Often after acute acute pancreatitis, doctors do not manage to completely stop the pain syndrome, but they can significantly ease the pain. From time to time the pain manifests itself clearly expressed relapses. Sometimes the disease, although it does not develop acutely, pain syndromes accompany the entire period of pancreatitis flow, then to a greater or lesser extent in the left hypochondrium or the left part of the epigastrium. Pain sensations in chronic recurrent pancreatitis can be shingled or irradiated to the back or left side. Sometimes patients with chronic recurrent pancreatitis are suspected of pancreatic cancer, since palpation near the navel can be palpated by a real seal.
It also happens that the chronic relapsing form first develops latently, and only then periodic pains are added to the symptoms of the disease. In 1962, P. Mallet-Guy found from his study that a recurrent form occurs in 56% of cases of chronic pancreatitis.
One of the clinical features of chronic recurrent pancreatitis is the recurring pain attacks or general deterioration of well-being accompanied by severe pain.
The number, severity of the course, duration and intervals between seizures vary significantly for each patient.
Usually, pain relapsing seizures initially occur no more than 2 times a year, gradually learning. After a while, pains with chronic recurrent pancreatitis begin to disturb patients 4 times a month. Along with the increase in relapses, the duration of pain attacks begins to increase. If at the beginning of the development of a recurrent form of chronic pancreatitis, each attack lasts about half an hour, then in advanced forms of the disease, each relapse can last up to five days.
Recurrent chronic pancreatitis is characterized by such dyspeptic disorders as eructation, nausea, frequent meteorisms, alternating fetid diarrhea with constipation, general weakness, increased salivation and frequent malaise.
Most often, relapses cause diet violations, the beginning of alcohol abuse and intense emotional experiences, but sometimes the cause of the pain can not be established.