Pancreatitis in women
Symptoms and treatment of pancreatitis in women and in men in general have a lot in common. At the same time, the physiology of the female body sometimes suggests circumstances when the etiological mechanisms and clinical manifestations of the disease are specific. Statistics state that this pathology is more common in women, and therefore special attention is paid to the treatment of this ailment in the weaker half of humanity.
The factors contributing to the development of inflammation of the pancreas are the pathologies of the biliary system (RC, cholecystitis), malnutrition and alcoholism. In addition to the abuse of fat and overeating, the cause of the defeat of the pancreas in women is sometimes mono-diets, which are not balanced by BJU and lead to impaired metabolism and protein deficiency.
The reasons for the occurrence of pancreatitis include the influence of drugs, toxic substances, hereditary predisposition, pancreatic injury, helminth infections and infectious diseases.
In addition, such states can provoke the onset of an attack of pancreatitis:
- diseases of gut and gallstones,
- diseases of the stomach and duodenum,
- overeating and unhealthy eating
- stress exposure
- allergic reactions
- alcohol, chemical or food poisoning,
- postoperative complications.
Sometimes pancreatitis in women can develop as a result of prolonged smoking. This mainly happens when the propensity to develop this disease and the addition of other negative factors. Also, the appearance of inflammation of the pancreas contributes to the use of hormonal drugs based on estrogen.
In acute inflammation, pain is localized in the central part of the abdomen or to the left under the rib. They are pronounced and difficult to eliminate. The intensity of the pain syndrome increases in the supine or side position. A little relief can be achieved if you sit down and slightly tilt the body forward.
When abnormal localization of pain resembles a heart attack (as in angina). They occur on the left side of the body and may radiate to the arm, back, or neck.
Sometimes the symptoms of pancreatitis in women can be confused with kidney disease. In this case, they are localized in the lumbar region or umbilical region. When they occur, you should call an ambulance, because such signs may indicate gynecological pathology.
To determine the exact cause of their occurrence can only be a doctor, after the appointment of laboratory and instrumental examinations in a hospital.
Some time after the onset of pancreatic pain, the patient usually develops other symptoms of RV inflammation:
- weakness and pallor
- pressure reduction
- nausea and persistent vomiting,
- unstable chair,
- diuresis reduction,
- increased heart rate.
In cases where there is a lesion of the biliary system, a pancreatitis attack in a woman can occur with yellowing of the skin and sclera.
In chronic pancreatitis, pains are less pronounced, they are usually aching and may appear after errors in the diet. In case of complications of pancreatic necrosis, the pain disappears after the death of a large part of the pancreas.
Exacerbations of chronic pancreatitis have a bad effect on the psychological state of patients. As a result, they become emotionally excitable and super-irritating. Without proper treatment, this is fraught with the development of mental disorders.
Other symptoms of the disease are also observed:
- loss of appetite, weight loss,
- severe weakness
- dry skin and hair, cracks in the corners of the mouth,
- dyspeptic symptoms, unstable stool.
The lack of some important minerals, which is due to digestive disorders, causes periodontitis, and vitamin deficiencies lead to a decrease in visual acuity in adult patients. Sometimes the recurrence of the disease causes severe consequences, such as diabetes.
Pancreatitis during childbirth
Acute pancreatitis can occur in any trimester, but is more common at the end of gestation in women who initially suffer from gastrointestinal tract pathologies or are overweight. The disease has a severe course.
In pregnant women, the pathology proceeds with pain, digestive disorders, skin rashes.
There are the following forms of inflammation of the pancreas:
One of the frequent causes of the disease in pregnant women is a violation of the patency of the pancreatic duct, as well as a decrease in the tone of the digestive system. In addition, in the last weeks of gestation, iron is strongly compressed by the growing uterus.
Diagnosis of pancreatitis during pregnancy is difficult, because at this time there are mainly forms of the disease without pain, complicated by signs of CNS damage and shock. The clinic depends on the severity of the pathology. In the edematous stage, the course of the disease is correspondingly easier than with hemorrhagic pancreatonecrosis.
The disease begins with the onset of girdling pains, which may be spastic or permanent. They are associated with inflammation of the pancreas or compression of nearby organs. Often they progress, causing complications. Pain syndrome can be with tension of the abdominal wall, hyperthermia, meteorism, nausea or vomiting. In some cases, the attack can occur with signs of damage to the central nervous system, as well as yellowness of the sclera and skin.
Often a violation of the digestive processes provokes an imbalance in the intestinal microflora with a predominance of pathogens. And dysbacteriosis, in turn, causes the appearance of vaginal candidiasis, hypovitaminosis, neurodermatitis, and food allergies. All of these reactions together affect the body of a pregnant woman, aggravating the condition of the mother and fetus.
Pharmacotherapy of the disease
Treatment of pancreatitis is anesthesia, diet, hormone and antibiotic therapy, suppression of pancreatic pancreatic juice secretion.
Depending on the condition of the patient, appropriate therapeutic measures are prescribed:
- Medical fasting for a period of 2-3 days to a week.
- In vascular collapse or shock, corticosteroid hormones and special anti-shock therapy are indicated.
- Metoclopramide is used to eliminate dyskinesia of the pancreatic ducts and reduce hypertension.
- To reduce pain, myotropic antispasmodics and pain relievers are used: Drotaverin, Platyfillin, Aminophyllin. In case of severe pain syndrome, epidural anesthesia may be prescribed.
- In order to relieve inflammation and prevent abscess formation, antibiotics are prescribed to patients with pancreatic necrosis.
- Suppression of secretion of the preatic juice is performed by nasogastric suction of the stomach contents. Also prescribed is Somatostatin, Santestatin Mexidol.
- Antacids are used to reduce the acidity (Maalox, Almagel, Phosphalugel).
- In case of insufficiency of enzymes produced by the pancreas, the drugs Kreon, Mezim, Festal, Digestal, Pancytrat are prescribed.
- For the normalization of intestinal microflora, the appointment of probiotics is shown (Probifor, Bifiform).
The following intervention methods are used:
- resection of the pancreas,
- drainage to reduce pressure in the ducts,
- with severe pain - the intersection of the nerve trunks.
Treatment of inflammation of the pancreas - is, above all, a diet that excludes fried and fatty foods, as well as spicy, canned food, pastries and pastries.
In case of signs of disease, it is recommended to immediately consult a doctor, since only a highly qualified specialist can accurately determine the symptoms and treatment of pancreatitis. The patient's life sometimes depends on the efficiency of the doctors' actions, since it is necessary to treat the inflammation of the pancreas in a timely manner, avoiding serious complications.
To obtain an accurate diagnosis, the doctor prescribes a number of studies:
- Ultrasound of the pancreas. The survey gives the opportunity to determine the inflammation in the parenchyma of the pancreas. Sometimes the presence of clamping of the excretory ducts is recorded by inflamed tissue.
- CT The method is informative, it helps to determine the localization zone of the inflammatory process of the pancreas with high accuracy.
- Laparoscopic examination of the inflamed areas. The method is interpretative (carried out during the period of surgical intervention). Allows you to determine the degree of inflammation and location.
Assign laboratory tests:
- General blood analysis. When pancreatitis is fixed leukocytosis and increased erythrocyte sedimentation rate,
- Biochemical examination of blood. An increased level of amylase, liver function tests, glucose,
- Biochemical study of feces. Undigested food particles, mucus, fat are fixed in the sample, sometimes bacteria is detected.
Pancreatitis in women over 50
Pancreatitis in most cases is registered after 40 years. In the female half of the population, problems with the pancreas can occur against the background of comorbidities, inflammatory processes of the gastrointestinal tract, as well as with the restructuring of the hormonal balance during pregnancy and menopause. There are cases when pancreatitis in middle-aged women results from the abuse of alcoholic beverages. Constant drinking of alcohol provokes a number of pathological changes in the work of the liver and other organs - systems, the manifestation of which can be inflammation of the pancreas.
During the onset of menopausal changes, a woman has an increased level of psycho-emotional irritability, even minor events and difficulties can cause stress and depression. Constant nervous tension can cause a disturbance of the digestion process, spasms and also lead to the development of pancreatitis.
The cause of pancreatitis in women after 50 years can be chronic diseases, which are detected by reducing the protective abilities of the body, while weakening the immune system associated with age-related changes in the body.
Treatment of pancreatitis at home is allowed to organize only if there is a chronic form of the disease. The acute form of the disease must be treated in stationary conditions under the strict supervision of specialists.
An important role in treatment therapy organized at home is played by adjusting the diet and drawing up the daily menu according to the instructions of the doctor and nutritionist. For pancreatitis, the patient is prescribed a diet table number 5 by Pevzner.
If there is an exacerbation of the chronic form of pancreatitis, it is necessary to follow a starvation diet. If necessary, extend the term of therapeutic fasting, you must include parenteral nutrition (in hospital) with the introduction of electrolyte solutions, amino acids and proteins.
Foods containing refractory fats, especially margarine, products enriched with calcium (cottage cheese, cheese), canned foods, spicy, fried and sour foods should be excluded from the diet. Useful intake of vegetable fats and butter (no more than 0.25 g per day) in a limited amount.
Food should be fractional, you need to take food at the same time, in small portions (maximum 260 g). Allowed the use of baked, boiled dishes. More useful mucous porridge, soups - mashed potatoes, natural jelly, kissels with sweet fruit. You can use yesterday's bread or homemade crackers. Freshly squeezed juices from sweet fruits and vegetables in a diluted form are useful.
In the period of exacerbation of chronic pancreatitis with the consent of the doctor allowed the use of complex therapy, which includes medication.
- Painkillers, analgesics, which help to stop pain. To relieve spasm and neutralize pain syndrome use Baralgin, No - shpu, Deksalgin, spazmolgon, Spazgan, Analgin.
- Neuropathic. Enter to enhance the effect of analgesics. Often use Droperidol, Fentanyl.
- Enzyme preparations. Medicines compensate for the lack of enzymes (lipase and trypsin), without affecting the concentration of bile acids. Effective Panzinorm Forte tablets, Creon, Pangrol, Allohol, Panzinorm.
- Preparations Somatostatin and Octreotide. Appointed in the presence of attacks, accompanied by dangerous signs.
- Preparations of antisecretory action that reduce the production of gastric juice. Antacids based on aluminum compounds are used.
- Semisynthetic penicillin and cephalosporins. Assign when the probability of secondary infection.
- Antiemetic drugs. This group of drugs has a blockade of anti-perestaltic action, that is, it normalizes the movement of food through the gastrointestinal tract and prevents the development of reflux. Prescribed Tserukal, Metoclopramide.
- Laxatives Preparations of this group normalize the peristaltic movements of the gastrointestinal tract and the process of absorption (drops, suppositories, tablets). They use Normaze, Dufalact, Senade, Gutalax, Gutasil, Gutlak.
- Antidiarrheal drugs. The action of drugs is aimed at increasing the absorption process by diffusion or simply by osmosis. Loperamide, Lopedium, Diar, Imodium are used most often.
- Drugs that normalize the water - electrolytic balance, as well as means to reduce the swelling of the body (Furosemide).
- Means for detoxification of the body. For this purpose, solutions based on reopoliglukina, gemodeza, albumin, glucose are used.
- Multivitamins, means to improve the appetite. Assign vitamin complexes in order to strengthen the body and enhance immunity, to compensate for the lack of important elements in a strict diet. Assign Duovit, Multitabs, Supradin.
- Depressants, if exacerbation is caused by stress or nervous tension.
At treatment of pancreatitis at home apply recipes of traditional medicine. It is allowed to receive decoctions and tinctures of healing herbs, which help to reduce the inflammatory process, normalize the enzymatic function of the pancreas.
- On a glass of boiling water add 15 g of corn silk. Insist one hour, take 1/4 cup. Course - 2 months.
- Peppermint, dried marsh mallow, St. John's wort, St. John's wort, coriander, elecampane root and fennel seeds are mixed in equal proportions. 1 tbsp. l collection pour 250 ml of boiling water.
- Propolis is crushed and dissolved in 70% alcohol solution, insisting 10 days to completely dissolve the substance. Store in a dark container in a cool, dark place. Take the infusion for 2 weeks, 2 times a day. In 200 ml of warm water add 30 drops of the solution.
- Required to take 2 tbsp. l dried rosehips and 200 ml of boiling water. Rosehip pour boiling water and incubated for 30 minutes. The resulting drink is taken 3 times a day, 50 ml for half an hour before meals.
The chronic form of pancreatitis is characterized by the presence of periods of exacerbation and remission.
As it progresses, changes in the glandular tissue of the organ and its replacement by the connective tissue, which is not capable of producing digestive enzymes and pancreatic juice, are recorded. The lack of enzymes causes disturbances in the functioning of the digestive tract.
There are two phases of the chronic type of pathology. The initial stage is manifested by unexpressed symptoms and can last for several years depending on the lifestyle and the general health of the patient. Exacerbation of the chronic form mainly provokes the use of spicy or fried foods, carbonated drinks and alcohol. Symptoms, with this form of pronounced, pain and discomfort worry constantly.
How does pancreatitis affect pregnancy
The risk of pancreatitis during pregnancy increases significantly. Dangerous for the future mother's health is acute pancreatitis, which can develop at lightning speed and have a rapid progression. Pain in pregnant women is not pronounced, the symptoms are lubricated. More pronounced symptoms of damage to the nervous system.
When diagnosing the disease in a woman in the first trimester, abortion is recommended in most cases. When the disease is detected during pregnancy for more than 35 weeks, artificial delivery is accelerated.
Chronic pancreatitis in pregnant women is rather difficult to find, since the clinical picture is not expressed, and the emetic urge and nausea is often attributed to toxicosis.
Pancreatitis is a rather serious disease, the neglect of which is fraught with the emergence of life-threatening and health-related complications. The process of gradual destruction of tissues in chronic pancreatitis can cause the following complications:
- The development of diabetes as a result of impaired insulin synthesis,
- Pancreatic abscess,
- Exhaustion of the body due to frequent intoxications,
- Pancreatic ascites
- Ulcers, cholecystitis,
- Lung problems
- Mechanical jaundice and the formation of cysts in the pancreas.
- There is a possibility of a secondary infection against the background of a constant inflammatory process.
In the acute form of the disease there is a risk of:
- Hypovolemic shock leading to failure of the oxygen supply of the digestive tract,
- Renal and hepatic failure due to exposure to enzymes
- Peritonitis with the appearance of a secondary infection,
- Pathologies of the cardiovascular system,
- Respiratory problems.
Delayed treatment of the disease can cause the manifestation of late complications such as sepsis in the abdominal cavity, fistulas in the gastrointestinal tract, the formation of purulent inflammatory foci, internal bleeding. Lack of treatment can be fatal.
To prevent the development of pancreatitis in women, it is advised to observe a balanced diet. A woman should constantly monitor her weight, give up bad habits, regularly undergo examination of the abdominal organs, avoid stressful situations, especially during the waiting period of the child and menopause.
Most often, pancreatitis is diagnosed in pregnant women. Timely treatment allows to avoid premature birth. With timely and properly organized treatment in compliance with the diet, the prognosis is favorable.
Pancreatitis in women is diagnosed more often than in men. The disease in terms of modern medicine can be cured completely. Relapses in compliance with the diet and after the appropriate course of treatment in most cases are not fixed.
Dear readers, your opinion is very important to us - so we will be happy to comment on women with pancreatitis in the comments, this will also be useful to other users of the site.
During pregnancy, nausea and vomiting were often disturbed. I thought that these are symptoms of toxemia. I consulted with the gynecologist, he appointed an abdominal ultrasound scan. It was found that the pancreas is inflamed. The disease was detected at an early stage, which allowed to preserve the fetus. Adjusted diet, took a decoction of chamomile. Gradually, the unpleasant symptoms disappeared, the birth was normal, the child was born healthy.
I have been suffering from chronic pancreatitis for several years. Relapses occur, but rarely, especially in spring and autumn. In the period of exacerbation I take medicines prescribed by a doctor, I switch to a strict diet. A decoction of dogrose is very useful, taking a healing drink allows you to accelerate the onset of remission, normalize digestion.
Often the question arises, what are the symptoms of pancreatitis. Timely diagnosis of pathology is extremely important, since knowing how pathology manifests itself depends on the treatment.
A visit to the doctor at the initial stage of the disease will make it possible to prevent the transition of pancreatitis to a chronic course. For these purposes, it is necessary to focus on the first symptoms.
- Pain in the abdominal cavity of an acute or moderate nature. Capable of spreading into the retrosternal region, the scapulae, the cervical region.
- Disorders of the patient's chair. Fecal masses are characterized by a rather sharp fetid aroma, as well as a mushy consistency. In addition, there are unprocessed food fragments.
- Sometimes there is a feeling of nausea, in rare cases, an emetic reflex appears. Mostly formed after 2-3 hours after the manifestation of discomfort.
- In some situations, bloating and belching appear.
If there is suspicion of the development of acute pancreatitis, its symptoms are diverse, but such manifestations as intense pain in the left hypochondrium, which are aggravated after eating, may indicate the presence of a pathological process.
Symptoms of the disease in women
The common symptoms of pancreatitis in women include the following symptoms:
- Intense pain under the rib to the left or in front of the abdominal cavity,
- Irradiation of discomfort under the scapula or in the back,
- Nausea and incessant vomiting reflex,
- Dyspepsia (diarrhea that goes into constipation, gas),
- The increase in temperature indicators.
It is impossible to give an answer to the question where it hurts during the disease, because the region of pain concentration often depends on the localization of inflammation at the pancreas and at the stage of pancreatitis.
Discomfort at this time will be the initial manifestation of the pathology and in virtually all cases it is associated with food or alcohol, tobacco.
It appears after half an hour after the action of the provoking factor. Often the attack occurs at night.
What is pancreatitis?
The human pancreas performs a very important function for normal digestive processes. The body produces enzymes that are essential for healthy robots of the gastrointestinal tract. Pancreatitis in medical practice is called pancreas inflammation. The disease affects both men and women, can occur at a fairly young age. The disease occurs quite often.
Important! What is reactive pancreatitis, can be found in our article.
Doctors distinguish 2 forms of the pathology:
Important! Symptoms and treatment of pancreatitis in men are described in detail in our article.
Acute pancreatitis is characterized by sudden development. The inflammatory process extends to a certain part of the gland or affects the organ completely. Very often, an acute course entails internal bleeding, an abscess, which is extremely dangerous for human health and can even be fatal.
Why does the disease develop?
Causes of pancreatitis in women can be varied. Most often among them are the following provoking factors:
- congenital anomalies of the gland,
- food and chemical poisoning,
- organ injury
- excess weight,
- excessive drinking.
The reasons also include hereditary predisposition, drug intake, diseases of the digestive system, unhealthy diet and much more.
Important! Whatever the reasons for the development of pathology, it is imperative to promptly seek qualified medical assistance.
The first manifestations of pancreatitis
In time to diagnose the disease is very important. Addressing a specialist in the early stages will help avoid the transition of the disease to the chronic form. To do this, pay attention to the first symptoms of the disease. These include:
- Abdominal pain of acute or moderate nature. It can spread to the chest, shoulder blades, neck.
- The patient's chair is broken. The feces have a rather sharp unpleasant odor, a pasty consistency. Undigested food particles can also be observed.
- You may experience nausea, less frequent vomiting. Mostly it occurs 2-3 hours after the onset of pain.
- Also present bloating and belching.
Important! Symptoms of acute pancreatitis in women can be varied, however, such a sign as severe pain in the left hypochondrium, aggravated after a meal, may be 100% guaranteed to indicate the presence of the disease.
Symptoms of acute pancreatitis
With the further development of pathology, doctors distinguish the following signs:
- the appearance of pain in the left side, extending to the region of the sternum and lower back,
- nausea, often with bouts of vomiting,
- temperature rise to high elevations (38-39 degrees),
- sternum burning,
- dizziness and general deterioration of well-being,
- lethargy and irritability,
In addition, in women with acute disease can fall pressure. This indicates a strong intoxication of the body decomposition products.
Important! What to do at home with an attack of pancreatitis? Read here.
Among the external signs of the disease are the following:
- in the area of the abdomen and back, rashes in the form of red spots may occur,
- there is a raid on the tongue
- notes dry tongue and mucous membranes,
- skin becomes dry, peeling often occurs,
- skin becomes pale with a yellowish tinge.
Important! Often with the acute course of the disease develops the so-called collapse. This is a sharp rise, or, conversely, a drop in temperature. It is extremely necessary to provide timely assistance to a person, otherwise the consequences may be the most undesirable.
Symptoms of the chronic form
Often people ask where the pancreatitis hurts and what are the main signs of pathology. Pancreatitis in women of chronic course may be accompanied by the following manifestations:
- pain in the left hypochondrium is prolonged. It may increase or decrease. Sharpened after eating fatty foods or alcohol,
- the patient gradually loses weight,
- constipation can be replaced by severe diarrhea and vice versa
- the patient loses his appetite
- flatulence, frequent belching with an unpleasant odor,
- in humans, visual acuity decreases. This is due to the loss of vitamins and microelements by the body,
- symptoms of exacerbation may be in the form of intestinal colic,
- from the psychosomatic state, irritability, nervousness, depression and sleep disturbances are observed,
- sometimes patients develop diabetes,
- Due to a sharp decline in the body of vitamins and other essential substances, gum bleeding and tooth loss may appear.
If you do not treat severe pancreatitis, the disease can cause a lot of serious complications and even death.
Consequences of pancreatitis
Often untimely or incorrect treatment of this disease provokes a number of complications that are very difficult and sometimes incompatible with life. These consequences include:
- Pancreatogenic shock is a patient's condition, characterized by a sharp drop in pressure, heart rate, as well as a decrease in the vital activity of all organs and systems.
- The development of fistulas.
- Opening of bleeding of the stomach and other organs of the digestive tract.
- Cerebral edema.
- Pathology of the kidneys and liver.
Important! In a percentage of about 15% of patients with acute pancreatitis die. In such severe forms as hemorrhagic or large-focal necrosis, death occurs in 70% of cases.
It is important to remember that with such pathology as acute pancreatitis, treatment at home is unacceptable. It is imperative to seek qualified medical assistance and pass all tests that allow you to diagnose the disease.
Depending on the course of the disease, the doctor prescribes home or inpatient treatment.
Important! It is interesting to know which doctor treats pancreatitis? Read in our article.
So for pregnant women with an acute form of pancreatitis predominantly prescribed therapy in the hospital. If the disease has a chronic course with mild symptoms, home therapy is allowed.
An important aspect of therapy is the elimination of the causes that led to the disease. Only after this treatment can give positive results.
It is imperative from the first days of illness to follow a diet. Proper nutrition and exclusion from the diet of harmful products will help to normalize the patient's condition.
Important! It is possible or not with watermelon pancreatitis, can be found on the pages of our site.
The following medicines are used among medications:
- Painkillers (no-spa, atropine).
- Enzyme preparations (creon, mezim, festal).
Important! Details about the treatment of pancreatitis medication can be found here.
Such remedies relieve pain, help restore damaged gland tissues, restore its natural function.
With the permission of the doctor at home, herbal decoctions can be used to alleviate the condition. To do this, chamomile, elecampane, dill, yarrow and others.
Important! How to treat pancreatitis with herbs, read our article.
Pancreatitis is a common disease caused by various causes. Symptoms of pathology are quite extensive. It is extremely important to start the treatment of the disease in time to avoid unpleasant complications and death.
During pregnancy and after childbirth
Pathological processes in the bile ducts and ischemia of the tissues of the gland, which is caused by the overpressing of large vessels by the uterus, will become the main trigger factor for the formation of the disease during pregnancy or after childbirth.
In addition, at this stage, women often change their taste preferences, which can provoke pancreatitis.
Often, diseases during pregnancy are caused by an increase in cholesterol in the bloodstream, hyperparathyroidism, and the chaotic use of a complex of vitamins and minerals.
In trimester 2, the likelihood of a chronic form of the disease increases.
In accordance with certain statistical information, in 1 trimester, the exacerbation of pathology is noted in every fourth woman, in 2 - in every third woman, in 3 - in 40%.
At the initial stage of pregnancy in many situations, a chronic form of the pathological process under consideration occurs.
Its initial manifestations are nausea, gag reflex, intolerance to certain food products, loss of appetite.
In this case, in order to make a correct diagnosis, a woman needs to carry out a comprehensive diagnosis, which will allow to establish a provoking factor for the symptoms that have developed and to select the appropriate therapy.
Inadequate treatment can provoke a difficult course of pregnancy and its failure.
Particularly dangerous will be the formation of an acute attack of the disease during pregnancy. It greatly fructifies and leads to dangerous consequences.
The intensity of the symptoms is varied. When only pancreatic edema is present, the manifestations of inflammatory changes are less pronounced.
In the process of developing pancreatic necrosis, an attack will be extremely difficult.
In many patients, the attack is associated with a sharp manifestation of girdling pain at the top of the abdominal cavity or under the rib to the left.
They are cramping or permanent. Often, the pain is expressed so strongly that a woman develops a collapse or a state of shock.
During pregnancy, painless forms of the disease are often noted, which are accompanied by symptoms of CNS damage (confusion and neurological abnormalities), or dyspeptic forms of exacerbation, manifested by nausea, vomiting reflex, diarrhea and gas formation.
The signs of illness during pregnancy must be distinguished from many other diseases:
- Pathological processes not associated with pregnancy: cholelithiasis, cholecystitis, hepatitis, ulcer, dyskinesia, colitis, irritable bowel, pyelonephritis, renal colic.
- Diseases associated with pregnancy: early toxicosis, intrahepatic cholestasis, acute liver.
Complicating the diagnosis of pathology during pregnancy can also manifest symptoms of spontaneous abortion or early childbirth.
Therefore, in order to confirm pancreatitis, instrumental and clinical diagnostics are carried out in all cases:
- Blood test or urine for amylase.
- Blood test for lipase.
Basically, to identify the pathology at this stage, an ultrasound and an amylase blood test are performed. With pancreatic ultrasound, you can determine the increase in the gland and the expansion of ducts.
And the content of amylase increases after 5 hours from the onset of the disease. After 6 days, the indicators are normalized, however, if complications are present, a long period of time is kept hanging.
Symptoms of pancreatitis in men
What is pancreatitis and its symptoms in men?
Pancreatitis in males is an inflammatory process in the pancreas, due to which the tissues of the affected organ begin to be processed under the influence of their own enzymes.
Necrosis and inflammatory changes are more characteristic of the acute form of the disease.
In chronic pancreatitis, there is a disturbance in the blood flow and nutrition of the cells; they will eventually be replaced by scar tissue.
As a result, an irreversible transformation of the gland is observed: functional activity is lost, the secretion of enzymes and hormones, which are necessary for digestive processes and metabolism, does not occur.
In the chronic form of the disease in men there are exacerbations and remissions.
Symptoms of chronic pancreatitis
The chronic form of the disease is formed in stages, along with the deterioration of the functioning of the pancreas. Patients have the following symptoms of the pathological process:
- abdominal distention,
- discomfort, heaviness after eating at the top of the abdomen, tingling in some cases,
If earlier food products and alcoholic beverages were perceived normally, then painful sensations after a meal are gradually formed — they were initially weakly expressed and often go unheeded.
Further pains occur on the navel, in one or two hypochondria. Then the discomfort spreads in a circle and becomes shingles.
A characteristic manifestation of intense diarrhea for 20 minutes after the beginning of the meal. The chair will remain light, liquid, frothy. A man feels the rumbling in the abdominal cavity.
After a bowel movement the state of health becomes better, the painful sensations subside, but will not disappear.
In the future, the normal tissue of the affected organ will be replaced by fibrous, unable to produce enzymes and hormones. For this stage of pathology characteristic:
- gradual reduction of pain in the abdominal cavity,
- diarrhea 4-5 times a day with white patches of fat, poorly washed off with water from the toilet bowl,
- weight loss
- dryness of the tongue, increased bleeding of tissues (for example, while brushing teeth), deterioration of visual function, pain in the bones,
- the formation of secondary diabetes.
If such signs are present, medical monitoring and diagnostics are required, which excludes malignant changes inside the body. Symptoms and treatment of the disease are inextricably linked.
Essence of the disease
Pancreatitis is an inflammatory reaction of pancreatic tissue, which results in the violation of the content and activity of enzymes (pancreatin, amylase, lipase, trypsin, insulin), which causes disturbances in the digestive system and metabolism in the body. The causes of this disease are associated with the deterioration of the transportation of pancreatic juice with enzymes into the duodenum due to the overlapping of the corresponding channels and the reflux of the intestinal contents into the gland.
Enzymes of juice linger in the pancreas and are activated prematurely. Under their chemical influence are the tissues of the organ, destroying their cells. The provoked inflammatory reaction contributes to an even greater blockage of pancreatic juice, causing an expansion of the affected area. It should be noted that only gland tissue is affected, and the surrounding organs are not affected. However, dysfunction of the pancreas can cause its necrosis with serious consequences, up to death.
Causes of Pancreatitis
Pancreatitis in adults and children can have various causes. The prevailing etiology of male and female disease varies significantly. In men, pathology is most often provoked by alcohol and tobacco. Symptoms of pancreatitis in women are caused by such factors:
- Hormonal surges and disorders, which is especially pronounced during pregnancy, when taking hormonal contraceptives, during menopause.
- Improper diet, especially with artificial starvation for weight loss.
- Gallstone and ulcerative pathology.
In young children, the disease may occur due to cystic fibrosis and helmotic activity. In general, a significant role in etiology is also assigned to other pathologies - diabetes, hepatitis B and C, tumor masses in the gallbladder and ducts.
Symptoms of pathology
The inflammatory reaction in the pancreas leads to its dysfunction, and cellular destruction becomes irreversible. The role of this body in the female body is individual, and its functions are not duplicated, and therefore serious violations appear. According to its development and clinical manifestation, pancreatitis is divided into acute and chronic forms.
The acute type of the disease is caused by the rapid and rapid development of the inflammatory reaction with the risk of irreversible destruction of glandular tissues. Chronic variety is associated with the gradual development of the process. It is characterized by periods of acute paroxysmal nature and remission, when inflammation subsides for a while.
Classification of pancreatitis
In accordance with the international classification of chronic pancreatitis is divided into the following main types:
- Obstructive type associated with the narrowing of the main duct of the organ, but without the formation of stones.
- The calcific species is due to the formation of stones and pseudocyst, and the most frequent manifestation is acute attacks.
- Parenchymal pancreatitis is triggered by the development of inflammatory foci directly in the glandular parenchyma, which often causes an enzyme deficiency, while painful sensations are rarely observed.
Different mechanisms of pathogenesis and cause different symptoms of pancreatitis in women. Given the manifestations of the pathology is often divided by the prevailing signs - pain, hyposecretory, latent and other forms.
Features of the acute form of the disease
Acute pancreatitis is caused by an active inflammatory process directly in the tissues of the organ. Premature activation of lipase leads to cellular degeneration of the fatty type, and trypsin leads to reactions that cause edema and cell necrosis. At the initial stage of this form, the destruction of tissues is local, but new inflammatory foci with diffuse spread throughout the organ appear rather quickly.
The following symptoms of pancreatitis of the pancreas in women in acute form are distinguished:
- Shingles pain syndrome. It is usually most pronounced in the hypochondrium region on the left or on the right. Pain has a high intensity, and is difficult to block with conventional painkillers.
- Loss of appetite, nausea and vomiting, while in the vomit impurities of bile are noticeable.
- Body temperature above 38.5 degrees.
- General deterioration: pulse - more than 92 beats per minute, blood pressure - below 88 mm Hg. st, rapid breathing.
- The appearance of heartburn, hiccups, belching, dry mouth, whitish or yellowish plaque on the tongue.
- Severe abdominal wall tension.
- Abdominal distention with localization in the area of the upper part of the peritoneum.
- An unexpected violation of the chair - diarrhea or constipation with the appearance of undigested food in the feces.
- Pallor, yellowness or cyanosis of the skin, depending on the location of the lesion.
- Excessive sweating.
Acute pancreatitis appears unexpectedly and immediately has pronounced symptoms. The duration of acute manifestation can be from 1-2 hours to 3-5 days.
Signs of a dangerous attack
The most serious manifestation of the acute form of pancreatitis is a complicated attack of the disease. There are such dangerous signs of an attack:
- Unbearable pain at the top of the abdomen radiating to the side, back, hypochondrium, lower back. The most characteristic pain syndrome, "shooting" from the epigastric zone in the back from the left side. Pain is not eliminated by medication.
- Vomiting. She has a rich character. The vomit mass contains bile, mucus, liquid fraction of greenish color. Sometimes it gets a dark shade due to the ingress of blood.
- Signs of a collapse state that are found in behavior and appearance.
- Delayed stools and lack of excretion of gases, leading to bloating.
- Copious cold sweat.
- Pronounced cyanosis of the skin.
- Increase in body temperature to 39-39.5 degrees with an increase in heart rate to 135-140 beats per minute.
- Breathing problems - shortness of breath, increased breathing.
A woman can have a pancreatic attack at any time of the day, sometimes unexpectedly, for no particular reason, but more often after eating with fatty, fried, spicy foods. If urgent, adequate measures are not taken, then painful shock and loss of consciousness are possible.
Features of chronic pancreatitis
The chronic form of the disease develops gradually, which is most often associated with the damage not to the tissues of the gland itself, but to the ducts. For a long time, the disease can go unnoticed. The first signs of the disease are associated with aching pain, which is not very sensitive, but is of a permanent nature with an increase after ingestion of poorly processed, fatty or spicy foods.
Irritability with pancreatitis
Gradually chronic pancreatitis reveals such manifestations:
- weight loss against loss of appetite,
- breaking stools with alternating diarrhea and constipation
- the appearance of irritability and nervousness,
- frequent accumulation of gas in the intestines, leading to bloating,
- bleeding gums as a result of leaching of potassium and magnesium from the body,
- ophthalmological problems associated with the deterioration of the absorption of vitamins by the body,
- intestinal colic.
The chronic form of the disease is characterized by periodic exacerbations, which are triggered by various causes, but most often caused by improper diet. Symptoms of exacerbation are similar to the acute form of pathology, and the main symptom is increased pain syndrome.
Pancreatitis in pregnant women
Taking into account the hormonal “revolution” in the female body during pregnancy, the risk of pancreatitis provoking during this period increases significantly. The most dangerous acute form, developing rapidly and unexpectedly. In pregnant women, its symptoms may be somewhat blurred, and the pain syndrome is less noticeable. Particularly marked more pronounced signs of damage to the nervous system. The development of acute pathology is dangerous both for the fetus and for the woman herself. If the acute form is diagnosed in the first trimester, it is better to abort the pregnancy. When a disease is detected during pregnancy for more than 35 weeks, an artificial acceleration of labor is recommended.
Reference! The chronic form of pancreatitis in remission is not dangerous, but exacerbation attacks can cause serious problems.
The task of treatment is to prevent exacerbations. At the same time, the detection of chronic pancreatitis in pregnant women is difficult. Pain is rarely manifested, and nausea and vomiting are often attributed to toxicosis. In this case, it should be borne in mind that the toxicosis after the 1st trimester should stop, and frequent vomiting, most likely, indicates pathology.
Complications of pancreatitis
Treatment of pancreatitis in women is carried out by complex conservative methods, taking into account the individual characteristics of the organism. It includes the most important elements: elimination of the provoking agent, ensuring proper nutrition, pathogenetic and symptomatic therapy. A special approach is required in the treatment of pregnant women and in the presence of other serious pathologies.
Okreotid with pancreatitis
In the process of treatment, the following main tasks are solved: elimination of pain syndrome and dyspeptic manifestations, termination of the inflammatory reaction, normalization of pancreatic functions, adaptation of the organ to the irreversible changes that have occurred. You can not self-medicate. Even a diet for pancreatitis should be prepared by a specialist.
Features of drug therapy
Drug therapy is the basic stage of pathology treatment. Medicines are prescribed by a doctor taking into account the form of pancreatitis, the climatic picture, the features of the female body, its condition and the age of the woman. With aggravated exacerbation, the treatment is carried out in stationary conditions, and the chronic form is cured at home.
The scheme of complex therapy includes the following categories of drugs:
- Painkillers Analgesics are used that can quickly arrest the pain.
- Neuroleptics. They are administered with insufficient effectiveness of analgesics. Droperidol and Fentanyl are most common.
- Fermented products. They are designed to compensate for the lack of such enzymes as lipase and trypsin, but without increasing the concentration of bile acids. Particularly highlighted drug Panzinorm Forte in tablet form.
- When dangerous attacks of the disease are prescribed such drugs as Somatostatin and Octreotide.
- Antisecretory preparations help to reduce the production of gastric juice. Antacids based on aluminum compounds are prescribed.
With an increased risk of secondary infection, semi-synthetic penicillins and cephalosporins are used. Water-electrolytic balance is stabilized with the help of special solutions. The swelling of the organ is removed with the help of the drug Furosemide.An important stage of treatment is detoxification of the body. To this end, solutions based on reopolyglucine, hemodez, albumin and glucose are introduced. Vitamin therapy involves taking complexes with vitamins A, B, C, D, K, E, as well as lipoic acid and cocarboxylase.
When a comprehensive treatment is provided, the diet is considered an important part. When compiling it, the following principles are taken into account:
- The basis of the diet table number 5 (according to Pevzner).
- With a sharp exacerbation of the disease, the starvation diet is maintained for 2-3 days. With a longer fasting after 3 days begins parenteral nutrition using electrolyte solutions, amino acids and proteins.
- It is important to exclude the consumption of refractory fats (especially margarine), calcium-fortified foods (including cottage cheese, cheeses), canned food, spicy and sour foods, drinks with gas. Fats can not be completely excluded, but their number is severely limited.
- Recommended consumption of protein foods - scrambled eggs, lean meat and fish.
- Meals should be frequent and fractional - up to 6 times a day in portions of no more than 260 g. Food processing - baking, steam cooking, cooking. Only at the stage of remission can fruit and vegetables be consumed raw.
Diet number five
Despite the need for a diet, it must be complete in terms of the content of necessary elements and caloric content. The following daily rates are recommended: fat - not more than 65 g, proteins - 80-125 g (taking into account body weight), carbohydrates - 320-450 g. Drinking regime is useful to provide degassed mineral water, weak tea, non-acidic, natural juices, broth of dogrose , herbal decoctions.
Attention! Pancreatitis is considered a rather dangerous pathology. In the advanced stage, it can cause serious complications, and acute attacks can lead to painful shocks.
With this pathology in the pancreas, irreversible destruction of tissues occurs, which leads to organ dysfunction. Modern means can effectively deal with the disease, but this requires the appearance of the first symptoms to consult a doctor who will determine the necessary treatment regimen.