Are bad feeling in a left belly side after abundant eating are lots of us endured. But, they are not, like in attack of acute pancreatitis with encircles belly and not stops on any position, with nausea, sickness, temperature rising, this is pancreatitis. And why he is having?A how to prevent his?A how prevents acutings? About this correspondent Zoz Marina Grib a talked with candidate of medical science, doctor, gastroenterologist by high category Evgeny Belousov.
1. Lots of opinion having about pancreatitis, that one are sure,that with pancreatitis to live ability for many years, others are sure, that on attack you can to die. Who is right?
Acute pancreatitis is a hard disease of digestion system, and without a timely help, yes, leading to dead within a few days. Pathology leading to self-digesting pancreas gland and in critical stage causing poly organic failure. And chronic pancreatitis rises within 30 years on 2 times. A later that met in 50 y.old and after, now are finds in 30 y.old.
2. Would ability use a therm about trigger mechanism of development pancreatitis.
Reasons of pancreatitis is meal s error, as to eat all and to not fat is a dream for many, but for pancreatitis its risk, as small portion of fried potato with meat cooked on 2 times/month is not causes acute attack. But regular eating smoked fish, fat meat, is lead to attack, if in you are diagnosed dyskinesia for gall way s. Thus, pancreas gland not to endure it load. A half case disease development of alcohol addiction, ethyl spirit rising concentration of pancreas gland, leading to spasm of sphincter Oddy, and in smokers on three times higher risk, than in not smokers, but avoiding smoking lowers risk on the half.
And other reasons are non control using long remedies , antibiotics, diuretic, hormones without prescription, autoimmune diseases affecting on digestion organs, allergy reactions, and closed organs to pancreas gland inflammations, and pay attention on health ,who is in family have pancreatitis.
3. A how to understand, that pancreas is fault?
A most often sign is ache in top belly sides, like encircles.After meal, or alcohol, from a few hours till a few days, repeating with different intensively or constant having. But in a few patients not hurt, but having symptoms of destroying function of pancreas gland as swelling belly, heaviness, nausea, sickness not causing relieving, chronic diarrhoea .After meal eating symptomatic increasing, thus meal is limiting, thus, this limiting and digestion wrong and appetite lost leading to weight lost.
4. A how fast disease development?
A fast, within a few days, suddenly is acute pancreatitis, with belly top aches, that very strong, not affecting by analgetic, thus a hospitalization needing.
Chronic form is a causing of a not timely curing inflammation, where are hurt, in 40 min are strong after meal, localizing in the top belly side and encircles character . Sometimes in a left half breast, imitating heart diseases.Other sign for chronic pancreatitis are problems with meal digestion with diarrhoea, nausea , meteorism.
Belly centre aches are strong and spreading in all sides, its a visible condition, and you need to call for dr, but not timely help causes lethal result.
5. A which first aid help at home and not medicament?
A checking by doctor, ice put on the belly, from remedies spasmolytic use as nospanum, spazmalgon, papaverin, or under tongue drip 1-2 drops of nitroglycerine, in muscle enter remedy nospanum, as spasms fighting.And not eat, and not drink, lie in bed, doctors are sure, nothing help, just calm, ice and hungry!
At hospital cure depends on from a forms, pathology and condition. Nospanum , papaverin, duspatalin, verin, buscopan, mebeverin are fighting spasm of smooth muscles, lows pressure in ducts, fighting ache. A spasmolytics are short method, when theirs effect ending, ache returning, thus therapy directing on the normalization organ work. Analgin, baralgin, pentalgin, are analgetics, ferments are festal, mezym, creon, pancreatin are different by structure, mechanism, thus doctor will select with is better in situation. A use on the meal time and right away after are pills . A stopping inflammatory tissue prescribing anti ferment remedies are gordox,contrical, trasilol, and for neutralizing salty acid are almagel, fosfalugel, maalox.Anti-secretory , anti ulcer remedies are omeprazol, pantoprazol, ranitidin, famotidin, they are lowering inflammation for a lowering manufacturing salted acid.