Acute pancreatitis is a very serious disease that, if not treated in time, can lead to the patient's death. This kind, as a rule, is characterized by a frequent manifestation of seizures, with the presence of symptoms of exacerbation of the inflammatory condition in the pancreas. If you do not aggravate the situation with alcohol or harmful food, the attack may stop as suddenly as it began. Usually, exacerbation of pancreatitis does not lead to an irreversible process of pancreatic changes, and is treated in a hospital.
The most common symptom of acute pancreatitis is pain, in the abdominal region, with a return to the back. Depending on the amount of destruction of the pancreatic tissue, such pain can be of a shrouding nature. If over time the area in which painful sensations appear increases, it is a sign and a symptom of the fact that the pancreas continues to degenerate, with the development of an acute form of pancreatitis.
Pain syndrome, can be of different nature, depending on the level of development of the disease. Initially, the sign and symptom of inflammation of the pancreas or its aggravation can serve as a permanent blunt or cutting pain that can eventually increase and lead the patient even to a painful shock.
Often the pain syndrome increases when the patient lies on the back, so patients with an exacerbation of this disease prefer to sit, slightly bending forward.
Another characteristic feature of the acute form of pancreatitis may be nausea, vomiting and a complete lack of appetite in the patient. After all, if the normal functioning of the pancreas is disturbed, the process of digesting food and enzymes is disrupted, can enter the blood, causing very strong intoxication. Therefore, signs of poisoning, may well serve as symptoms of the presence of this type of pancreatitis or exacerbation of the chronic process of pancreatic dysfunction.
In case of bouts of the disease, symptoms such as dryness in the mouth, hiccough and eructation are often observed. Also, there may be increased body temperature, lowering of pressure, general weakness, the appearance of dyspnoea and sticky sweat, pallor of the skin. After that, the skin of a patient with an acute form of pancreatitis becomes gray, and his features are sharpened, which indicates a further exacerbation of the inflammatory process.
As with exacerbation of pancreatitis, there are syndromes Shchetkin-Blumberg, Voskresensky, Mayo-Robson. The severity of these signs depends on the degree and form of the pancreas disease. Also characteristic is the symptom of Grinwald and some signs of acute peritonitis. Another sign of the acute form of this disease is Mondor's syndrome and pain syndrome in the epigastric region, as well as some other syndromes.
Often, in the acute form of pancreatitis, the symptoms of poisoning, rather than the disease itself, are more pronounced. A week later, the pain syndrome may disappear, but this fact is not a sign of recovery, but only warns that the nerve endings in the pancreas have died completely and the process of destruction continues.
The disease occurs in several phases. As a rule, each phase is characterized by its own syndromes. The formation of pancreatic necrosis occurs in the first phase of the disease( from 1 to 5 days), so if you show any signs of deterioration of the state of health, be sure to consult a doctor, even if the pain syndrome is not too pronounced. In this case, it is better to insure yourself. After all, some symptoms and signs of aggravation of inflammation of the pancreas are very similar to exacerbations of other inflammatory diseases, so a reliable diagnosis can be made only after a complex of diagnostic measures and laboratory studies, as well as excluding from the general picture of false symptoms and symptoms.
How is acute pancreatitis manifested?
Clinical manifestation of the disease:
- severe pain in the region of the left hypochondrium, upper abdomen. Pain can give in the shoulder blades, ribs;
- vomiting, which does not cause pain reduction;
- rapid pulse;
- temperature increased;
- the lagging of the tongue with white bloom;
- in very severe course of the disease, difficulty in breathing, lowering of pressure, jaundice of the skin is possible.
Vomiting and its character in acute pancreatitis
Vomiting is always present during exacerbation of pancreatitis. She is multiple, tortures the patient for several days and does not bring any relief. Desires to her only worsen a person's condition and strengthen the pain syndrome, their frequency does not depend on the fullness of the stomach. After making several sips of water even with an empty stomach, vomiting begins again.
The nature of vomiting in acute pancreatitis is most often gastric, with impurities of bile, the volume of its mass is considerable.
Diet with symptoms of acute pancreatitis
Most often, the increase in inflammation of the pancreas begins when a person does not adhere to the principles of proper nutrition and begins to abuse harmful food. With characteristic symptoms of an attack, the patient is assigned a special diet, compliance with which is an important factor for a speedy recovery.
The diet for symptoms of acute pancreatitis should consist of the following recommendations.
In the first three days after the onset of symptoms of acute inflammation of the pancreas, it is recommended not to take any food. You can drink mineral water without gas in small quantities. Since the treatment of this disease is most often in hospital, during this period, intravenously administered solutions for maintaining the vital functions of the body and obtaining nutrients.
From the 4th to the 10th day, it is gradually allowed to eat manna, oatmeal, rice porridge, vegetable purees, meat not fatty boiled, apples baked, fish cooked on steam. Portions should be small, food is frequent - 4-5 times a day. For dinner, you can eat curd cottage cheese, prunes or other light meals.
Categorically prohibited to eat: fried, salted, fatty foods, fat, preserves, buttery dough, alcohol, butter. These products can provoke another attack of pancreatitis.