What is the treatment for exacerbation of pancreatitis. What to do if pancreatitis worsens

Chronic pancreatitis occurs alternating with phases of remissions and exacerbations. The transition to the acute form can be very difficult, and surgical intervention is often required to save the patient’s life. If the course of the disease is mild and the symptoms are mild, then treatment measures are carried out at home. it is necessary to strictly adhere to the instructions of the therapist or gastroenterologist observing the patient.

Exacerbation of chronic pancreatitis, which occurs in a mild form, does not require hospitalization; the patient can receive treatment on an outpatient basis

Causes and symptoms of exacerbations

The main reasons causing the development of exacerbations of chronic pancreatitis are alcohol abuse and disruption of the outflow of bile as a result of the formation of stones or other pathologies of the biliary system. Provoking factors are also:

• overeating and associated excess body weight;
• smoking;
• abundance of fatty foods on the menu;
• a state of chronic stress or a one-time stressful situation;
• long-term use of medications;
• infectious diseases.

Symptoms of exacerbation in chronic pancreatitis develop very quickly - health worsens during the first day.

Signs of exacerbation are:

• severe attacks of abdominal pain, which can radiate to the back, the area between the shoulder blades and intensifies after eating;
• dryness and bitter taste in the mouth;

In addition to pain, which is the main sign of exacerbation, the patient may be bothered by dyspeptic symptoms - nausea, vomiting, upset stomach

• nausea, repeated vomiting;
• frequent diarrhea.

These manifestations occur during severe exacerbation, when the painful sensations are pronounced. With a vague clinical picture, the pain is weak but constant, and can last for weeks, less often for months. In this case, accompanying symptoms are general weakness and lethargy, frequent stools, lack of appetite, irritability and bad mood.

Treatment tactics

At the initial stage, treatment of exacerbations of pancreatitis at home is unacceptable. If an attack occurs, you must seek medical help - if the pain is severe, immediately call an ambulance; if the pain is mild, consult a therapist or gastroenterologist on the same or the next day. While waiting for the doctor, you can take 1 - 2 antispasmodic tablets, ensure complete fasting and apply cold to the pancreas area.

Delaying consultation with a doctor and treatment is unacceptable, since exacerbation of pancreatitis can have serious life-threatening consequences.

Many people diagnosed with chronic pancreatitis, instead of visiting a doctor, choose medications themselves and try to cure the disease at home. This approach often leads to the destruction of the glandular tissue of the organ, and connective or fatty tissue grows in its place. The consequence of this process is disruption of digestive processes and the development of diabetes mellitus.

Antibacterial therapy is used to treat the inflammatory process and prevent the development of purulent complications.

Treatment of exacerbations is carried out according to the following scheme:

• pain relief;
• treatment of inflammation;
• replacement therapy;
• fasting in the first days and a strict diet until symptoms are completely eliminated.

Fight inflammation

To treat inflammation during exacerbations of chronic pancreatitis, NSAIDs are used - Ortofen, Diclofenac, Voltaren. These medications are taken in courses of 2 to 4 weeks, and after consulting a doctor, treatment with them can be carried out at home. They not only reduce inflammation, but also have an analgesic effect by blocking the activity of prostaglandins, which are responsible for pain and the development of inflammation.

To reduce the aggressive effect of nonsteroidal anti-inflammatory drugs on the gastric mucosa, you can use selective NSAIDs - Celebrex, Celecoxib.

Celebrex and similar non-steroidal anti-inflammatory drugs have a gentle effect on the gastrointestinal mucosa

Eliminating pain

To relieve pain, the following drugs are prescribed:

• antispasmodics - Mebeverine, Duspatalin, No-shpa, Drotaverine;
• histamine H2 receptor blockers - Kvamatel, Famotidine, Ranisan, Ranitidine, Zantac;
• proton pump blockers to suppress the synthesis of hydrochloric acid and reduce pancreatic activity - Pariet, Rabeprazole, Omeprazole, Acrilanz, Lansoprazole.

The pancreas produces enzymes involved in the digestion of food, so when it becomes inflamed, the digestion process is disrupted. To avoid problems with the functioning of the stomach and intestines, enzyme preparations containing trypsin, lipase, chymotrypsin, phospholipase, and amylase are prescribed.

Wobenzym is one of the means of replacement therapy that reduces the load on the pancreas

Examples of products are Wobenzym, Creon, Oraza, Festal, Panzinorm, Flogenzym, Pepfiz, Enzistal. It is strictly forbidden to chew the tablets - they are covered with a coating that dissolves only in the intestines so that the action of the enzymes begins there. The dosage and regimen for taking enzyme preparations is determined only by a doctor, after which, if there are no complications, the exacerbation can be treated at home.

Additional Methods

Depending on the clinical picture, when an exacerbation develops, therapeutic measures may be necessary, which can only be carried out in a hospital setting:

• intravenous infusion of saline solutions - sodium chloride 0.9% or glucose 5%;
• the use of colloidal solutions for hypovolemia - Gelatinol, Reopoliglyukin;
• transfusion of whole blood or administration of red blood cells when exacerbation of pancreatitis is complicated by internal bleeding.

In severe cases, the patient may need a blood transfusion

Diet for chronic pancreatitis

In the first 2-3 days of exacerbation, hunger is indicated. You can drink alkaline mineral water (Slavyanovskaya, Essentuki No. 17 and No. 20, Arkhyz, Narzan, Borjomi), weak tea without sugar, rose hip decoction. As the condition normalizes, pureed food is indicated - vegetable purees, liquid porridges, fruit jelly. Subsequently, they switch to unprocessed food. Dishes should not be sour, spicy, fried, herbs and spices are unacceptable. Also prohibited:

• eggs;
• mushrooms;
• bananas;
• sweet;
• baking;
• legumes;
• dates and figs.

It should be steamed or boiled, and food should be eaten in small portions 5-6 times a day.

For patients with pancreatitis, food cooked in a steamer is most beneficial

Home remedies in addition to medications

The disease should be treated with decoctions and other remedies at home only after consulting a doctor and taking into account contraindications. can accelerate the transition of pancreatitis from exacerbation to remission.

It is unacceptable to replace the main treatment with folk remedies - this is auxiliary therapy, and it is impossible to cure the disease with herbs alone.

Popular recipes

Some recipes used in the treatment of exacerbations of chronic pancreatitis:

• Rosehip tea - 3 tbsp. l. berries in ½ liter of water, boil for 15 minutes over low heat, drink 100 ml 30 minutes before meals. The drug promotes the outflow of bile and is used for pancreatitis and cholecystitis.
• Pour a glass of buckwheat with ½ liter of kefir overnight, eat ½ part for breakfast the next day, and the rest in the evening.
• Chop 3-4 leaves of golden mustache, add 600 ml of water, cook over low heat for about 10 minutes. Take twice a day, gradually increasing the dose from 1 tbsp. l. up to ½ cup.

Potato juice has a healing effect on the pancreas when it is inflamed

• Freshly squeezed potato juice - drink 70 ml 2 hours before meals. It has an anti-inflammatory effect, relieves spasms, and heals minor damage to the mucous membranes.

Herbal infusions

You can treat exacerbation of pancreatitis at home by taking herbal decoctions.

• 2 tbsp. l. dill seeds;
• 1.5 tbsp. l. immortelle flowers;
• 2 tbsp. l. hawthorn berries;
• 1.5 tbsp. l. chamomile flowers.

Pour the mixture with 1 liter of water, after boiling, remove from the stove, wrap in a towel and leave until it cools completely. Filter and drink a third of a glass after meals until symptoms subside.

Herbal decoctions will help relieve the symptoms of chronic pancreatitis

• dandelion root;
• celandine;
• tricolor violets;
• corn silk;
• anise seeds;
• bird knotweed.

Take 2 teaspoons of each herb, add a liter of water and cook over low heat for 10 minutes, then cool and strain. The treatment is carried out as follows: for 2 weeks you need to take 1/3 glass before meals three times a day.

Treatment of chronic pancreatitis in the acute stage should be carried out comprehensively. Compliance with the diet and all doctor’s instructions, rest and giving up bad habits can relieve pain, reduce inflammation of the gland and quickly bring the disease into remission.

You will learn how to properly prepare decoctions and infusions from the video below:

Chronic pancreatitis is a disease that has a wave-like course. This type of pancreatitis is characterized by remission periods: a person’s condition either improves or worsens.

In case of exacerbation of pancreatitis, a person is treated in a gastroenterological or surgical department.

If there is a mild course of chronic pancreatitis, then a person can wait out the exacerbation of the disease at home; treatment here is symptomatic, and eliminates the signs and symptoms of the disease, and also improves the patient’s well-being.

In this case, he takes sick leave and undergoes treatment with medications. It is still better not to ignore exacerbation of chronic pancreatitis and seek medical help.

Severe forms of the disease may require surgery. Improper treatment can be fatal.

Main reasons

The disease can enter the acute phase for the following reasons:

1. Drinking large amounts of alcoholic beverages;
2. Disruption of the biliary tract.

In addition, there are other reasons that are not so important. However, these reasons seriously increase the frequency of exacerbations of the disease. The main ones:

• Constant overeating
• Systematic intake of small amounts of alcohol;
• Smoking;
• Excess weight;
• Eating large amounts of fatty foods;
• Taking medications;
• Frequent stressful situations;
• Infectious diseases.

In most cases, symptoms of exacerbation of pancreatic disease occur fairly quickly. During the first day, a person feels a significant deterioration in health, so he takes medications or consults a doctor; treatment can be continued in a hospital.

Key symptoms of exacerbation of chronic pancreatitis

Exacerbation during chronic pancreatitis of the pancreas can be suspected by the following clinical manifestations:

• abdominal pain with blurry location. They radiate to the back and intensify after eating;
• loose and frequent stools with fat in the stool;
• a feeling of bitterness in the mouth, vomiting with bile, which does not provide relief and is difficult to remove with medications.

If this is not the first time a person feels an exacerbation of the disease, then he is already informed that the cause of all symptoms is inflammation of the pancreas, which has its own symptoms.

If you experience pain in the abdomen or dyspepsia, it is advisable to undergo an initial examination by a doctor, who will then prescribe treatment and tell you what to do.

If there is severe pain and it is impossible to eliminate vomiting, you need to call an ambulance immediately.

The ambulance team will take the person to the intensive care unit, since correction of water and electrolyte metabolism is necessary, and this can be done normally in a hospital setting. These conditions are dangerous to human life, therefore it is strictly forbidden to postpone a visit to the doctor if they occur.

There is a high probability that an exacerbation of pancreatitis will lead to partial dysfunction of the pancreas, which will subsequently require surgical intervention.

If the symptoms are mild, for example, if an exacerbation of pancreatitis manifests itself as a dull aching pain, increased frequency of stools, nausea, you can wait until the morning to contact your local clinic.

Many people are afraid of doctors and possible discomfort, so they are in no hurry to start treatment, which is a big mistake. Over time, the destruction of the pancreas and the replacement of fatty or connective tissue occurs more and more quickly.

This will disrupt the digestion process and can lead to diabetes.

Treatment

As a rule, exacerbation of chronic pancreatitis does not last more than one week. This phase does not pose a serious threat to the patient’s life and does not lead to total disruption of the body’s functioning, but its symptoms and signs prevent a person from leading a full life.

First of all, you need to determine the goal of treatment in the acute phase of chronic pancreatitis:

1. Relieve pain;
2. Restore fluid volume in the body;
3. Reduce the load on the pancreas, this will stop the situation from getting worse.

When first visiting a doctor, the patient is prescribed non-steroidal anti-inflammatory drugs. As a rule, drugs reduce severe inflammatory syndrome.

Paracetamol is very common and has a slight negative effect on the gastric mucosa. Paracetamol should not be taken if there is liver pathology. We must not forget that the medicine has a hepatotoxic effect.

If the pain does not go away with the help of these remedies, then the patient needs to be prescribed narcotic analgesics. Usually it's tramadol.

Additional drugs to stop pain are:

• : creon and pangrol;
• antispasmodics: papaverine and drotaverine;
• proton pump inhibitors: rabeprazole, lansoprazole.

To restore the water-electrolyte balance, the patient is given an intravenous injection of physiological solution: 5% glucose or 0.9% sodium chloride.

Severe hypovolemia requires the administration of colloidal solutions, namely gelatinol or rheopolyglucin. In case of bleeding, whole blood transfusion or administration of red blood cells is indicated.

To relieve the pancreas, you must take the following measures:

• a diet with limited fat or fasting for several days;
• complete cessation of smoking and alcohol;
• taking octreotide, a drug that is an analogue of somatostatin, a pancreatic hormone.

Preventive measures

Exacerbations are one of the characteristic features of chronic pancreatitis. The patient must ensure that exacerbations occur as rarely as possible. Ideal result: no more than once over several years.

What do you need to do for this? It is important to carefully monitor your daily diet and completely give up alcoholic beverages and smoking.

In addition, the fractional feeding mode is effective. In this case, symptoms and signs of the problem will not appear for a long time. The ideal choice would be .

If the cause of inflammation of the pancreas is a pathology of organs or systems, then treatment measures should be taken as soon as possible.

To prevent exacerbation of chronic pancreatitis, you need to:

• limit caloric intake and prevent weight gain;
• strictly limit fats in the diet;
• eat often and in small portions;
• do not attend feasts accompanied by an abundance of alcohol and food;
• Before using any medications, consult your doctor.

It is considered a serious and intractable disease. Especially if the disease progresses and pancreatitis constantly worsens.

Chronic pancreatitis is inflammation that occurs in the tissues of the pancreas for a long time, leading to irreversible changes in the structure and function of the organ, partial or complete atrophy. With exacerbation of pancreatitis, the percentage of deaths is high. This indicates the seriousness of the disease and that the first symptoms should not be neglected.

The causes of chronic pancreatitis vary. Gastroenterologists identify two common causes of chronic inflammation:

1. Alcohol abuse. According to statistics, 60% of patients suffer.
2. Cholelithiasis.

Sometimes the cause of pancreatitis is unknown; it is indirectly related to lifestyle or becomes a consequence of another disease.

The main catch with the chronic form of the disease is that the symptoms are not always pronounced. At times the disease is completely asymptomatic. And during the period of acute relapse it turns out that the patient suffers from a chronic form of pancreatitis. Women are more likely to suffer from chronic pancreatitis, while men are susceptible to sudden acute outbreaks. The average age of the disease is from 28 to 37 years; in old age after 50, the diagnosis of acute pancreatitis is more often present.

Signs of exacerbation of chronic pancreatitis

In most cases, signs of exacerbation of chronic pancreatitis manifest themselves in the form of constant, acute and severe pain felt under the ribs, reflected in the back. Often the pain is atypical, disguised as other diseases, is most pronounced in the upper back, and spreads across the abdomen. Sometimes the pain radiates to the chest, to the side, felt deep in the body, which is typical for exacerbation of pancreatitis.

The pain usually appears after eating or drinking alcohol. It reacts poorly to available painkillers, sometimes so intensely that it is necessary to resort to narcotic methods of pain relief.

Against the background of cholelithiasis, it is acute and relapses occur frequently.

In addition to acute pain, exacerbation of chronic pancreatitis is accompanied by symptoms:

• flatulence;
• temperature increase;
• decreased blood pressure;
• increased heart rate;
• stool disorder.

A clear sign is obstructive jaundice. Occurs when the common bile duct is completely blocked.

Treatment of chronic pancreatitis

Treatment for exacerbation of pancreatitis depends on the patient’s condition and the severity of the pain attack.

Treatment in a hospital setting

If the pain is unbearable and severe, confusion, vomiting, and diarrhea are observed, you should immediately contact an ambulance. You cannot take painkillers. This will blur the picture, preventing doctors from making a correct diagnosis.

Exacerbation of chronic pancreatitis can cause irreparable damage to the pancreas and other internal organs.

Surgical intervention

Periodically, inflammation of the pancreas occurs intensely, and the consequences are irreversible. We have to resort to surgical intervention. In such cases, a surgical or endoscopic operation is performed to resect dead tissue or part of an organ.

Unfortunately, there are cases where damaged areas are not localized in one place, but are randomly scattered throughout the organ. This does not allow complete removal of dead tissue, leading to subsequent relapses. This often happens during exacerbation of alcoholic pancreatitis.

Conservative treatment

After surgery or if it was avoided, conservative treatment is prescribed for exacerbation of chronic pancreatitis:

• Painkillers are prescribed. First of all, it is necessary to suppress the pain syndrome. Analgesics or, in case of unbearable obsessive pain, narcotic drugs that dull the intensity are prescribed.
• Medicines that suppress pancreatic function are prescribed. It is prescribed to provide rest to the inflamed organ, to reduce or eliminate the production of enzymes that destroy tissue.
• Diuretics are prescribed. Once in the blood, pancreatic enzymes begin to have a destructive effect on other organs: lungs, liver, kidneys, heart and even the brain. To speed up the elimination of toxins in the urine, diuretics are prescribed.
• Parenteral nutrition is established. To keep the pancreas at rest, a starvation diet is prescribed. For the first few days, the patient does not think about food due to severe pain and weakened condition. If the condition remains severe, nutrients are administered intravenously to maintain body functions, lasting 3 to 7 days.

The listed actions are aimed at stopping the work of the pancreas and regenerating the organ.

Ambulatory treatment

If the attack is not severe enough to call an ambulance, you can take steps to reduce the pain yourself:

• You will have to give up food for up to three days. Eating after a fasting diet is resumed gradually, and the condition is closely monitored.
• Take a drug that relieves spasms (no-spa or papaverine) and an anesthetic drug (paracetamol or ibuprofen, you can take analgin).
• Maintain bed rest.
• Contact your doctor as soon as possible.

Usually the patient knows what to do during an exacerbation of pancreatitis, but only the doctor carries out treatment. Incorrect diagnosis and incorrect treatment will lead to fatal consequences.

Medicines to relieve exacerbation

In chronic pancreatitis, antacids are primarily prescribed. Medicines that do not cure pancreatitis as such, but can reduce the damage caused by acute inflammation. Such drugs normalize the acid-base balance.

Then the gastroenterologist selects enzyme therapy to improve the functioning of the pancreas. Enzymes are prescribed for a long time and relieve the symptoms of chronic pancreatitis. Recommendations for use must be followed. With proper use of enzymes and an appropriate diet, they:

1. Eliminate heartburn, belching, bloating.
2. They help break down food faster and more thoroughly so that food does not linger in the stomach and does not cause fermentation.
3. Reduce the load on the diseased organ.

Treatment of chronic pancreatitis is a complex process that requires constant medical supervision, treatment adjustments and adherence to a lifelong diet. If you follow your doctor's instructions, chronic pancreatitis will worsen much less frequently.

Diagnostics

Symptoms of exacerbation of chronic pancreatitis are sometimes vague; when going to the hospital, the doctor is required to conduct a series of studies to make an accurate diagnosis and assess the damage caused to the pancreas.

Visual symptoms of the disease:

• Yellowish skin. Occurs due to narrowing of the common bile duct or complete blockage.
• The appearance of spots with bruises in the abdomen and back.
• If there is no blockage of the duct, the complexion takes on an earthy tint.
• Painful palpation of the upper abdomen.
• Bulge in the upper abdomen.

Clinical picture

In addition to examining the patient, it is necessary to conduct research.

1. Blood analysis. General detailed and biochemical. It is also advisable to determine the level of tumor markers in the blood to rule out pancreatic cancer.
2. Analysis of urine. The level of pancreatic enzymes is examined in the urine.
3. Coprogram. If the function of the pancreas is impaired, the breakdown of fats stops, this is reflected in the patient’s coprogram.
4. Ultrasound examination of the abdominal cavity. Not the most accurate research method, but it allows us to identify concomitant disorders of internal organs.
5. Endoscopic ultrasonography. The most accurate diagnostic method that allows you to make the correct diagnosis.

Based on the patient’s complaints, medical history, and the results of the tests described, the doctor makes a diagnosis and decides how to treat acute pancreatitis.

In addition to chronic pancreatitis, other diseases of the digestive system and gastrointestinal tract are exacerbated. Because, unfortunately, with prolonged chronic inflammation, fatal changes occur in the body and cholecystitis, gastritis, peptic ulcer, inflammation of the duodenum are far from uncommon.

Pancreatitis and other diseases

1. Cholelithiasis. One of the main factors in the occurrence of pancreatitis. With cholelithiasis, the ducts of the pancreas are blocked, which is why the enzymes produced by it are not released into the duodenum, but remain in place and begin to break down the tissues of the organ. In the case of cholelithiasis, pancreatitis worsens every time.
2. Cholecystitis. Pancreatitis often appears as a complication of cholecystitis. The symptoms of these diseases are similar, which makes diagnosis difficult. But treatment occurs separately.
3. Diabetes. In addition to producing enzymes involved in the digestion process, the pancreas performs another important function. This is the production of insulin, a hormone that is responsible for reducing sugar. Prolonged inflammation, as well as exacerbation of chronic pancreatitis, destroys cells that perform endocrine function, which leads to diabetes. Diabetes does not develop immediately; it is a slow process and occurs more often in cases where the patient ignores the symptoms and treatment prescribed by the doctor.
4. Bacterial infections. Often bacterial infections, such as staphylococcus, are associated with inflammation of the pancreas. In such cases, antibiotics are prescribed. They also help prevent complications such as abscess, peritonitis, and pancreatic necrosis.
5. Fungal infections. Candidiasis and other fungal infections also worsen with. In such cases, antifungal drugs are prescribed.

Prevention of exacerbations

There is no single principle on how to treat chronic pancreatitis in the acute stage. It all depends on the severity of the symptoms and the degree of atrophy of pancreatic function. It is important to carry out preventive treatment to stop the inflammatory process.

The main preventive method is a strict diet. Eating disorders, alcohol consumption, and bad habits negate the effect of the drugs and lead to acute relapses.

Recurrent chronic pancreatitis often leads to pancreatic cancer. According to statistics, 80% of patients with pancreatic cancer suffered from chronic pancreatitis. Cancer cells form from inflamed tissue. A pancreatic tumor has a poor prognosis, is often inoperable, and often metastasizes to other organs.

Therefore, you should not let the disease progress and refuse treatment. Complex therapy will help reduce pain attacks and allow the patient to live a full life.

Pancreatitis is inflammation of the pancreas. This organ performs the most important functions in the body. With the help of the pancreas, the process of digesting proteins, fats and carbohydrates that enter the intestines occurs; it also regulates the level of glucose in the blood. If there is an inflammatory process in the pancreas, they speak of pancreatitis.

About exacerbation of chronic pancreatitis, symptoms, treatment of the disease with traditional methods and with the help of folk remedies, we and the editors of the site www..

Why does chronic pancreatitis occur?

The chronic form of pancreatitis very often accompanies gallstone disease and chronic cholecystitis. Usually formed from an untreated acute form of pancreatitis.

Also factors in the development of chronic pancreatitis are: Alcohol abuse, violation of healthy eating rules, frequent consumption of fatty, spicy foods.

The chronic form of the disease often does not manifest itself for a long time. But, due to some factor, an exacerbation (relapse) of chronic pancreatitis may begin, accompanied by quite obvious signs and manifestations.

Symptoms of exacerbation of chronic pancreatitis

As the disease worsens, characteristic pain appears in the abdomen, radiating to the back, between the shoulder blades. The pain can be constant or paroxysmal. This depends on the amount of stretching of the gland capsule due to its swelling. Painful sensations are accompanied by nausea, vomiting, bitterness in the mouth, and dryness.

A clear sign of exacerbation is frequent bowel movements with the release of large amounts of feces. In this case, the stool has a greasy consistency, shines, and is difficult to wash off. This is due to the fact that the inflamed pancreas cannot produce enough enzymes to break down fats.

This condition leads to rapid weight loss. The exacerbation state usually lasts from 2 to 8 days.

This refers to an exacerbation of chronic pancreatitis with severe pain symptoms. If the pain is constant but mild, the exacerbation stage can last from several weeks to several months. In this case, the pain is dull in nature, accompanied by general weakness, lethargy, decreased appetite, and bad mood.

Treatment methods for exacerbation of chronic pancreatitis

Timely, correct treatment of acute and chronic forms of the disease can only be prescribed by a therapist or gastroenterologist. Most likely, the doctor will simultaneously treat gallstone disease and cholecystitis, if any.

During an exacerbation of the disease, you should usually fast for the first 3 days. At the same time, you should drink more mineral alkaline water without gas. But if the exacerbation is severe, drinking is also excluded. A tube is placed in the stomach to suck out the resulting gastric juice.

During treatment, analgesic medications are prescribed that eliminate pain: Analgin, Baralgin, Tramal. Antispasmodics: Papaverine, No-Shpa. Drugs that inhibit the function of the gland are also used: Almagel, Maalox, Faamotidine, Omez, Sandostatin.

They are necessary in order to prevent damage to the body from the entry of pancreatic enzymes into the blood. If intoxication does occur, the following drugs are used: Contrikal, Gordox. If necessary, drugs are administered intravenously. As recovery progresses, the patient’s diet is gradually expanded.

Folk remedies

In case of exacerbation of chronic pancreatitis, in addition to fasting, treatment with medicinal herbs is very effective. Try this:

* Mix 1 tsp. corn silk, dry celandine herb, crushed dandelion root, anise seeds, dried knotweed herb, tricolor violet flowers. Pour the mixture into 0.5 l. water, boil, cook over very low heat for 7 minutes. Remove from the stove, let the broth cool, strain, take 1/3 tbsp. half an hour before meals. Carry out treatment for 2 weeks.

* Mix 2 tbsp. l. dill seeds, 1 tbsp. l. dried chamomile flowers, 2 tbsp. l. spoons of dried immortelle flowers, 2 tbsp. l. crushed hawthorn fruits. Pour 1 liter of mixture. water, boil, remove from heat, wrap in a towel, leave until cool. Strain and drink 1/3 glass after each meal. Continue treatment until the exacerbation subsides.

* Cut three 20 cm leaves from the golden mustache plant. Grind, pour 3 tbsp. water, boil, simmer over low heat for 10-15 minutes. Let cool, strain, take, starting with 1 tbsp. l. decoction, gradually increasing the volume to 0.5 tbsp.

Treatment of exacerbation of chronic pancreatitis should be comprehensive. You need to follow a certain diet and reduce physical activity. This disease must be taken very seriously.

Therefore, before carrying out treatment yourself, first consult a specialist about this. Be healthy!

Forms of the disease. Even minor factors can provoke this. Therefore, it is important to identify symptoms and identify warning signs in order to prevent the development of the disease.

Causes

The main factors that cause exacerbation are disturbances in the functioning of the biliary tract and the consumption of large quantities of alcoholic beverages.

Other reasons can also be identified:

• binge eating;
• systematic intake of small doses of alcohol;
• overweight;
• eating large amounts of fatty foods;
• drug treatment;
• infectious diseases.

Exacerbation also occurs against the background of stressful situations. The peculiarity is that the symptoms of exacerbation appear quite quickly, so it is not always possible to eliminate the provoking factors immediately.

Symptoms of exacerbation of pancreatitis

During this period, the activity of special enzymes increases. Various irritating factors act on organ tissue. Because of this, swelling appears and the large pancreatic duct is compressed.

During periods of exacerbation, a significant deterioration in the patient’s quality of life occurs. Therapy occurs in a hospital setting, since there is a high risk of complications. In some cases, the signs remain invisible.

Common symptoms include dull and sharp pain in the hypochondrium area. At the same time, diarrhea may appear. The feces become greasy and contain pieces of undigested food.

The patient begins to feel bitterness in the mouth, rumbling,... A white coating appears on the tongue. If exacerbations occur frequently, intensive weight loss begins.

Symptoms manifest as individual signs or several at once. Some patients experience dull pain, and diarrhea alternates with constipation. A person can remain in this state for a long time.

Doctors pay a lot of attention to the degree and type of pain. Sometimes it leads to a person losing his creation. It may accompany vomiting. Sometimes there is an increase in body temperature.

First aid

In case of exacerbation of pancreatitis, first aid must be provided in a timely manner, giving the patient rest. At this time, it is better to refuse any food. This will stop the formation of enzymes that negatively affect inflammatory reactions and pain.

Cold is applied to the epigastric region to reduce the intensity of pain and swelling. Instead of ice, you can use a heating pad or bottle filled with cold water.

During attacks, you should be in a horizontal position in a state of calm.

This will reduce blood flow and eliminate inflammation. To relieve spasms, it is allowed to use antispasmodic drugs, but they are usually taken before doctors arrive.

How to relieve an attack at home?

It is necessary to carefully follow the diet, not to strain, to protect yourself from stress. In some cases, it is possible to use traditional or alternative medicine. But it is best to use methods when the symptoms have almost died down.

The selected medicinal herbs should not worsen the state of health, have a positive effect on the digestive processes, and not provoke allergic manifestations.

During the remission stage, a sedentary lifestyle is not indicated. You can do swimming, walking, physical therapy. During an exacerbation, it is better to abandon the usual sport, preferring bed rest.

What medications should I take?

During an exacerbation, a variety of drugs may be prescribed. Antispasmodics have proven themselves well.

These include Papaverine, No-shpa. They have a small number of side effects and have the ability to relax smooth muscles, relieving spasm. If the pain is severe, then Drotaverine is prescribed.

Antibacterial agents are prescribed to eliminate inflammation not only in the pancreas, but also in other organs of the digestive system. Drugs with antibacterial action prevent the spread of pathogenic microflora and eliminate the possibility of getting sick.

Antacids have proven themselves to be effective in neutralizing hydrochloric acid found in gastric juice. In the acute stage, medications containing aluminum and magnesium are often used. These components, when entering the body, absorb bile acids and provide a protective effect.

Additionally, the following may be assigned:

• analgesics;
• proton pump inhibitors;
• hormonal agents;
• antienzyme drugs;
• auxiliary means.

What to eat: menu and recipes

In case of exacerbation of pancreatitis, the diet is prescribed for at least one year. During this time, the patient allows his digestive system to recover.

During an exacerbation period, eating food is completely prohibited for 2-3 days. In the acute phase, it is important to create maximum rest for the entire gastrointestinal tract. If you are thirsty, you can use alkaline non-carbonated mineral water. You can gradually increase the amount you drink

The diet focuses on a carbohydrate-protein diet. You should avoid fats, they pose a big burden on the pancreas. Carbohydrates are not strictly prohibited, but you can avoid them if you suspect them. There should be a sharp restriction regarding salt.

An approximate menu during an exacerbation period is as follows:

• First day. You can eat a small portion of slimy soup and drink 100 ml of water. Lunch can be represented by a small portion of mashed potatoes without salt and butter.
• Second day. It is allowed to diversify the diet with a steamed egg white omelette, baked pear and pureed pearl barley soup.
• Third day. You can add raisins to food, for example, to porridge. You are allowed to drink rosehip tea, eat steamed fish, and cottage cheese.
• Fourth day. For breakfast, you can cook noodles with vegetables, eat yogurt and a steamed cutlet.

Gradually the menu can be expanded. At the end of each day, before going to bed, you can drink 100-150 ml of kefir or yogurt. Instead of bread, use dried crackers.

Preventive measures

In conclusion, we note that recurrent chronic pancreatitis often results when malignant cells are formed from inflamed tissues. Therefore, you should not neglect the disease or refuse treatment.