The dangers of pancreatitis

Pancreatitis is a relatively unfamiliar acute abdomen in most people's minds, but at the same time it is a very complex disease.

Why do you say this way? First of all, the severity of pancreatitis at the onset of the disease varies greatly. In the traditional sense, pancreatitis is divided into two categories: mild (edema) and severe (hemorrhagic necrosis). However, in each case, whether it is clinical manifestations, laboratory examinations, and imaging On examination, the degree of pancreatic exudation, hemorrhage, and necrosis, the involvement of the external organs of the pancreas, and the systemic inflammatory response were all different. In milder cases, only some abdominal pain, or symptoms such as nausea and vomiting, can recover by restricting diet for a few days and supplementing fluids. In severe cases, multiple system damage and multiple organ failure may occur, and the mortality rate is extremely high. Therefore, the treatment of pancreatitis is a relatively complicated process, and prevention is extremely important.

Causes of acute pancreatitis

The onset of pancreatitis is mainly due to pancreatic juice reflux and pancreatic enzyme damage to the pancreas. Irregular diet can cause gastrointestinal dysfunction, obstruct the normal activities and emptying of the intestine, hinder the normal drainage of bile and pancreatic juice, and cause pancreatitis.

Bile duct stones, especially silt-like stones, are the most common cause of pancreatitis. The cause of the disease is mostly the obstruction of silt-like bile in the duodenal ampulla causing bile reflux. The bile flows into the pancreatic duct and activates the enzymes in the pancreatic juice to cause digestion and damage of the pancreas itself.

Pancreatitis is the disease most closely related to diet, and overeating is usually the most common cause of pancreatitis. Most pancreatitis develops after overeating. A large amount of high-fat, high-protein food enters the gastrointestinal tract in a short time, which will inevitably stimulate the secretion of large amounts of gastric juice, bile, and pancreatic juice. If a large amount of digestive juice secretion occurs on the basis of the original partial obstruction of the bile duct, it will inevitably increase the burden on the bile duct and pancreatic duct and induce pancreatitis.

Alcoholism is a common cause of acute pancreatitis. Long-term alcohol abuse is also the most important cause of chronic pancreatitis. Others such as hyperlipidemia, hypercalcemia, infection, diabetes, drugs, abdominal surgery, and endoscopic cholangiopancreatography can cause pancreatitis.

Clinical manifestations of acute pancreatitis

The most common symptoms of pancreatitis include: ① Sudden severe pain in the upper abdomen, the pain is continuous, paroxysmal intensified, and radiates to the lower back. ② Nausea, vomiting and abdominal distension. ③The upper or full abdominal muscles are tense, with tenderness, rebound pain, and bowel sounds weakened or disappeared. ④ High fever, jaundice or shock occur in severe cases. ⑤The area around the umbilical cord is blue; large blue-brown ecchymosis appears on both sides or on the left side of the waist. This sign can only be seen in severe pancreatitis.

Doctors generally determine the diagnosis based on the diet before the onset, the location and degree of abdominal pain, and the tenderness in the pancreas in the upper abdomen during the examination, combined with blood and urine amylase and lipase tests. Pancreas C1 examination is the most reliable way to confirm pancreatitis. Not only can make a clear diagnosis, but also play an important role in further judging the evolution trend of the disease and guiding treatment.

Prevention of acute pancreatitis

① Avoid overeating and drinking. ②Be careful not to drink too much. Regular heavy drinking can cause pancreatic damage and abnormal pancreatic juice secretion, leading to acute and chronic pancreatitis. ③ Treat bile duct diseases in time. ④Prevention and treatment of hyperlipidemia. ⑤ If you suffer from diabetes or thyroid disease, you should also treat it in time, because these diseases are also related to the occurrence of pancreatitis.