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Chronic PancreatitisChronic Pancreatitis – General InformationChronic Pancreatitis is considered to be an ongoing inflammation of the pancreas, the organ that is located in the posterior area of the stomach. This type of disorder can be easily associated with the pancreas destruction, or can be even confused with the acute pancreatitis disease, because they have similar symptoms. In most of the cases, this type of disease appears when the pancreas is affected, which occurs from the excessive secretion of the digestive enzymes, which start to digest the pancreas. The next phase is the triggering of inflammation. After this, the pancreas starts to support the scarring process that is known to lead to other attacks or severe inflammation. This may result in the death of the patient. After a long period, in which the pancreas was repeatedly damaged, the organ stops producing the necessary digestive enzymes, which should permit the normal digestion of the products. Due to this fact, the patient starts to lose weight or, in more severe cases (in which the cells that secret insulin are affected) he can develop diabetes. The most encountered cause of developing Chronic Pancreatitis is the alcohol abuse. High amount of consumed alcohol increases the possibilities of getting the disease. There are also other causes which can include high levels of calcium in the bloodstream, abnormalities in anatomy which are generally present at the individual’s birth, cystic fibrosis, hypertriglyceridaemia, some drugs or even the idiopathic pancreatitis. This type of disease, in most of the cases, affects male patients more than the female patients, with the age between thirty and fifty years.Chronic Pancreatitis – SymptomsThe Chronic Pancreatitis disease occurs when the pancreas is repeatedly damaged, which can destroy the organ itself but also the surrounding tissues. The signs and symptoms of the disorder can appear after many years and there are cases in which the patients do not experience any symptoms at all. However, most patients complain of severe abdominal pain. The pain is constant and, in most of the cases, it can be gnawing, stabbing, aching or burning. There are other many signs and symptoms of the Chronic Pancreatitis. They can include nausea and vomiting, fever, weight loss (even when the patient’s appetite or eating habits are normal), oily, malodorous stools caused by the bad digestion or malabsorption of nutrients and particular fats, called steatorrhea or diabetes. It is challenging to prevent this kind of pancreatitis, but it is recommended to avoid certain nutrition habits such excessive alcohol consummation, smoking, because nicotine increases the risk of developing the condition, particularly if the patient also drinks alcohol. It is important for each patient to try to eat fat free products, because by eating a fatty meal, the bloodstream fat amounts are increased, and also the risk of developing gallstones gets higher. The fat free diet can include products such as fresh fruits or vegetables, grains, lean protein, and limits fats, like butter. If the patient has a persistent abdominal pain, he must seek medical advice to find out the cause of that pain. If the Chronic Pancreatitis is diagnosed in an early stage, it can be easily treated and the damage to the pancreas or to the tissues reversed.Chronic Pancreatitis – TreatmentThe available treatment for Chronic Pancreatitis is has one main effect: the improvement of the patient’s absorption problems. However, the therapy is also administered to help patients who suffer from alcohol and drug abuse symptoms. In most of the cases, the medical trials help relieve the pain caused by the disease. There are many ways to treat this kind of disorder and can include therapy for alcohol dependency, therapy for pain relief, enzyme therapy for malabsorption or dietary changes. The therapy for alcohol abuse is considered the most important stage in curing Chronic Pancreatitis that has been provoked by the intake of alcoholic products. If the patient is early diagnosed with the disease and he stops consuming alcohol, the pain is much more easily relieved. Once the disease has evolved to a more severe stage and the patient is still drinking alcoholic beverages, he increases his risk of developing other severe complications. This is why there are many cases that involve patients who have not stopped drinking and died from this type of pancreatitis. The pain provoked by Chronic Pancreatitis can last for a long time, unlike the acute form of the disease, in which the pain usually goes away in a few days. There are many typical pain relievers that are prescribed by many doctors, but they may be ineffective and increase the risk of addiction to them. Nowadays, doctors begin to prescribe a more efficient medicine called potent pancreatic enzyme, which has proved to be effective in most of the cases (it has even cured the disease). This type of enzyme therapy usually acts by increasing the amounts of enzymes inside the bigger part of intestine, called duodenum. By doing this it also decreases the amount of enzymes that are produced by the pancreas. Another effect triggered by this type of therapy is the reduction of the pressure and pain, inside the pancreas. If the pain is too severe to be effectively relieved or controlled, the main treatment option is the surgical approach which consists in removing the affected tissue. There are cases in which another surgical procedure can prove a more viable option: it involves blocking pain signs or killing the nerves which are known to transmit the pain. The enzyme therapy used for the absorption problems employs enzyme supplements including pancrelipase, usually prescribed as Pancrease or Viokase, which have proved to be very effective in treating absorption deficiencies. To improve the weight gain and medical status of the patient, these enzymes tablets replace the missing enzymes and help to improve steatorrhea and to restore the normal digestion. This type of treatment is usually administered before eating or during meals. To achieve an improvement in Chronic Pancreatitis, the doctor can also prescribe the patient a diet schedule that he ought to follow, which includes the fats free diet or smaller meals, to help reduce the disappearance of the digestive enzymes. Patients suffering with Chronic Pancreatitis can also develop diabetes. The treatment consists in keeping a healthy diet or getting regular exercise. There are patients who may need insulin administration, which increase the risk of developing hypoglycemia. |
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