Classification
Pancreatitis is classified into 2 main groups: chronic and acute. These are not stages of the same disease. These are two different inflammations of the pancreas. Treatment can be prescribed only after the examination has been completed.
Acute pancreatitis
Acute pancreatitis is a sudden severe inflammation of the pancreas, which can lead to necrosis. This is a very serious disease, and there is still a high mortality rate from this disease throughout the world. The main reason is alcohol consumption. Moreover, it is more often diagnosed not in chronic drinkers, but in people who drink alcohol quite rarely or who did it for the first time. Much less often, pancreatitis occurs as a result of eating poor quality food.
Part of the gland dies immediately, and areas with signs of purulent inflammation form in neighboring tissues. Enzymes that are produced by healthy cells aggravate the process of organ destruction. This disease requires timely medical care.
Chronic pancreatitis
Chronic pancreatitis is a large group of diseases that can be asymptomatic for a long period of time. This disease does not pose a particular threat to human life. But with an exacerbation, the patient’s quality of life may deteriorate. The chronic form can progress due to reasons such as:
- Biliary dependent (caused by disruption of the pancreas);
- While taking medications;
- Alcohol abuse;
- Due to impaired metabolism.
Diet for chronic pancreatitis
For chronic pancreatitis, certain nutritional rules are followed to prolong the period of remission. Among the permitted drinks for pathology, mineral water (Essentuki No. 17, Narzan, Arkhyz), lightly brewed tea without added sugar should be noted. In the absence of clinical manifestations of pancreatitis for a long time, the menu is supplemented with rosehip decoction and jelly.
Food is taken warm and ground. Preference is given to vegetable purees, cereals and jellies. Dishes taken for chronic pancreatitis should not be too hot, spicy or sour. The following are completely excluded from the menu:
- bananas;
- mushrooms;
- beans;
- eggs;
- sweets;
- flour products.
The preferred method of cooking is boiling or stewing. Products are taken in small portions, but often (5-6 times a day).
Chronic pancreatitis is an inflammation of the pancreas that cannot be completely eliminated. In order for pathological problems to appear as rarely as possible, it is necessary to take medications and follow nutritional rules. Otherwise, it will not be possible to avoid exacerbation of the pathology. This condition leads to irreversible pathological changes in the gland tissue and affects the patient’s quality of life.
Drugs
You should first find out all the doctor’s recommendations and undergo a comprehensive examination. Based on the results obtained, the doctor will prescribe the necessary medications.
H2 blockers
The effect of this subgroup of drugs is aimed at counteracting gastric secretions. These drugs include Famotidine, Ranitidine. These drugs block H2 histamine receptors, suppress the production of hydrochloric acid, food load, and relieve irritation of acetylcholine, baroreceptor, and gastrin.
The most effective drug for pancreatitis is Famotidine. This drug belongs to the 3rd generation H2 blockers and is used in the treatment of acute or chronic pancreatitis in adults.
Anticholinergics
They will help eliminate pancreatitis. They prevent or facilitate the action of cholinomimetric drugs and acetylcholine. These drugs are called anticholinergics.
There are several types of anticholinergic medications: M and H groups. If the disease is chronic, then it must be treated with m-anticholinergic drugs. Drugs in this group block pathological impulses in the nerve ganglia, as well as the cerebral cortex. Due to this rhythm, the functioning of the gastrointestinal tract is normalized.
The most popular medications in this group are drugs such as Spasmolitin, Atropine, Platyfillin, Chlorosin.
Antacids
Antacids are drugs whose effects are aimed at eliminating hydrochloric acid.
These medications are prescribed, as a rule, to patients who have increased acidity of gastric juice. If there is excessive formation of hydrochloric acid, the drugs stimulate the production of pancreatic enzymes. That is why medications that reduce the secretory functions of the stomach are used to treat this form.
Antacids may or may not be absorbed. To combat this disease, medications that contain large amounts of aluminum and magnesium ions can be used: Maalox, Almagel, Palmagel.
Antispasmodics
Drugs that eliminate spasms are used, as a rule, when the motor function of the digestive tract is impaired.
Such disruptions in the gastrointestinal tract usually occur due to a decrease in the tone of the sphincters of the pancreatic duct. The greatest benefit is provided by drugs such as Drotaverine, Spasmol, Papaverine, No-Shpa, as well as other drugs.
Video on the topic: Treatment of pancreatitis with medications.
Enzymes
Enzyme medications contain amylase, protease, lipase, which are intended to break down food components. The most prescribed medications are Festal and Pancreatin.
These medications help maintain the correct functioning of the pancreas, eliminate the manifestations of the disease, normalize digestion in general, and also stimulate the digestion of carbohydrates, lipids, and proteins.
Herbal remedies
Popular medications are herbal medicines from the group of anticholinergics. Despite the large number of side effects, treatment of inflammation with these drugs is quite effective. The medicine Duspatalin helps eliminate vomiting and nausea. Often a medicine such as Festal is also prescribed. It is also recommended to use herbal remedies for prevention.
Strict adherence to the diet and timely implementation of recommendations for drug therapy reduce the risk of exacerbations several times.
Measures to prevent problems with the pancreas
There are medications to prevent pancreas. For preventive purposes, Creon, Almagel, Enzyme and other similar drugs are used. Their use helps reduce gland overload, prevent complications, stop inflammatory processes and improve digestion.
We also recommend viewing: Symptoms and manifestations of pancreatic cancer
Diet cannot be overemphasized for prevention purposes. The doctor prepares a diet specifically for the patient. Be sure to completely give up fatty meats and fish, do not consume lard, smoked meats, sweets, citrus fruits, strong tea and coffee. The daily intake of fat should not be higher than 70 g. There should be more protein foods, vegetables, cereals, and lean meat in the diet. The basis of nutrition should be liquid dishes: vegetable soups, porridges, jelly, low-fat fermented milk products. Gradually and carefully, dishes made from lean meat can be included in the diet. It is better to steam food and avoid fried foods. It is better to divide your daily food intake into several meals. Eat small portions and more often. Products should not be very cold at the time of consumption.
It is good to periodically arrange complete fasting days and fasting.
An effective preventative measure is massage of the abdominal organs, indirect massage of the glands itself and yoga. These are options available to everyone for relieving pain, helping to relax smooth muscles. This procedure does not require special skills or abilities. Can also be used as preventive measures.
The liver and pancreas function closely in the body. Therefore, problems in one organ sometimes cause pathology in another.
Liver pain is often similar to the manifestation of pancreatic diseases. Both occur in the hypochondrium on the right or left, appear as a result of eating certain foods (too spicy or fatty). The skin may take on a yellowish tint. The person's general well-being deteriorates.
Important. Methods for preventing diseases of the pancreas and liver are similar.
When are antibacterial agents needed?
Antibiotics are used if serious complications develop. For the treatment of acute pancreatitis, characteristic manifestations are swelling and stagnation of the gland, after which the fluid that the human body produces in the event of an inflammatory process begins to accumulate. This can lead to a dangerous complication such as peritonitis. And this condition can lead to the death of the patient. In order to avoid consequences in time, it is necessary to take antibiotics and injections into the abdominal cavity in a timely manner. In this case, the patient requires close attention from the doctor.
Unpleasant effects from treatment
To carry out proper treatment, a comprehensive treatment regimen is necessary to avoid side effects.
These include:
- Excessive fatigue;
- Constipation;
- Malfunction of the liver or bile;
- Fever.
Complications
In addition to side effects, the patient may experience complications. This, in turn, depends on incorrectly prescribed treatment and non-compliance with the dosage.
Complications:
- Pylephlebitis.
- Abdominal abscess.
- Parapancreatitis.
- Purulent complications.
- Arrosive bleeding.
So, we can conclude that there are many medications, the most effective ones are given.
Every patient should understand that the same medicine may not be suitable for two different people. Also read on our website: How to cure chronic pancreatitis
Therefore, you should not self-medicate; it is better to consult a doctor. Indeed, with untimely and illiterate treatment, serious complications can arise.
Features of treatment
Drug treatment of pancreatic disease is based on the use of enzymes in various combinations. It is very important to correctly calculate the dosage and strictly adhere to it. The doctor reviews this type of treatment daily in order to make the necessary adjustments.
The doctor may prescribe medications in the form of granules or capsules.
Treatment with drugs will help the patient get rid of the symptoms that accompany pancreatitis. One of these symptoms is intestinal upset, which usually occurs due to lipid malabsorption.
