Ointment pancreatitis is nothing but one of the forms of acute pancreatitis, a characteristic feature of which is the formation of puffiness around the tissues of the pancreas. The main cause of the onset of swelling of the gland is the retention of fluid in its tissues, caused by the action of vasoactive substances, causing spasm of blood vessels and substances.
The cause of the development of edematous pancreatitis is various diseases of the digestive tract, as well as an incorrect lifestyle combined with overeating and alcohol abuse.
The first symptoms show acute pain in the zone of the hypochondrium, giving in the back and wearing a surrounding nature. Periodic vomiting is also possible. Less frequent disturbance of the stool. It should be noted that pain in acute pancreatitis( it is a question of its edematous form) is less intense. A febrile condition, as well as complications in the work of the heart and lungs are practically not observed.
Surgical intervention in the abdominal cavity can reveal serous and bile impregnation of the pancreatic tissue. It is also possible to detect hemorrhagic impregnation of surrounding tissues. However, on the surface tissues of the pancreas in the edematic form of the course of the disease, traces of blood are not observed. The gland itself has a clear lobed structure and is enlarged in size.
With complicated course of acute pancreatitis, especially when it comes to its edematic form, the state of severe intoxication is not ruled out. However, pancreatic shock is not observed.
Treatment of acute pancreatitis( its edematous form) is conservative. The first positive results are observed on the 3-4th day of therapy. At this time, as a rule, pain is reduced and vomiting stops. According to statistics, two, sometimes three weeks, are needed to treat edematic pancreatitis. During this time, the patients' health condition is normalized, all symptoms completely disappear.
Acute pancreatitis in edematous form is considered to be the easiest form of pancreatic disease. The main condition for recovery is properly selected treatment that does not require surgical intervention.
Prevention of edematous pancreatitis includes moderate low-calorie nutrition and abstinence from drinking, especially in combination with fatty foods.
Treatment of edematous pancreatitis
As with other forms of the disease, with edematic pancreatitis, a conservative treatment is initially prescribed, which allows to stabilize the patient's condition. His methods include:
- The use of non-narcotic analgesics( in special cases - narcotic, tramadol, moradol).
- The use of antispasmodics: papaverine, buscopan, no-shpa, etc.
- Depending on the clinical situation - infusion therapy in a certain volume( colloids, crystalloids).
- Assign antioxidants, such as tocopherol, ascorbic acid, etc.
- Novocain blockade and epidural anesthesia for severe pain.
- Introduction of H2-blockers, antacids.
- Rinsing of the stomach.
Diet for edematous pancreatitis
Patients suffering from pancreatitis in edematous form are strongly advised to follow a diet to avoid complications and relapse of the disease, namely:
- Give up fatty foods.
- Control the amount of carbohydrates consumed.
- Frequent fractional meals( meals should be from 4 to 6 times a day).
- Exclude from the dietary foods of soy products( fruits, vegetables, juices).
- Give up sharp and fried food.
- Abstain from drinking alcohol in any quantity.
- Do not consume sausage and smoked meat.
- Exclude baking and rye bread.
Case history of acute and chronic edematous pancreatitis
All complaints, symptoms, course of the disease and the methods of treatment prescribed in the medical facility to the patient are indicated in the medical document - medical history.
According to the history of edematous pancreatitis, in most cases, when entering the hospital, the patient displays symptoms such as severe or moderate pain in the abdomen and left hypochondrium, general weakness and fatigue, a headache with nausea and repeatedly manifested vomiting, severity instomach. The cause of the disease may be alcohol intake or non-compliance with a previously prescribed diet.
When examined by a specialist, the patient's stomach is not swollen and mild, painful sensations in the left hypochondrium and epigastrium, and sharp pain in the lumbar region is also possible. Functions of other systems and organs are not violated.
With the correct conservative treatment mentioned above, in the inpatient and diet regime, the patient's condition is stabilized.