Pain in the pancreas: symptoms, treatment

The pancreas is an important internal organ that has a lobed structure. It produces pancreatic juice, without which digestion is impossible. The secret produced by the pancreas contains alkalis and digestive enzymes: alpha-amylase, lipase, protease. These enzymes help the digestive system cope with fatty, protein and carbohydrate foods.

Most often, pain in the pancreas causes an inflammatory process - pancreatitis. It can be both acute and chronic. For the first time the articular pain that appears on the left can be a symptom of acute pancreatitis. If you do not start treatment on time, the acute process can go on into chronic, and then lead to organ destruction - pancreatonecrosis - or oncology of the gland, which is also accompanied by pain.

Pain of the pancreas. Symptoms. Treatment

When pancreatitis pain sensations are permanent, they do not build up and do not disappear. There is severe pain in the pancreas. Symptoms are not limited to this. Very often seizures are accompanied by nausea and vomiting. At an acute process painful sensations are much more intensive, than at chronic. Localization of them: begins in the region of the stomach and passes into the left hypochondrium and back. The shrouding pain is very strong, it has a cutting character. Sometimes this condition in the patient causes painful shock, from which he can die. Therefore, if you have such symptoms, you need to urgently call for emergency help.

Chronic pancreatitis occurs with periods of remission and exacerbation. During an exacerbation there is aching dull pain in the pancreas. Symptoms are somewhat different from an acute process. Nausea and vomiting may be accompanied by a disordered stool. Sometimes the inflammatory process proceeds with serious complications:

• Pancreatic necrosis - necrotic decomposition of the pancreas;
• Ascites - accumulation of fluid inside the abdominal cavity;
• The formation of pseudocysts.

What causes pain?

In a chronic process, pain can be intensified after the following factors:

• Festive feasts;
• The use of alcoholic beverages;
• Abundant fatty foods;
• Taking the "lying on the back" posture.

Causes of pancreatitis

Disease acute pancreatitis and its aggravation in the case of a chronic process can trigger the following factors:

• Abuse of alcoholic beverages (especially harmful are gassed - gin and tonic, beer, etc.);
• Long-term use of medications;
• Disturbance of metabolic processes in the body;
• Concomitant diseases of the digestive system (stomach ulcer, calculous cholecystitis with blocking the gallbladder or removing it, etc.);
• Overeating and preference for fatty foods, salty, spicy;
• Infectious diseases;
• Autoimmune diseases;
• smoking.

Pathologies of nearby organs can also provoke pain in the pancreas. Symptoms will be similar with an attack of acute pancreatitis. These are the following diseases:

• Cholelithiasis ;
• cholecystitis;
• Dyskinesia of the bile duct and gall bladder;
• Pyelonephritis;
• urolithiasis disease;
• Gastritis or stomach ulcer;
• Chronic enteritis.

What can ease the pain?

In order to avoid serious complications in pancreatitis and the occurrence of pancreatic pain (the symptoms are listed above), you need to see a doctor as soon as possible and begin treatment. It is more reasonable to call an ambulance. Most likely, hospitalization will be offered. Before the arrival of doctors to remove the pain in the pancreas, more precisely, to bring some relief and reduce its intensity, can:

• Applying cold to the sore spot;
• Temporary severe starvation;
• Taking a sitting position with a forward tilt or a knee-elbow position;
• Taking drugs "No-shpa" or "Drotaverin";
• If possible, then an intramuscular injection of these drugs should be made;
• Taking a small amount of fluid (it should be given to the patient often by 1/4 cup - this will reduce the symptoms of intoxication);
• Absolute rest (you can not make sudden movements - it intensifies the pain).

Cold, hungry and calm

In the inflammatory process, the patient needs to provide cold, hunger and peace. It is this classic triad that helps relieve pain in the pancreas. Symptoms of acute pancreatitis are somewhat reduced.

Cold is needed in order to reduce swelling. It is applied for 10-15 minutes, if necessary, the procedure can be repeated again after 30-40 minutes. This helps reduce the symptoms of acute inflammation and relieves pain in the pancreas. Symptoms of pancreatitis gradually recede.

Hunger ensures maximum discharge of the digestive tract. In the absence of food, the pancreas stops producing pancreatic juice, and, as mentioned above, it contains alkalis, which can irritate the gland. Reducing the amount of secreted secretion helps to remove the symptoms of acute inflammation. With acute pancreatitis, fasting can last up to 3-4 days. You can drink water and by the end of the second day you can drink a little vegetable broth. If hunger is impossible to tolerate, a small amount of biscuits is allowed.

Peace is ensured by strict observance of bed rest. Acute pancreatitis is dangerous because of its complications, therefore, it is necessary to reduce the physical load as much as possible. Providing these conditions reduces the pain in the pancreas. Treatment is supplemented by intravenous administration of medications. This is already done in a hospital.

Pain in the pancreas. Treatment medication

To remove the symptoms of general intoxication, a large amount of liquid is injected intravenously to the patient, with strong drops of a dropper put on a solution of Novokain. When the pain in the pancreas is stopped, the treatment is continued with the use of enzyme-substituted drugs.

To remove the pain syndrome, use drugs "No-shpa", "Baralgin", "Papaverin" in tableted or injectable form. After the cancellation of hunger, the patient is prescribed a sparing diet. If there is insufficient production of your own pancreatic enzymes for better digestion, reception of fermental preparations "Festal", "Creon", "Mezim" or "Pancreatin" is indicated. They reduce the burden on the pancreas. These drugs are taken during eating.

To reduce the acidity of gastric juice, the administration of tableted medicines "Cimetidine", "Ranitidine" or "Famotidine" can be prescribed. Reducing acidity helps reduce inflammation and irritation of the pancreas.

With the chronic form of pancreatitis, the drug "Octreotide" can be shown, it is administered intravenously.

Treatment has the following objectives:

1. Relief of pain;
2. Normalization of digestion;
3. Elimination of endocrine insufficiency.

Endocrine failure is a decrease in the endocrine function. It can lead to the development of secondary diabetes mellitus (this is one of the complications of pancreatitis), in which the production of insulin decreases. About what to do if there was a pain in the pancreas (symptoms, treatment), now we have a representation. Let's discuss the diet in more detail.

Diet

When pancreatitis is recommended to eat fractional, i.e., often, but not enough. The serving volume should not exceed 200 ml. 6 meals a day is recommended.

Carbohydrates and fats are desirable to limit. Preferred protein food. Sour milk products are useful, milk in its pure form by patients with pancreatitis is not always tolerated well. Therefore, it is better to cook porridge and cook omelettes. You can lightly rubbed soups, lean meat and fish.

Vegetables and fruits can be eaten raw, boiled and baked. Soups to cook exclusively on vegetable broth. Porridge (buckwheat, oatmeal, rice) it is desirable to cook on water or diluted milk and wipe through a sieve. Vegetable oil or refined oil is allowed not more than 20 g per day. Eggs can only be soft-boiled or scrambled. It is useful to drink broth of a dogrose.

Prohibited products

Sharp, fried, fatty foods and any alcoholic and carbonated beverages should be completely ruled out. In addition, you can not eat:

• Rassolniki, soup, borscht, mushroom soups;
• Any canned food;
• sausages;
• Salted caviar;
• Boiled hard-boiled eggs;
• Bananas and grapes;
• chocolate.

Traditional methods of treatment

There are also popular recipes for the treatment of pancreatitis.

1. A glass of buckwheat groats is well washed and ground in a blender. Pour the milled cereal with a glass of kefir and insist during the night. Half of the resulting product is eaten in the morning on an empty stomach, the other half - before bed.
2. For 1-2 weeks in the morning eat up to 3 dates and only after half an hour to start breakfast.
3. With chronic pancreatitis it is useful to arrange cucumber unloading days once a week. During this day, you need to eat 2-2.5 kg of cucumbers in 5-6 receptions. Other products are completely excluded.
4. It is useful to brew sashes of white beans. This is done as follows: 1 tbsp. The spoon of the leaves is filled with steep boiling water (1 cup), it is infused under the lid. You can also insist on a water bath. We brew in the same proportions and hold for 15 minutes in a water bath. This infusion is taken 3-4 times a day before eating 1/4 cup. The course can last up to two months.

If there is pain in the pancreas, it is better not to self-medicate, but to seek qualified medical care.