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Caution, pancreatitis: how not to miss dangerous symptoms and when you need to urgently run to the doctor

Pancreatitis is characterized by an inflammatory process in the pancreas. At risk are people of any age who abuse alcohol, fatty and fried foods, women 40-50 years old with gallbladder diseases, as well as obese patients. We discussed with an expert what signals the body should immediately consult a doctor.
Main causes of the disease
If you ask a question in the search engine about the origin of pancreatitis, then in the first place will be: cholelithiasis and alcohol abuse. Plus, in most cases, excess weight. And this is true, our expert confirms. At the same time, the development of pancreatitis in the gastrointestinal tract and the effect of alcohol are somewhat different.

If in case of gallstone disease and other diseases of the gallbladder, the pancreatic duct is blocked-mechanically or against the background of increased pressure in the duct — then its enzymes, and sometimes the contents of the gallbladder (bile) when food enters the body do not go out into the duodenum to digest food, but remain inside the pancreas. Digestion processes are activated in the gland itself. Thus, their own enzymes digest the pancreatic tissue, causing chronic pancreatitis. With excessive alcohol consumption, the outflow of pancreatic juice slows down, stops, and in the future, the mechanism of development of pancreatitis is similar to the diseases described earlier, that is, it remains in the tissues of the gland itself or in the ducts, not reaching the duodenum, thereby causing acute pancreatitis.
When do I need to go to the doctor urgently?
So, if you are concerned about heaviness in the upper half of the abdomen (epigastric region), belching is an occasion to consult a gastroenterologist to exclude pathology from the gastrointestinal tract. Perhaps everything will be fine with adjusting the power supply. But if they did:

severe pain in the epigastric region;
nausea;
vomiting (not bringing relief);
loose stool;
if your body temperature increases, you need to urgently consult a doctor or call an ambulance!

Yana Guzeeva
gastroenterologist at the MEDSI clinic on Leninsky Prospekt
“For the diagnosis of chronic and acute pancreatitis, you need at least an examination by a therapist, a gastroenterologist and a surgeon to exclude acute pathology from the gastrointestinal tract. Laboratory tests-clinical and biochemical blood analysis (mandatory indicators: alpha-amylase, pancreatic alpha-amylase, lipase), coprogram (total fecal analysis), pancreatic elastase in the feces. Instrumental diagnostics — ultrasound examination of the abdominal cavity and preferably a study of the stomach (the pancreas is adjacent to the walls of the stomach and when it is inflamed, changes can be seen on the walls of the stomach).”

What is the difference between acute and chronic pancreatitis?
Acute reactive pancreatitis is curable. Chronic pancreatitis is not treated. People with this disease are forced to follow a diet for life and adhere to certain rules to maintain remission and improve their quality of life.

“Acute pancreatitis can be diagnosed at any age, regardless of gender, race, or nationality. The disease occurs against the background of eating disorders (alcohol, fatty, fried food, some medications), but is more often diagnosed in young men who abuse alcohol. Chronic pancreatitis in most cases is associated with diseases of the gallbladder and bile ducts, usually occurs at the age of 40-50 years, more often in women. It should be remembered that in case of chronic pancreatitis or its exacerbation, not to mention the signs of acute pancreatitis, a doctor’s consultation is mandatory! It will help you adjust your diet, choose a therapy that will improve the quality of life with such a diagnosis.”

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