatment, it is necessary to familiarize yourself with how to properly provide first aid. Attention! Self-medication is dangerous, only a doctor can determine the diagnosis and prescribe medications.

Put the patient on the bed. Help lift your knees up to relieve some of the pain.
Place something cold on your stomach, such as a bottle or heating pad of chilled water.
If the pain periodically worsens, use painkillers.

Folk remedies for the treatment of pancreatitis

Pancreatitis can also be cured with folk remedies at home. There are many recipes that will help get rid of the disease.

potato juice . Into a glass potato juice half a glass of kefir is added. Means to drink a few hours before meals. Treatment lasts 2-3 weeks, after which a break is made for 5 days.
Birch buds . 200 grams of birch buds are placed in a saucepan and filled with water. After that, the mixture is infused for a month in a dark room. Tincture is taken before meals, one teaspoonful.
Cowberry. Several leaves of the plant are poured into hot water, after which three blueberries and one part of yarrow are added to it. The drug is drunk before meals three times a day.
Barberry. The bark of the plant is filled with water and boiled for half an hour. Before taking the mixture is cooled to room temperature. The remedy is recommended for use in the chronic form of the disease, one tablespoon per day.
Sand immortelle . Two tablespoons of flowers are filled with water and mixed with three teaspoons of chamomile and wormwood. Take no more than 200 ml of tincture per day.

Medication treatment

During the treatment of pancreatitis, different drugs are used. You can get rid of severe pain with the help of antispasmodics. The attending physician may prescribe Drotaverine or No-Shpu, with which inflammation can be reduced. Mebeverin is also used for this, eliminating pain in the gastrointestinal tract.

You can stop the destruction of the pancreas with the help of anti-enzymatic drugs. With their help, protein synthesis slows down and enzymes are blocked. Thanks to this, you can get rid of edema, pain and other manifestations of pancreatitis.

In the treatment of the disease, it is necessary to reduce the load on the pancreas. For this, products with enzymes are used, which help to break down fats faster and absorb food.

Often the disease is accompanied by an increase in acid-base balance. Means that reduce acidity in the digestive organs - "Cimetidine", "Maalox" and "Almagel" will help to eliminate the problem.

Use of mineral waters

Mineral waters help to cope with stagnation in the bile duct and pancreas, due to which the digestive tract is cleared of bile. This stops the development of the chronic form of the disease.

Mineral waters are recommended to be used only during remission. First, the daily rate of water should not exceed a quarter cup. In the absence of complications and pronounced symptoms, the volume of water is increased to one glass.

People with a chronic form of pancreatitis should drink warm still water, the temperature of which is about 35-45 degrees.

Proper nutrition and diet for pancreatitis in adults

A therapeutic diet is followed during an exacerbation of the disease. It is recommended to eat 3-4 times a day. Can eat following products.

Dairy . It is recommended to regularly eat low-fat cottage cheese, kefir, fermented baked milk.
Pasta. During cooking, do not add spices and sauce.
Fish. With pancreatitis, you can eat steam or boiled fish.
Vegetables. It is best to eat vegetables that contain starch: beets, carrots, potatoes. Also in not large quantities allowed garlic and onions.
crackers. It is necessary to buy crackers made from rye bread. You should not eat in large quantities. daily rate is about 250 grams.
Fruits. Fruits that contain fiber are useful - strawberries, green apples and melons.
Eggs. You can eat 2 chicken or quail eggs per day. However, they should not be eaten fried. Better

Inflammatory processes in the pancreas that disrupt the secretory production of enzymes lead to the formation of a disease such as pancreatitis. Before proceeding with treatment, let's find out everything about pancreatitis.

Causes of the disease

The main reasons that can provoke the occurrence inflammatory processes that affect the functioning of the pancreas include:

the predominance in the diet of fried, fatty, smoked, salty, rich foods;
unbalanced diet and lack of food intake;
poisoning with toxic substances;
alcohol abuse;
reception medicines.

Also, exacerbation of pancreatitis can occur due to other disorders of the gastrointestinal tract:

diseases of the gallbladder, biliary tract;
disorders of the stomach, duodenum.

Women have a high risk of developing or exacerbating pancreatitis during pregnancy.

Which doctor treats

Pancreatitis is treated on an inpatient or outpatient basis. It depends on the form of the course of the disease. The development of acute pancreatitis requires hospitalization. The patient goes to surgery department where a set of measures is being taken to relieve an acute condition and prevent the development of pancreatic necrosis. After stabilization of the patient's condition, he is transferred to the therapeutic department to continue treatment under the supervision of a gastroenterologist.

In chronic pancreatitis without exacerbation, the patient is registered at the dispensary in the clinic at the place of residence and is observed by a gastroenterologist.

Pancreatitis - symptoms in adults

Pancreatitis in adults occurs in two forms: acute and chronic. The symptomatic picture has similar and specific features.

It is distinguished by the rapid nature of development and the appearance of:

pain in the right or left hypochondria, a shingles character is also possible, depending on the degree of the inflammatory process and the area of damage to the pancreas;
deterioration in general well-being, a significant increase in body temperature, weakness, malaise, change blood pressure upward or downward;
color changes skin: sallow complexion, cyanotic spots around the navel and on the lower back, obstructive jaundice due to sclerosing pancreatitis;
sensations of dryness in the mouth, prolonged hiccups, belching rotten egg, nausea and repeated vomiting, which does not bring relief to the patient;
stool disorders in the form of constipation or diarrhea;
shortness of breath, increased sweating.

Chronic pancreatitis is less pronounced. The disease can develop for a long time without causing significant discomfort:

there is the appearance of pain in the hypochondrium, especially after eating;
pain is associated with overuse fatty, fried, smoked, sweet food, alcohol. Also for the same reason, vomiting, stool disorder, bloating appear;
yellowness of the skin appears.

The manifestation of symptoms is affected by the stage of the disease, as well as whether the patient has received treatment, adherence to food intake, the age of the patient and his general physical condition.

Important! Symptoms in women, like symptoms in men, do not have a fundamental difference that affects the diagnosis.

Symptoms in children

Symptoms of development are in many ways similar to its manifestations in adults.

In the chronic form, pancreatitis can develop asymptomatically for a long time, or manifest itself as other diseases of the digestive system and gastrointestinal tract. In particular, it is often confused with gastritis, intestinal dysbacteriosis.

Given the age of children, it is very important to pay attention to complaints of pain in the abdomen in a timely manner. When they appear, you should consult a doctor.

Important! Self-treatment and taking painkillers is not allowed, as this can distort clinical picture diseases.

Chronic

The chronic form of the disease is associated with prolonged inflammatory processes and changes in the structure of pancreatic tissues.

Pancreatitis goes through several stages: the initial phase, remission and exacerbation. At the initial stage, the development of the disease occurs with mild symptoms, the patient, as a rule, does not experience significant discomfort. Basically, all painful sensations are associated with overeating and drinking. junk food and alcohol.

The period of exacerbation is associated with the occurrence of pain that bothers for a long time, accompanied by a disorder of the gastrointestinal tract.

To identify the development of chronic pancreatitis, it is necessary to consult a gastroenterologist. Inspection, collection of complaints, analysis of the history of the disease. Based on this, diagnostic procedures are prescribed:

taking tests to determine the level of blood amylase and urine diastase;
biochemistry and complete blood count;
general urine analysis;
Ultrasound of the pancreas is one of the leading research methods that can help determine whether there are pathological changes pancreas;
gastroscopy;
radiography of the abdominal organs;
functional tests;
endoscopic retrograde cholangiopancreatography.

Important! When it appears, it is necessary to consult a doctor in a timely manner for consultation, diagnosis and treatment.

Spicy

Pancreatitis in an acute form proceeds rapidly and is characterized by a significant deterioration in the patient's condition and acute pain syndrome. Inflammation of the pancreatic tissue leads to its edema, which creates pressure on the capsule and causes acute pain. The blood supply to the tissue is disturbed, destructive processes develop, which causes symptoms of intoxication.

When symptoms of acute pancreatitis appear, urgent hospitalization patient and conducting examination and treatment in a hospital.

Main task: to stabilize the patient's condition, remove acute symptoms and exclude the possibility of developing pancreatic necrosis.

Reactive

Availability serious disorders and exacerbations of diseases of the gastrointestinal tract can contribute to the development of pancreatitis. Therapeutic measures are complex and aimed at restoring the full function and functioning of the digestive tract and pancreas.

Timely diagnosis of pancreatitis is difficult, given that most diseases of the gastrointestinal tract occur with similar symptoms.

billiary

Pathologies in the work of the gallbladder, the consequence of which becomes cholelithiasis, lead to the development of biliary pancreatitis. Deterioration of the outflow of bile, its stagnation in the gallbladder, the formation of stones leads to secondary inflammatory changes in the pancreas. An exacerbation can be caused by the movement of small and medium stones through the bile ducts, especially when using lithotripsy - crushing stones with ultrasound.

Identification of the cause of exacerbation is very often associated with certain difficulties due to the fact that the stones are in motion and are relatively small in size. As a rule, the diagnosis in this case is "cholecystopancreatitis".

Hemorrhagic

Hemorrhagic pancreatitis can be regarded as initial manifestation pancreatic necrosis. Diagnosed when additional examinations a hemorrhagic lunge with an admixture of blood in the abdominal cavity is detected, which indicates destructive processes in the pancreas and the death of its tissues. The reason for this is a failure in the process of blood circulation in them with inflammatory edema in the pancreas, as well as toxic effects harmful substances, alcohol poisoning, eating fatty, fried and other junk food.

Symptoms in the development of hemorrhagic pancreatitis are pronounced: nausea, repeated vomiting of gastric contents, which does not bring relief, severe symptoms of intoxication. Diagnosed " acute abdomen”, since the pains are intense and are not relieved by antispasmodics.

The decision on the choice of treatment tactics - surgery or conservative treatment, as well as clarification of the diagnosis, occurs after an urgent diagnostic search, using additional methods research.

Exacerbation of pancreatitis

In most cases, it occurs in response to external stimuli. These include:

unbalanced diet, diet violation;
taking medications;
poisoning intoxication.

The severity of symptoms depends on the severity of the course of the disease and the damage to the pancreas.

With exacerbation of pancreatitis, treatment consists of:

in a decrease in pancreatic secretion;
in reducing pain and inflammation;
in carrying out enzyme replacement therapy;
in preventing the development of complications.

The patient is prescribed strict dietary restrictions. Excluded dairy, fatty, smoked, salty, fried foods, marinades, sweets, alcohol.

Antispasmodics, analgesics, anti-inflammatory and antisecretory drugs are taken from medicines.

The need for surgical intervention arises with the development of complications of pancreatitis, such as pancreatic necrosis, enzymatic peritonitis.

Treatment at home

In the chronic course of the disease, it is necessary to follow the recommendations regarding nutrition, as well as taking medications prescribed by the attending physician.

Important! With the development acute form home treatment is out of the question.

The period of exacerbation is associated with dietary restrictions up to starvation. Peace is also needed, compliance is desirable bed rest and restrictions physical activity. To relieve pain, in addition to taking medication, it is possible to apply cold compresses to the site of pain dislocation.

Therapeutic therapy is aimed at relieving pain, reducing inflammation, and normalizing the functions of the pancreas.

The development of acute pancreatitis requires acceptance urgent action exclusively in a hospital setting. A sick child is shown rest and maintaining bed rest, food restriction and curative fasting during the first 1-2 days.

After stabilization of the condition, a sparing diet is prescribed. Food is boiled or steamed, crushed and taken warm.
Drug therapy includes analgesics and antispasmodics; antisecretory drugs (gordox, contrical, octreotide), pancreatic enzymes (pancreatin, creon, festal).
Corticosteroids, antibiotics, antihistamines; drugs that improve microcirculation (curantil).

If complications develop, surgery. Its necessity is due to irreversible processes in the development of pancreatic necrosis and destruction of the pancreas. As a result, its resection, necrectomy, cholecystectomy is carried out.

Medical treatment

It is aimed at solving several problems: the removal of pain and the regulation of enzyme production by the pancreas.

The medicine for pancreatitis is prescribed depending on the severity of the course of the disease and the data from the test results:

anti-inflammatory drugs;
antispasmodics and painkillers;
antisecretory drugs;
drugs that normalize the enzyme production of the pancreas.

Acute pancreatitis in early dates requires fasting. As a substitute for food are assigned:

glucose solution;
amino acid complexes;
plasma.

The chronic form of the course of the disease provides for regular monitoring by a specialist, the passage of spa treatment in order to avoid relapses. When exacerbated:

taking antispasmodics - no-shpa;
analgesics for pain relief - ketoral;
enzyme inhibitors - Gordox.

Which pills are better for treatment, the doctor will tell you, taking into account the tests and diagnostic data.

Application of funds traditional medicine can help improve and normalize the work of the pancreas in general. They also help reduce pain and discomfort after eating.

Most effective means include vegetable juices and herbal preparations in the form of infusions and decoctions.

Important! Their use does not exclude the use of drugs prescribed by a doctor, but complements medical therapy to achieve the most positive result.

Carrot and potato juice

medium potatoes - 2 pcs.;
medium carrot -1 pc.

Vegetables, without peeling, rinse thoroughly, pass through a juicer. Drink the juice obtained 30 minutes before a meal. Consume within a week, then follow week break. Repeat 3 courses.

sauerkraut

Juice sauerkraut needed to reduce pain.

Cabbage is fermented without the addition of spices and carrots.
When pain occurs, as well as for preventive purposes, drink half a glass before meals, 20-30 minutes before.
The duration of treatment is 7-10 days.

Herbs

Cholagogue medical fees herbs are taken for all forms of pancreatitis. They can be purchased at a pharmacy or prepared independently.

Important! It is impossible to take choleretic drugs if pancreatitis develops against the background of cholelithiasis.

To prepare it, you need to take:

2 tbsp. l. corn silk, 2 tbsp. l. grass mountaineer bird, 2 tbsp. l. dandelion root, 1 tbsp. l. hypericum and 1 tbsp. l. anise fruit.
From the resulting mixture, take 2 tbsp. l., pour 500 ml hot water, then put in a water bath and bring to a boil.
The broth is cooled and infused for 2-3 hours, then filtered.
You need to drink half a glass 3 times a day before meals for 2 weeks.

At the end of the course of treatment with this decoction, it is necessary to switch to a decoction based on flax seeds.

Important! Do you want to know how? Read our article.

Flax seeds

To prepare it, grind and mix 1 tbsp. l. seeds and 1-2 tbsp. l. leaves, 1 tbsp. l. leaves and 1 tbsp. l. flowers. Pour the mixture with 0.5 liters of boiling water, let it brew and cool, then strain. You need to take half a glass 2-3 times a day an hour after eating, the course is 1 month.

Diet for pancreatitis of the pancreas - menu

Treatment for pancreatitis is accompanied by the need for a strict diet that limits consumption certain products. Food should be prepared by thermally gentle methods: steamed or boiled, served warm and, during an exacerbation, mashed. Excluded too hot or cold food.

What can you eat:

dried wheat bread;
lean cookies and buns;
lean meat and fish;
vegetables;
from legumes - green peas;
pasta;
eggs;
ripe sweet berries and fruits of soft varieties;
sugar, honey, marshmallows in a small amount;
dairy and sour-milk products: kefir, curdled milk, mild cheeses;
juices, decoctions, compotes;
chicory instead of coffee and weak tea.

In acute pancreatitis, therapeutic fasting lasts up to two days, then the patient is transferred to diet menu №5.

We present sample menu per day:

1st meal:

oatmeal on the water;
unsweetened compote;

2nd meal:

1 boiled egg;
dried slice of white bread.

3rd meal:

soup with noodles in a weak chicken broth;
steamed chicken cutlet;
buckwheat porridge.

4th meal:

jelly from berries;
bad cookies.

5th meal:

steamed lean fish;
mashed potatoes;
rosehip decoction.

Important! The intervals between meals should be 3 hours.

fried and fatty foods;
canned and pickled foods;
spices and spicy seasonings and sauces;
rich bakery products, pastries, cakes;
sausages and semi-finished products;
smoked meats, lard;
legumes;
white cabbage, radish, radish, sorrel and spinach;
any sour fruits, juices, nectars and compotes from them;
sweets;
alcohol.

What fruits can

The use of fruits in pancreatitis depends on the nature of the course of the disease. During the period of exacerbation at first, fruits should be excluded from the diet. When the condition improves, rosehip broth can be included in the diet. Then the diet expands somewhat, jelly and compotes from unsweetened varieties of fruits are acceptable. As you recover, you can use jellies, mousses and puddings.

When remission is achieved, the diet is significantly expanded by adding fruits to it. Unsweetened varieties with a soft shell are acceptable: pears and apples. You can also eat bananas, small amounts of melons and pineapples, grapes, plums, apricots.

At the remission stage, tangerines and oranges can be included in the menu. Fruit should be sweet and ripe. During the period of exacerbation, their use is highly undesirable, as it irritates the mucous membrane.

Prevention

Preventive measures are aimed both at excluding the progression of diagnosed pancreatitis, and at preventing its occurrence.

regular meals - frequent fractional meals;
a balanced diet, which should include the use of fruits, vegetables, cereals, lean meats, dairy products;
restriction or total exclusion harmful products: fatty, fried canned, smoked, pickled, salty foods, convenience foods, fast food and sweets;
give preference to gentle methods of cooking: boiling, baking, steaming;
limiting alcohol consumption;
rejection of bad habits.

It should be remembered that overeating several types of food at the same time leads to increased load on the pancreas and increases the risk of developing pancreatitis.

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IN Lately at modern people widespread problems with the pancreas. For those who have inflammatory pancreatitis - symptoms and treatment in adults, it is important to know in advance how to adjust the diet and how long the course of therapy should last. This pathology can negatively affect the state of the whole organism, therefore, special attention should be paid to the prevention of the disease.

What is pancreatitis and why is it dangerous

It is difficult not to notice the signs of inflammation of the pancreas in adults. This pathology is called pancreatitis and is dangerous and very serious illness. The disease is manifested by inflammation of the tissues, due to the closure of neoplasms different kind pathways to the intestines gastric juice And digestive enzymes. The symptoms of acute pancreatitis in adults appear when the pancreas actually begins to digest itself.

Danger this disease is the following possible complications:

development purulent processes;
blockage of the pancreatic ducts;
stenosis of the sphincter of Oddi;
development of a postnecrotic cyst;
violation of portal blood flow to the liver;
development diabetes;
cancer development;
pancreatic necrosis.

Causes of the disease

Before choosing drugs for the treatment of pancreatitis in adults, it is worth understanding the causes of the development of pathology. The pancreas is an organ located in the upper abdomen, tightly attached to the wall of the stomach. It is needed for the production of enzymes involved in digestion. When there are problems with the duct of the gland, enzymes accumulate and destroy it. If the treatment of the acute form (reactive pancreatitis) is not started in time, the process may end lethal outcome.

Adult men suffer from inflammation of the pancreas more often. The disease that appeared on the background of alcohol abuse is called alcoholic pancreatitis. Not less than common causes for the development of this disease are cholecystitis and cholelithiasis. In addition, the process of exacerbation in an adult may be associated with in the wrong way life of the patient, violation of the diet, overweight, taking antibiotics, heredity and others.

Symptoms

This disease in adult patients manifests itself in different ways. Symptoms depend on the stage of the pathology and its form. Acute pancreatitis is characterized by severe pain frequent attacks similar to severe intoxication. Treatment of an ailment detected in time gives good results. Symptoms of the acute form of the disease are as follows:

drop in blood pressure;
tachycardia;
girdle pain in the abdomen;
loss of appetite;
nausea;
vomit;
red rash;
blue skin in the navel;
pallor;
disturbance of consciousness;
flatulence;
diarrhea.

Chronic pancreatitis is characterized by an asymptomatic course. The patient does not feel sharp pain attacks, while his body slowly dies. Instead of dead sections of the gland appears connective tissue, the process of producing enzymes for digestion is disrupted. Signs of chronic pancreatitis in adults may be characterized by heartburn, nausea, and belching. The vast majority of patients lose their appetite and rapidly lose weight. The period of remission is replaced by exacerbation. This is influenced by the consumption of food great content fat or alcohol.

Diagnostics

If you notice symptoms of this disease, you should immediately consult a doctor. Before treating pancreatitis, the patient must be diagnosed. The disease is different nonspecific symptoms so doctors may confuse it with other abdominal problems. Diagnosis testing should include following procedures:

General urine analysis.
Biochemistry of blood.
Study of water and electrolyte balance.
CT scan.
Radiography.
Endoscopy.
Laparoscopy (surgical intervention, making small incisions on the skin in severe forms).

Treatment of pancreatitis

After detecting symptoms and making a diagnosis, it is urgent to start therapy to relieve pain and eliminate inflammatory processes. Treatment involves certain restrictions on food, the first few days of fasting. Prescribing medications should be handled by a doctor, taking into account individual features patient. Depending on the course of the disease, drugs are prescribed that reduce the action of pancreatic enzymes and painkillers. When dehydrated due to bouts of vomiting, patients are given intravenous fluid.

acute form

If symptoms of acute pancreatitis are detected in an adult, the patient is recommended to be hospitalized with subsequent treatment. Before the ambulance arrives, it is recommended to apply a cold heating pad to the stomach and let the patient drink antispasmodics (No-shpa). In the hospital drug therapy includes the following measures:

Salt solutions, plasma substitutes (Reopoliglyukin, Reosorbilact) are administered intravenously.
They stop the pain attack with antispasmodics and painkillers (No-shpa, Ketanov, Papaverine).
To prevent swelling of the gland, diuretics are prescribed (Lasix, Diakarb, Furosemide).
Cerucal or Metoclopramide is administered intramuscularly to stop vomiting.
Assign enzymatic inhibitors (Trasilol or Contriven).
Give antisecretory drugs Kvamatel or Omeprazole.
Prescribe maintenance vitamin therapy.

The first 4-5 days it is recommended to exclude food intake. In severe forms, hunger continues for up to 14 days, while the patient is intravenously injected with fat emulsions, protein hydrolysates. Over time, foods such as kefir, cottage cheese are introduced into the diet. As a rule, with pancreatitis in a hospital, adults are recommended to follow the diet table number 5. If conservative therapy fails, resort to surgical intervention.

Chronic form

Treatment in adult patients with chronic pancreatitis may be limited to a strict diet with low content fats and carbohydrates. In addition, it is necessary to exclude such provoking factors as smoking, alcoholic beverages. If you do not violate the instructions, then exacerbation can be avoided. Otherwise, apply the following medicines from pancreatitis in adults:

Antibiotics (amoxicillin) to eliminate inflammation.
Strong analgesics, antispasmodics for pain relief (Promedol, Tramadol, Papaverine, Drotaverine and others).
Enzyme preparations to improve the digestive process (Mezim, Pancreatin, Festal).
Almagel, Maalox, Rennie to reduce acidity.

Dieting

In the first few days after an attack of pancreatitis in adults, it is recommended to follow a "hungry" diet. At this stage, the use of mineral still water in small portions. With a weak pain syndrome of an acute form and constantly with chronic pancreatitis in an adult, a strict diet is recommended. Proper nutrition every 3 hours with fat restriction is the basis of the treatment of this serious disease. The patient should forget about spicy, sweet, fried.

steamed or boiled vegetables (except tomatoes);
tomato juice;
fruits with a neutral taste (apricots, pears);
lean fish boiled or steamed;
chicken, rabbit, veal (boiled or steamed);
pasta;
kefir;
cereals;
low-fat cottage cheese;
herbal teas, still water.

ethnoscience

Except special diet and medications, for the treatment of symptoms of pancreatitis in adults, it is recommended to use folk recipes. Below are popular means For home therapy:

Kissel from germinated oat grains. To do this, buy oats, sort, soak, leave in a warm place. After 48 hours, the germinated grains are removed from the water, rinsed, dried, and ground. Pour the resulting flour cold water, bring to a boil, cook for 2 minutes, stirring constantly. Infuse the drink for 20 minutes, then filter and drink. It is important to take only fresh medicine. Kissel does not need to be prepared in advance. The course of treatment is up to 30 days.
Rosehip infusion. Adults with chronic pancreatitis are advised to consistently drink this drink up to 0.4 liters every day. To prepare the infusion, the berries are poured with hot water. The amount of rose hips and boiling water should be equal. Infuse the potion in a thermos for 2 hours, after which they drink 1/2 cup before meals.
Decoction of flax seeds. To prepare this product, pour 1 liter of water into an enameled pan, add 80 g of flax seeds. Boil under a closed lid for 2 hours. Strain the decoction. Drink every day before meals 3 times. The course of treatment is up to 2 months.
Potato-carrot juice helps to get rid of pain in the abdomen and normalize digestion. For cooking, take 2 potatoes, 1 carrot, which are passed through a juicer. Drink juice before meals 30 minutes, every day 2 times. The course of treatment is no more than 7 days in a row.

Prevention of pancreatitis in adults

In order for attacks of pancreatitis to recur as rarely as possible, it is worth adhering to the following rules:

Regularly drink herbal teas and infusions to cleanse the body.
Follow a diet, do not abuse fatty foods, canned food, sweets.
Monitor body weight. You can not allow emaciation or obesity.
To refuse from bad habits.

Video

Pancreatitis - inflammatory disease pancreas. The main reason is a violation of the outflow digestive juice and other enzymes produced by the pancreas into the small intestine (duodenum). The incidence of pancreatitis and other pancreatic diseases is increasing worldwide. This is primarily due to irrational nutrition, alcohol abuse, environmental degradation.

In the article, we will consider in detail: what it is, what are the main causes, the first signs and symptoms, as well as what treatment is prescribed for pancreatitis in adults, and what you need to know if an attack occurs.

What is pancreatitis?

Pancreatitis is an inflammatory and degenerative process in the pancreas. If such a process manifests itself, then the enzymes produced by the pancreas do not enter the duodenum. Consequently, they begin to actively act already in the pancreas, gradually destroying it.

This process is called autolysis, which, translated from Latin, is called "self-digestion". Now you know the most in general terms about acute pancreatitis, what is it. This is just a chemical attack, and the transformation of the gland "on its own" into a semi-digested mass.

The pancreas is one of the most complex organs human body which is practically unrepairable. The efficiency of this gland regulates metabolism, normal digestion.

Its main functions are:

Isolation of enzymes for cleavage useful substances obtained from food in the small intestine.
Fermentation of insulin and glucagon in the blood - hormones that regulate the storage and consumption of energy obtained from food.

Causes

Pancreatitis in adults is a fairly common problem that anyone can face. Disorders associated with the outflow of bile, as well as dietary habits (for example, the consumption of fatty and abundant meat food, stress, hereditary predisposition, alcohol, etc.).

Therefore, more high risk the development of pancreatitis is in those people who constantly abuse alcohol. According to statistics, it often develops in pregnant women and in young mothers in postpartum period. The key to preventing the development of pancreatitis is the right approach to dietary planning.

Doctors distinguish the following types of diseases:

Acute pancreatitis

Acute pancreatitis by itself means, respectively, an acute form of manifestation of aseptic inflammation to which the pancreas is exposed. Most often develops in the following cases:

when taking alcohol - up to 70% of all cases of the disease (mainly in young and mature men),
in the presence of cholelithiasis - up to 25% or 30% (more often in women),
operations on the stomach or other abdominal organs - about 4% or a little more.

There are certain phases of pancreatitis, which are considered as part of its acute form:

enzymatic phase (within three to five days);
reactive phase (ranging from 6 to 14 days);
sequestration phase (from 15 days);
phase of the outcome (from six months or more from the moment of the onset of the appearance).

Chronic form of pancreatitis

What it is? - This is a form of the disease in which inflammation progresses slowly, while the functions of the pancreas are gradually impaired. As a result, fibrosis of the pancreatic tissue or its calcification may occur. It is most often found in older women.

According to the predominant cause of the development of inflammation, chronic pancreatitis is distinguished:

toxic-metabolic (including alcohol),
idiopathic,
hereditary,
autoimmune,
recurrent,
obstructive.

It is possible to distinguish the primary chronic form of pancreatitis, the secondary one, which develops due to diseases of the digestive system - cholecystitis, chronic, enteritis.

The first signs of an attack

If the patient has signs of acute pancreatitis, his condition will deteriorate rapidly. That is why it is so important to seek medical help immediately.

In the acute form of the disease, pains are localized under the pit of the stomach in the upper part, left and right hypochondrium, if the entire gland is affected, then the pains are girdle.
Also, the patient has vomiting with an admixture of bile, which does not bring him relief, dry mouth, hiccups, nausea and belching.

The same signs that manifest themselves in both acute and chronic (during exacerbations) forms of pancreatitis are acute, severe pain in the abdomen. Localization depends on which part of the pancreas is covered by the inflammatory process.

Symptoms of pancreatitis in adults

Pancreatitis, the symptoms of which are manifested due to the fact that there is no release of enzymes secreted by the gland into the duodenum, proceeds with the activation of these enzymes directly in the gland, due to which its gradual destruction occurs, in other words, self-digestion.

The acute form of pancreatitis is accompanied by the following symptoms:

Severe pain in the left hypochondrium, radiating to the back or girdle.
Nausea, vomiting, flatulence. Malfunction of the digestive tract.
Increase in body temperature.
Dry mouth, thick white coating in the language.
Headache, sweating. The skin becomes pale.
Increased blood pressure, palpitations, shock.

In the presence of such symptoms, the patient's condition worsens every minute, so you can not hesitate. At the first suspicion, you should immediately call an ambulance.

	Description of symptoms in an adult
Pancreatic colic	This acute pain in the first 3 days has a "girdle" character and is felt in upper section abdomen, which can give to the left collarbone or both shoulder blades, back departments lower ribs on the left. Gradually, the intensity of pain decreases, they become dull and last about 1 week.
Vomit	In acute pancreatitis, it is repeated, painful, and does not bring relief. It can occur at the beginning of the disease along with pancreatic colic, and at later stages.
Bloating	The abdomen swells especially at the top, when you touch it, severe pain may appear. It is especially aggravated when palpation is deep. When the stomach is tapped bowel sounds weaken.
Skin color changes	The color of the skin may change: pallor, cyanosis, jaundice Cyanosis (bluish discoloration of the skin and mucous membranes) is uncommon but associated severe forms acute and chronic recurrent pancreatitis. It is manifested by general and local boards on the patient's body, the anterior region and lateral surfaces of the abdomen, in the navel, and also on the patient's face.
Temperature	In addition, the patient has an increase in temperature, and the more the gland tissue is affected, the higher the temperature.
Respiratory failure	The frequency and depth of breathing is disturbed, sometimes it seems that there is not enough air. Shortness of breath occurs due to the loss of blood electrolytes during vomiting. It is accompanied by sticky sweat. A strong yellow coating appears on the tongue.

In chronic pancreatitis:

Permanent or temporary abdominal pain. Appears after drinking alcohol and fatty foods.
Pain in the upper abdomen radiates to the back.
Rumbling in the abdomen, nausea, vomiting.
Loss of appetite, upset stool, chronic diarrhea.
Dehydration. As a result, the body weight of the patient is reduced.
The skin and mucous membrane of the oral cavity acquire a yellow tint.
On last stage disease occurs diabetes mellitus.

With relatively no severe pain the period of exacerbation can last quite a long time (up to several months). This period is characterized by a decrease in appetite, general weakness, decreased mood.

Complications

Complications of pancreatitis can be:

gland abscess;
Pancreatic necrosis (necrosis of pancreatic tissue);
Formation of a false cyst;
Pancreatogenic ascites;
Pulmonary complications;
Diabetes;
Death.

With complications, the habitual nature of the disease changes: the nature, localization and intensity of pain changes, it can become permanent.

Diagnostics

The sooner the patient receives qualified assistance the less time the treatment will take and it will be more effective. But just early diagnosis this disease is the main problem.

The most reliable method for detecting pancreatitis and its forms is achieved using complete examination sick. In the diagnosis of the disease, the following stages are distinguished:

assessment of clinical symptoms;
study of biochemical parameters;
carrying out enzymatic tests;
instrumental studies in the diagnosis of the disease.

Blood tests:

General (KLA) will reveal, show the erythrocyte sedimentation rate (ESR) and the volume of pancreatic enzymes, and help identify inflammation. The number of leukocytes more than 8.8 thousand / ml or ESR from 15 mm / h are bad signs.
A biochemical analysis will reveal the level of glucose (it is dangerous to increase the concentration of "sugar" to 6.5 mmol / l and 106 mg / dl - hyperglycemia), cholesterol (should not be less than 3 mmol / l) and pancreatic enzymes: amylase (with pancreatitis increases by tens of times, up to 1000 U / l and above), α2-globulins (should not be less than 7%), trypsin (should not be above 4 µmol / ml.min), lipase (should not exceed 190 U / l), etc.

Instrumental diagnostics:

Ultrasound of the abdominal organs can detect an increase in the pancreas and the presence of stones in the ducts.
X-ray diagnostics establish intestinal paresis (violation of contractility), visible subsidence of lung areas (atelectasis) and the presence of effusion in the pleural cavity.
The gastroduodenoscopic method reveals an edematous stomach and duodenum 12.
Examination of blood vessels - angiography, allows you to see deformed and displaced arterial vessels, accumulation contrast medium in them due to congestion.

If data are used to make a diagnosis, only ultrasound diagnostics, then it may be unreliable. Often, pancreatitis does not give any specific signs and the specialist conducting the examination can detect only minor diffuse changes or swelling of the body. Although even these indicators are visible on ultrasound only with an exacerbation of the disease.

Treatment of pancreatitis

In acute pancreatitis, treatment is possible only in a hospital, under supervision qualified specialists, it is considered very dangerous state. Therefore, when the first signs appear, call an ambulance.

First aid

If you suspect an attack of pancreatitis as a first aid - rest, sitting position with your knees pressed to your chest, strict fasting with a quarter glass of water every 30 minutes - an hour, put an ice pack on the pancreas from the back. Shallow breathing will help relieve the attack.

Painkillers and anti-inflammatory drugs should not be taken, this will greatly complicate the diagnosis.

If the pain is intense, the doctor may prescribe antispasmodics (No-shpa, Drotaverine). With their help, inflammation in the pancreas decreases and, as a result, pain subsides.

In a hospital for the treatment of acute pancreatitis, conservative methods therapy. In particular, various solutions are introduced into the bloodstream - saline solutions, protein preparations, glucose, with the help of which intoxication and pain are overcome. The acid-base balance is also normalized.

Medicines for pancreatitis

At frequent vomiting drugs are used to restore the water-salt balance, for example, "Sodium chloride solution".
To restore the work of the gastrointestinal tract, enzyme preparations are taken that replace the pancreatic enzymes that are absent during the illness: "Creon", "Pancreatin", "".
Vitamin therapy. In the treatment of chronic pancreatitis, an additional intake of vitamins is prescribed - A, E, C, D, K and vitamins of group B. In addition, an intake is prescribed - lipoic acid, cocarboxylase.
parenteral nutrition. At severe disorders digestion and poor absorption of food by the intestines, parenteral nutrition is prescribed.

As parenteral nutrition, by drip intravenously, usually administered:

Mixtures of essential amino acids (250-400 ml each): "Alveein", "Alvezin", "Aminosol";
Electrolyte solutions: 10% potassium chloride solution (10-15 ml) and 10% calcium gluconate solution (10 ml).

Treatment of chronic pancreatitis involves: diet, pain medications, vitamins, replacement therapy enzymes, treatment of diabetes and other endocrine disorders, timely treatment cholelithiasis.

Surgery

Surgical treatment is indicated in case of diffuse inflammation of the peritoneum, purulent complications, increasing obstructive jaundice and destruction of the gallbladder and ducts.

Operations can be assigned as follows:

Emergency. They are carried out at the very beginning of the development of the disease. It can be the first hours and days. IN urgently operate on patients with enzyme-induced and acute pancreatitis, which began due to blockage of the duodenum.
Planned. The surgeon begins to operate on the patient only when the acute inflammation in the pancreas has ceased. Before the operation, the patient is carefully examined so that the recurrence of the attack does not begin.

Diet

The basis of successful therapeutic correction of this disease is following a diet. diet daily nutrition corrected in this way: the level of fats is reduced and carbohydrate products in the diet and increased protein intake. Appointed vitamin preparations. The number of meals should be 5-6 in one day.

In acute pancreatitis, in the first 2-3 days it is necessary to completely refuse food intake, only plentiful drink – mineral water, rosehip broth or extreme case ordinary water.

When the exacerbation of pancreatitis has passed, you need to adhere to such nutritional rules as:

The diet should contain lipids, proteins and carbohydrates.
Eat water-soluble and fat-soluble vitamin complexes.
Refuse foods that contain chemicals, because they can greatly irritate the intestinal mucosa.
Cannot be consumed spices, smoked meats, spicy.
It is best to cook food by steaming, pre-chopping it, you may need to grind it.
Food should be consumed warm, but not hot.

After the symptoms of acute pancreatitis are completely gone, you need to eat soup, lean meat, fish, low-fat cottage cheese, different types cereals, vegetables, you can drink fruit juice, with sweets, give preference to honey, jam and pudding.

Folk remedies

Below, we have collected effective folk remedies with pancreatitis, but before using them, be sure to consult your doctor.

Golden mustache . 1 large leaf (length 25 cm) or two small ones are crushed and pour 700 ml of water. On medium heat, the broth languish for 15-20 minutes, then it is infused for several hours in the body (you can leave it overnight). You need to use the infusion in a warm form of 25 ml (before meals).
Potato-carrot juice. Pass 2 potatoes and 1 carrot through a juicer. Use 2 times a day 30 minutes before meals, the course of treatment for adults will be 7 days, the method helps to normalize digestion, eliminate pain symptoms.
Herbs for the pancreas are used in collections and one of them should consist of yarrow herb, calendula flowers and chamomile. All components are taken in a tablespoon and brewed in a ladle with boiling water. After half an hour, you can drink the first portion (100 ml), and 40 minutes after that, eat. It is necessary to drink the medicine at least 4 times a day, only before meals.
For a recipe for pancreatitis, you will need immortelle flowers, motherwort, St. John's wort, pour 200 ml of boiling water over everything, leave for 30 minutes, drink up to three times a day before meals.
Instead of regular tea, use tea with mint and honey. Mint has a choleretic effect and promotes the release of enzymes from the pancreas.
Propolis. Small pieces are chewed thoroughly between meals, the method is a prime example effective modern homeopathy and excludes pain attacks normalizing the work of digestion.
Rowan . Excellent cholagogue, which is used both in the treatment and prevention of pancreatitis. Rowan fruits can be used in fresh or dry for the future.
For 10 days, you need to take 1 teaspoon of rosehip oil. Take two months off and take the course again. Recommended for chronic pathology.
Pour a glass of oats with a liter of water, insist for 12 hours. Bring the broth to a boil and boil under the lid for half an hour. Wrap the container with the broth, leave for 12 hours, then strain and add water to a volume of one liter. Adults take a decoction three times a day for 100 - 150 ml half an hour before meals. The course of treatment is a month.
Rose hip . In the chronic course of pancreatitis, rose hips can be drunk on permanent basis- up to 400 ml per day. hot water pour rosehip berries (the number of berries is equal to the amount of liquid). In a thermos, the infusion is left for a couple of hours, after which the drink can be consumed.

Prevention

Prevention methods:

In the first place is the correction of risk factors: alcoholism, various metabolic disorders.
It is necessary to constantly adhere to a diet. Try to always be indifferent to what you eat, as this will not play into your hands in the future. As often as possible, eat vegetables and fruits that will enrich your body with vitamins. Such prevention will protect you not only from pancreatitis, but also from other diseases.
It also requires constant adjustment of treatment. For this, it is recommended to visit a gastroenterologist 2 times a year in the absence of relapses. In case of relapse, you should immediately consult a doctor.

Now, you know what kind of disease it is and how it proceeds in adults. Remember that timely treatment can avoid the chronic form of pancreatitis and reduce the risk of complications. Be healthy and take care of your health!