Symptoms and medicinal treatment of pancreatitis

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Drug treatment of pancreatitis

Treatment of this disease is prescribed by a specialist doctor individually for each patient, for the reason that in no case can treatment be administered.

Treatment is accompanied by antiferment therapy, which helps to stop the destructive processes in the pancreas. The patient needs rest and bed rest during seizures. It is strictly forbidden to take heavy and fried foods, as it is harmful to the sick organism.

It is recommended to adhere to a special diet for three weeks. From one to three days a patient who suffers from a severe form of the disease is given hunger. The body at this time eats intravenously.

Treatment of acute pancreatitis

Patients who suffer from severe form of this disease are placed in the intensive care unit, as only this way it is possible to establish stable monitoring of hemodynamic parameters , and just as calmly you can treat the beginning complications.

As a rule, a surgical operation is applied to the acute form, which is assigned to the patient only if he has a severe and even neglected form. During the operation, the laparoscopy method is used, which results in the installation of drains.

After surgery, the doctor prescribes antibiotics and drugs that block the anti-inflammatory processes in the body. If necessary, the doctor prescribes the patient with dehydration therapy. As we said above, in the treatment of pancreatitis, replacement therapy with enzyme preparations, which are taken for a long time, is of great importance. In addition, a specialist doctor also prescribes drugs such as:

  • Calcium

  • Cholagogue funds

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  • Sedative drugs

  • Metabolic complex

  • Hormones

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Treatment of chronic pancreatitis

The chronic form of this disease is characterized by a lull and remission of the disease , so at this time it is recommended that doctors completely eliminate alcoholic beverages, do not eat heavy and fatty foods smoked and fried, and so that not d to lower pancreas overload, to eat food in small portions. The best option is to eat often, but not enough. During the treatment of chronic form pancreatitis, vitamins B, A, D and E. K are prescribed, as well as cholagogue and enzyme preparations such as:

  • Festal

  • Creon

  • Pencitrate

  • Digestal

In the treatment of the chronic form of this disease, the patient can continue to take enzyme preparations for the rest of his life. If there is a bowel disorder, the doctor prescribes: prokinetics, that is, cisapride and domperidone or duodenostasis.

Now there are several forms of chronic pancreatitis:

  • , which is manifested by constant pain in the upper abdomen, and during exacerbation with increasing pains to strong.

  • Asymptomatic or latent form, during which the patient may not feel pain or any pain, no changes in health for a long time.

  • A pseudo-tumor form that is very rare and affects the head of the pancreas, and because of the proliferation of fibrous tissue, its size increases.

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    Chronic recurrent form, in which there are no complaints during an exacerbation, and Medications prescribed for pancreatitis

    In order to stop the pain syndrome, they are appointed by the doctor of m-cholinolytics:

    • Metapin (0.1 percent solution – 1-2 ml.)

    • Atropine (0.1 percent – 1 ml.).

    • Chlorosyl (0.1 percent – 1 mL).

    • Subcutaneously or platifillinahydrotartrate (0.2 percent – 2 mL.) subcutaneously. and inside of the gastostepin.

    Patients with persistent pain syndrome are prescribed H2 blockers:

    • Famotidine per day 60 mg.).

    • Ranitidine (300 mg per day).

    drugs like:

    • Nash-pa (2 percent – 2-4 mL).

    • Papaverin hydrochloride (2 percent – 2-4 ml.).

    • Phenicaberan (0.25 percent – 2 ml.).

    – subcutaneously or intramuscularly with anticholinergics.

    The same is done for this purpose:

    • Baralgin (5 ml.) (50% – 2 ml.).

    The above listed drugs are prescribed together with cholinolytics and antihistamines preparations. The doctor prescribes antacids (algal, gastal, phosphalogel and others) five or six times a day.

    If the intake of the medicines just listed does not give positive results, the doctor prescribes lytic mixtures, namely:

    • Novocain (0.25 percent to 100 mL).

    • Atropine sulfate (0.1 percent to 1 mL).

    • Eufillin (2.4% solution – 1 ml.).

    • Cocarboxylase (one hundred milligrams) on a solution of sodium chloride (0.9 percent – 300-500 mL .) intravenously drip (treatment lasts from three to seven days).

    • Baralgin (5 ml.)

    • Magnesium sulfate (25% to 5-10 ml.).

    • Dimedrol (1% solution – 1-2 ml.), papaverine (2 % solution – 2-4 ml.).

    • Novocaine (0.5 percent – 50 ml.) on a solution of sodium chloride (0.9% solution – 300-500 ml.) drip intravenously . If a severe case is observed, then promedol (1 percent solution – 1-2 ml.) is administered, which is injected with spasmolytic drugs.

      In order to suppress the activity of pancreatic enzymes, it is necessary to administer kallikrein-protease inhibitors, namely:

      • Trasilol (50-100 thousand units).

      • Counterpart (20-40 thousand units)

      • Gordox (50-100 thousand units).

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      The newly listed drugs are part of the “lytic mixtures.”

      Such chemical trypsin inhibitors are used for the same purpose: pentoxyl (0.2 grams) or methyluracil (0.5 grams) – four times a day for three or four weeks.

      The most effective is epsilon-aminocaproper Also, it can be ingested one gram four times a day.

      Aminocaproic acid is a plasmin inhibitor that inhibits the passage of trypsinogen and chymotrypsinogen into trypsin and chymotrypsin. Antiklininovoy activity has prodektin or parmidin, which is taken by the doctor’s order, namely, 0.25 – 0.5 grams three times a day, the course lasts from one month to two. Peritol is taken at a dose of four milligrams orally three times a day, it helps to lower the level of histamine and serotonin, and also reduce the amylases and trypsins in the blood. In addition, with the help of these medications, vomiting and nausea can be eliminated, which contributes to the relief of a pain attack.

      If pancreatitis occurs with externally secretory pancreatic insufficiency, then substitution therapy is used after withdrawal of signs of exacerbation, namely the physician prescribes medical preparations containing pancreatic enzymes, namely:

      • Festal

      • Penzinorm

      • Digitale

      • Mezim Forte

      • Vigheratin

      • Punk Reagent.

      • Pancourmen, creon.

      According to the recommendations of doctors, these medications should be taken three or four times after taking food . Preparations relieve nausea, normalize the stool, flatulence, the patient gains body weight, in general, they improve the patient’s condition.

      Parenteral nutrition is prescribed for patients with severe digestive disorders and poor absorption in the intestine: mixtures of essential amino acids are introduced, namely, alvein, aminosol, alvezin “Novy” 250-400 milliliters drip by intravenous route. electrolytes solutions are injected by intravenous injection (ten percent solution of potassium chloride – 10-15 ml, ten percent calcium gluconate solution – ten milliliters).

      The doctor prescribes vitamins such as B6, B12, C, cocarboxylase, lipoic acid or lipid inside, as well as anabolic steroids, namely, nerobolide, retabolide, and others, one milliliter (five percent) intramuscularly once every seven days, a course of treatment with three or four injections, that is, at the discretion of the attending physician.

      After treatment in patients comes in the norm the protein spectrum of blood serum, the patient gaining weight, and his trophic processes are improving. If there are signs of toxemia, the doctor prescribes intravenously for four hundred milliliters haemodes, hemodez-N, which are based on polyvinylpyrrolidone. Drugs improve microcirculation and reduce intoxication.

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