A man of 40 years brought the ambulance. On the eve of his friends, he marked the end of urgent work. We drank a little bit, we had something to eat. And today, unbearable shingles caused the ambulance to be called. And before that I noticed some deviations in the state of health; after drinking a glass of alcohol for several days, there was loose stools, periodically there was pain sometimes in the stomach, then in the small of the back, then in the left side of the chest.
The patient had an exacerbation of a chronic inflammatory process in the pancreas – pancreatitis. For information: in men, the most common cause of this severe progressive disease is alcohol. And not only among those who drink constantly and in large doses. A glass before the meal “for appetite”, occasional drinks – this is quite enough for inflammation of the pancreas.
In women, pancreatitis most often develops on the background of biliary tract diseases. The conclusion, therefore, may be one; in the prevention of chronic pancreatitis, the main thing is the complete elimination of alcohol and timely treatment of diseases of the stomach, liver, intestines.
The doctor, depending on the characteristics of the course of the disease, comorbidities and complications, prescribes individual treatment. It is important not only to take medications carefully, but also to comply with recommendations regarding the mode of work, rest, behavior, and nutrition.
Suffering sleep is especially important for a person suffering from chronic pancreatitis (at least 7–8 hours), and he also needs daily walks in the fresh air. Full rest prevents the development of such patients weakness, fatigue, irritability. It has been noticed that exacerbation of pancreatitis often occurs on the background of psycho-emotional stress or physical overwork. If the condition does not improve, the patient should think about moving to another, easier job.
It is not recommended to sit for a long time, as this increases the pressure on the pancreas, which can lead to or increase pain. At work in an hour or two, sitting at a table for a few minutes walk around, wait. At home, from time to time lie down or sit reclining in a chair. Exercise on the abdominals should be limited, do not wear tight belts and belts.
It is extremely important to eat right. This helps to prevent the exacerbation of the disease, reduce or relieve pain. The basic principle of diet therapy in chronic pancreatitis is eating food in small portions 4-6 times a day. Do not eat excessively hot and especially cold dishes and drink such drinks. Outside the aggravation, stale wheat bread, vegetarian soups (vegetable, cereal), main dishes from low-fat boiled beef and fish in the form of steam cutlets, meatballs, rolls, souffles are allowed. Vegetables (potatoes, beets, carrots) need to boil, you can cook a vinaigrette from them. Butter – in small quantities; it is better to add vegetable oil (sunflower, corn, olive) to dishes. Porridge is cooked only on water from oatmeal, rice, buckwheat. Recommended noodles, vermicelli, pasta in boiled form, low-fat cottage cheese.
We will have to completely eliminate from the diet rich meat, fish, chicken, mushroom soups and broths, fatty beef, lamb, pork, goose and duck meat, mushrooms, canned, smoked, pickled, pickled, onion, garlic, radish, fried, stews, cakes, cakes, pies, pancakes, butter biscuits, chocolates, whole milk, carbonated drinks, strong coffee and tea.
If an exacerbation has arisen, but it is manifested by pain, abdominal distention, an intestinal upset, you should go to bed, put cold on your stomach and do not eat anything until the doctor arrives.
Usually, the attending physician, when prescribing medications, recommends taking multivitamins at the same time, especially B vitamins, as well as alkaline mineral waters. At home, mineral water (Slavyanovskaya, Smirnovskaya, Borjomi) is drunk for a month or two, then, after consulting a doctor, the course can be repeated. Water should be at room temperature, without gas. Drink 100-150 grams in half an hour – an hour after meals.
Treatment at a drinking resort is very effective not earlier than two months after the exacerbation subsides. Physiotherapy procedures and mud therapy are not shown.
For a patient with chronic pancreatitis, self-treatment is especially dangerous, taking according to the advice of relatives or friends of some “miraculous” folk remedies, foreign medicines not tested and not used in our country. They can cause an exacerbation of the disease and, in the absence of the necessary treatment, lead to such a severe life-threatening complication as pancreatic necrosis. The only adviser for the patient should be the attending physician!