Pancreatitis is a disease in which the pancreas is inflamed. The disease can be acute or chronic. The manifestation of pain during 6 months from the onset of the disease is considered acute pancreatitis, and after 6 - chronic phase.
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The pancreas produces enzymes that speed up the process of digesting food. With inflammation, they do not enter the duodenum, but remain in the gland and gradually destroy it. Toxins and enzymes that are injected into the blood can seriously disrupt the work of other organs, such as the heart, liver, kidneys.
Acute attack of pain in the upper abdomen with localization in the "epigastric region" often catches a person by surprise.
IMPORTANT! Do not relieve the pain yourself, but immediately call a specialist. An acute attack of pancreatitis can lead to death.
Which doctor treats pancreatitis
In order to respond to the disease in time and begin proper treatment, it is necessary to know which doctor treats pancreatitis. Inflammation of the pancreas is in the field of vision of several specialists, since full recovery comes only with complex therapy.
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Diagnosis of the disease
At the first symptoms of the disease the patient should consult his therapist who will carefully examine the patient by the method of palpation, reveal localization and determine the nature of the pain. For more accurate diagnosis, the specialist assigns diagnostic tests:
- ultrasound.
- Blood test is clinical and for diastase.
- EGD.
- Lipidogram.
- Hepatic tests on AST, ALT, bilirubin, APF.
- Laparoscopy.
- Urinalysis - general and for amylase.
IMPORTANT! Diagnosis of the disease is carried out only in clinical settings.
During an ultrasound examination, a doctor can identify tumors, so further treatment will be performed by an oncologist.
In the acute stage of pancreatitis, the patient is referred to the surgery unit, where he is examined by a surgeon or resuscitator, depending on the condition in which the patient is at the time of admission.
After a relapse or with dyspeptic complaints the patient is treated by a gastroenterologist. The pancreas is the main organ involved in digestion, so timely intervention by a specialist will minimize the risk of complications and the transition of the disease to a chronic stage.
To prevent the occurrence of other serious illnesses, the patient needs to know to which doctor to go for an additional examination. The doctor who treats pancreatitis is called a gastroenterologist. But, for a more complete clinical picture, he can send for examination to the endocrinologist. From timely and effective actions of a specialist, the prevention of the development of a disease such as diabetes mellitus will depend.
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Symptoms of the disease
Inflammation of the pancreas is characterized primarily by acute or aching pain. Depending on the site of the lesion, the pain is localized in a certain area. When the head is inflamed, the discomfort is felt on the right side of the ribs, if the tail is inflamed - on the left. Most often the disease affects the entire pancreas, and pain sensations are shrouded in nature or concentrated in the epigastric region.
However, pain syndrome is not the only symptom of pancreatitis. Possible following signs of the disease:
- nausea and vomiting;
- chills and fever;
- there are jumps in blood pressure;
- bloating, diarrhea, or constipation.
Often the external symptoms of the disease resemble osteochondrosis. That's why patients do not hurry to a specialist, considering this to be quite normal. At occurrence of even one unpleasant sensation it is necessary to pass or take place immediate inspection to exclude serious diseases.
Treatment of
Therapy depends on the cause, the form of manifestation and the severity of the disease. Acute form of pancreatitis involves giving up food and giving the body complete rest .The first days of the patient drink only water with alkali, so as not to provoke the appearance and intensification of pain. If necessary, the patient is placed a dropper with a supporting solution. On the area of ​​inflammation set a cold water bottle, which helps reduce the secretory function of the gland.
In particularly difficult cases, surgical intervention is possible, for example, in the detection of false cysts or for the installation of a gastric tube.
To date, the most effective methods of treatment are diet and complex therapy. Acceptance of public funds.
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Medical therapy
After acute phase of pancreatitis, which takes place on 4-8 days, the patient is prescribed medication. In the chronic course of the disease, the doctor can prescribe analgesics that will help to relieve inflammation and reduce the pain syndrome: no-shpa, baralgin, papaverine.
To eliminate spasms of the gastrointestinal tract, the patient can take medications of myotropic action: sparex, duspatalin.
Pancreatitis is a disease that can return at the most unexpected moment, so the patient is prescribed enzyme preparations to restore the pancreas completely.
IMPORTANT! Each disease is treated exclusively individually, so the dosage of enzymes is determined only by a specialist.
To the group of pancreatic enzymes are:
- Pancreatin( mezim, creon, gastenorm) - take 3 r / d.2 tablets at meal time, washed down with alkaline water;
- Festal - 3 times / day with meals;
- Cytidine or famotidine( to reduce the acidity of gastric juice) - in time for eating 1 tablet.
IMPORTANT! With constant intake of enzyme preparations, the pancreas atrophies.
Enzymes help the pancreas to completely relax, creating the conditions for restoring the secretory function.
Nutrition
In the chronic course of the disease and at the stage of remission of , the strict adherence to the diet is a prerequisite for recovery.
During an exacerbation of a pancreatitis in the first days it is necessary absolutely to refuse meal and "to sit down" on a hungry diet. It is allowed to drink alkaline water without gas.
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When pancreatitis from the menu completely exclude these products
Important! Learn how to eat properly when pancreatic pancreatitis.
After a few days, gradually begin to eat very small portions 5-6 times / day.
The diet should be made as follows. That protein products predominated in it, and carbohydrates and fats reduce to a minimum. It is recommended to eat boiled or steamed dishes that are served warmly.
When pancreatitis from the menu is completely excluded:
- Alcoholic beverages.
- Fried.
- Sour.
- Salted.
- Sour-milk products.
- Fresh bread and baking.
- Meat and smoked products.
- Fresh cabbage.
The pancreas is very fond of vegetables rich in starch: potatoes, broccoli, carrots, beets. Porridge, boiled without salt and spices, nothing but good, your body will not bring. Buckwheat and oatmeal porridge are especially useful. In the diet can be present low-fat meat( chicken, turkey) and fish.
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If an attack of pancreatitis occurs for the first time, then the diet should be followed for several months - until the function of the pancreas recovers. With chronic pancreatitis, such a diet is adhered to throughout life.
Treatment should be continued even when the disease does not cause any particular inconvenience. The first relief may come after taking medication or with proper nutrition.
IMPORTANT! To stop treatment in any case it is impossible - at first only the inflammatory syndrome is eliminated, the source itself is not cured yet.
After hospital treatment, correction of nutrition, lifestyle, the patient is registered with the therapist. Visiting of narrow specialists occurs in a planned manner.
Carrying out a complete examination, establishing the correct diagnosis will help determine which doctor treats pancreatitis in order to start complex therapy as soon as possible and to exclude surgical intervention.