Pancreatitis is the inflammation of the pancreas. The pancreas is an organ that generates several enzymes to assist the digestion of food. Such as the hormone insulin, which controls the level of sugar (glucose) in the blood. The pancreas is located in the upper abdomen, behind the stomach. When the pancreas is inflamed, the body is not able to absorb the nutrients in needs.
Pancreatitis may be either acute (which severe and sudden or chronic. Both types of pancreatic can trigger bleeding and cause issue death in or around the pancreas. Moderate attacks of acute pancreatitis may change on their own, or with dietary adjustments. In the case of chronic pancreatitis, however, long-term harm to the pancreas is common, sometimes leading to malnutrition and diabetes.
Necrotizing pancreatitis ( pancreatic tissue dies) can result in cyst-like pockets and abscesses. This is due to the location of the pancreas, inflammation spreading easily. In severe cases, fluid containing toxic and enzymes leaks from the pancreas through the abdomen. This can damage blood vessels and lead to internal bleeding, which may be life threatening.
- Nausea and vomiting
- Fever Sweating
- Abdominal tenderness
- Rapid breathing
- Weight Loss
- Oily Stool (chronic pancreatitis)
- Moderate to the severe, sharp and ongoing pain that may travel to the chest or back.
What Causes Pancreatitis
There are several causes of pancreatitis. The most prevalent are gallstones, which obstruct the duct of the pancreas ( for acute pancreatitis), and excessive alcohol consumption (for chronic pancreatitis)
- Particular drugs, such as azathioprine, corticosteroids, azathioprine, nonsteroidal anti-inflammatory drugs (NSAIDs) and antibiotics such as tetracycline, sulfonamides.
- Infection with hepatitis virus, Epstein -Barr virus ( cause of mononucleosis, mumps, hepatitis virus, and cytomegalovirus.
- High levels of triglycerides (fats) in the blood
- Injury to the abdomen
- Abnormalities in the structure of the pancreas of the pancreatic or bile ducts, including pancreatic cancer.
- High level of triglycerides (fats ) in the blood
- Injury to the abdomen
- Prolonged alcohol abuse. Interestingly, the risk of acute pancreatitis has been associated with the volume of alcohol consumed on a single incident, but not with wine or beer intake.
Who are at the most Risk?
Individuals with this condition or characteristics have a higher risk for pancreatitis:
- Billary tract disease
- Recent surgical procedure
- Family history of high triglycerides
- African American are at higher risk than Caucasians and Native Americans
What happens at your doctor’s office
Your physician office will examine you for signs and symptoms of pancreatitis. Your doctor may also give you a blood test, request rays and use ultrasound, computed tomography (CT) scans, which make images of the pancreas so that any issues are seen – another diagnostic test to decide the severity of your condition and determine which treatment option are most useful. Pancreatic function test can help find out if your pancreas is making the right amount of digestive enzymes.
Glucose tolerance test can measure the damage to cells in the pancreases that are responsible for insulin.
A Biopsy may be requested, in which a needle is inserted into the pancreas to remove a small tissue sample for the study.
In the case of chronic pancreatitis, your doctor may examine your stool for excessive levels of fat – your body may not be incorporating the enzymes, which are created by the pancreas, preventing your body from being able to absorb or create ordinary pancreatic functions. This test checks whether your pancreas secretes the necessary enzymes
Treatment Options for Pancreatitis
Acute pancreatitis may cause you to go to the hospital, where you will receive medication for pain, You may also need to fast to help the pancreas to rest and stabilize. You may get intravenous fluids and nutrition (parenteral nutrition ) if you have gallstones your physician may suggest surgery or other procedures remove them.
Individuals with chronic pancreatitis need additional treatment of alcohol addiction if that is the cause. Treatment may also include pain management, enzyme supplements, and dietary adjustments. Treatment for patients who have pancreatic due to high triglyceride levels includes weight loss, excise, eating a low-fat diet, controlling blood sugar (specifically if you have diabetes0, and avoiding alcohol and medicines that can raise triglycerides, such as beta blockers and thiazide diuretics
The doctor may prescribe painkillers. You may also reach antibiotics to treat or prevent infection; Your doctor may give you enzyme supplements, such as Pancrelipase (Pancrease, Lipram, Viokase), to help your body digest food. In some cases, physicians may prescribe steroids to treat autoimmune pancreatitis.,
Individuals with acute pancreatitis are administered IV fluids and pain medications in the hospital. Some patients, the pancreatic can be severe enough to warrant the need for hospital admittance to an intensive care unit. ICU. In the ICU, the patient is attentively watched because pancreatitis can damage the heart, kidney or lungs. In some cases of severe pancreatitis, there can be a death of pancreatic tissue. In these cases, surgery may be necessary to remove the damaged or dead tissue if an infection develops.
Acute attacks can last a couple of days. Chronic pancreatitis is difficult to treat. Doctors will try to receive you with pain and improve the nutritional problems. Low-fat diets will also help.If the cause is gallstones, then it would be recommended to remove the gallbladder.
Surgical and the procedures
Different types of the surgical procedure may be necessary depending on the cause of pancreatitis. People who have pancreatic necrosis (tissue death) almost always require surgery to remove infected or damaged tissue. Surgery may also be needed to drain an abscess. For chronic pancreatitis with pain, that will not react to treatment; you doctor may need to remove a portion of the pancreas. If the pancreatitis was caused by gallstones, a procedure called endoscopic retrograde cholangiopancreatography ERCP ) may be necessary. IN ERCP, a specialist will insert a tube device into the mouth and down inside the duodenum to reach the pancreatic and biliary ducts.
Can Pancreatitis be prevented?
Since the majority of cases of pancreatitis, is caused by alcohol-related abuse, prevention is directed at responsible drinking or no drinking at all. If you are concerned with heavy drinking, then you should talk to your doctor or a health care provider and ask for a referral to an alcohol treatment center. You may also benefit from support groups such as Alcoholic Anonymous.