Pancreatitis

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Dr. Rachna (Hathi) Majumder

  • M. D (Medicine), D. M (Endochrinology), MRCP (UK), FRCP (Edin.), BCLS and ACIS accredition,Moderate sedation certificate courses at Tan Tock Seng Hospital, Singapore, Root cause analysis workshop,open communication with patients after an adverse outcome, Faculty induction and development courses ar Tan Rock Seng Hospital, Singapore., Habits signatureprogramme at TTSH, Singapore, MRCP TRAINING COURSES FOR PART 2 St.George’s Hospital Medical School,Tooting,London, March,2002, AND PACES at Ealing Hospital,Ealing,London, Feb 2004, Observership at Rotherham General Hospital 1 month 2003
  • 30 years experience

Dr. I.P.S. Koachar

  • MD from Maulana Azad Medical College, MRCPCH From London, MAMS from Vienna
  • 27 years experience

Dr. K.P.Singh

  • DM-Endocrinology-1991, FICN, MBBS 1985, MD (Medicine) 1988
  • 24 years experience

Dr. Manjunath Malige

  • MBBS, MD (Internal Medicine), MRCP (UK), MRCP (Endo,UK) FRSM (London), FACE(USA)
  • 20 years experience

Dr. Ritesh Gupta

  • MD
  • 20 years experience

Dr. Sudhendra Kulkarni

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  • 20 years experience

Dr. Shrirang Dabhade

  • MS – Nair Hospital, Bombay, FRCS – UK, Dip. Diabetes - (Bradford, UK), DMH - Belfast, UK, MRCGP - UK, Ex – Teaching Fellow, University of Liverpool, UK
  • 20 years experience

Dr. Krishna Seshadri

  • MD (Internal Medicine, Endocrinology, Diabetes and Metabolism)
  • 19 years experience

Dr. Srivatsa Ananthan

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Dr. Manish Shirsat

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Dr. Rakesh Kumar Prasad

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Dr. Ankur Gahlot

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Dr. Nitin Gupta

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Dr. Srinivasa P Munigoti

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Dr. Tejal Lathia

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About Pancreatitis

Pancreatitis refers to a condition indicated by the inflammation of the pancreas. It is a serious condition and needs prompt medical supervision. The reason is that pancreas is an organ that can get inflamed over a short period of time. It is basically a small organ located behind the stomach and below the ribcage.

In most of the cases, people with an acute version of disease recover within a week and come across no additional problems. However, it is important to keep in mind that severe cases can present grave complexities and can turn fatal.

Acute pancreatitis is different from chronic pancreatitis, which is indicated by the inflammation of the pancreas for several years. It can be an acute (short-term) or chronic (long-term) condition.

It's believed that acute pancreatitis takes place when a problem develops with some of the enzymes (chemicals) in the pancreas, which makes them digest the organ.

Acute pancreatitis is most often associated with:

  • Gallstones – which interprets for around half of all cases.
     
  • Alcohol consumption – which accounts for about a quarter of all instances.

By controlling the alcohol consumption and changing your diet to make gallstones less probably, one can reduce his or her chances of developing acute pancreatitis.

Acute pancreatitis is more prevalent in middle-aged and elderly people; however, it can affect people of any age. Men are at higher risk of developing alcohol-related pancreatitis, while women are more likely to develop it as an outcome of gallstones.

Symptoms

The universal symptom of acute pancreatitis is abdominal pain. Other signs and symptoms of the acute case are:

  • Nausea and vomiting
  • Abdominal pain that may extend to the back
  • Pain that deteriorates after eating
  • Chills and fever
  • Tenderness of the abdomen on touch
  • Lassitude and weakness

Complexities of pancreatitis may include:

  • Diabetes
  • Pancreatic cancer
  • Malnourishment
  • Infection
  • Pseudocyst formation

Causes

Alcohol consumption and gallstones are the two major reasons behind pancreatitis, referring to around 80% to 90% of all cases.
Pancreatitis from alcohol abuse typically occurs in people who have been long-term alcohol drinkers for a period of more than 5 years. A majority of chronic pancreatitis cases are due to alcohol abuse. Pancreatitis is often already chronic for the first time the person looks for medical attention (generally for extreme pain).

Gallstones form from an accumulation of material within the gallbladder, another organ in the abdomen. A gallstone can restrict the pancreatic duct, deceiving digestive juices within the pancreas. Pancreatitis due to gallstones tends to occur more commonly in women of more than 50 years of age.

Other causes behind the onset of this disease include:

  • Medicines
  • Exposure to specific chemicals
  • Injury (trauma), as might occur in a car accident
  • Hereditary issues
  • Surgery and certain medical procedures
  • Infections such as mumps (rare)
  • Irregularities of the pancreas or intestine
  • Extreme fat levels in the blood

Prevention

Many suggestions are given to prevent the onset of pancreatitis such as:

  • Say no to alcohol as this is the most preferred way to reduce the likelihood of more attacks. It also helps in preventing the development of further complications that can be very serious.
     
  • If a medication or chemical exposure is the reason behind the onset of pancreatitis, then elimination of the medication or insulting exposure is suggested.
     
  • If extreme triglycerides are the reason behind the problem, then a health-care professional may recommend medication to reduce the patient's triglyceride levels.

Treatment

In the majority of cases of acute pancreatitis, hospital admission is required, whereas some cases of chronic pancreatitis can be dealt with in an outpatient setting.

Basis the underlying cause of pancreatitis, treatment may differ to address the particular cause. In general, however, the following treatment plan will always be administered for the treatment of pancreatitis.

First-line treatment will involve:

  • Fasting to make the pancreas to rest and heal.
  • IV fluids to avert dehydration during fasting
  • It can be extremely painful, thus intravenous pain medication is often needed.

If pancreatitis is because of a blocking gallstone, surgical treatment may be needed to eliminate the gallstone and/or remove the gallbladder. Intervention may also be done to manage a pseudocyst or to eliminate part of the affected pancreas.

If alcohol consumption is the reason behind pancreatitis, self-discipline from alcohol and an alcohol rehabilitation program will be suggested.

If a medication or chemical exposure is the reason behind the onset of the problem, the elimination of the medication or offending exposure is prescribed.

If high triglycerides are the cause of pancreatitis, your medical expert may prescribe medication to reduce the patient's triglyceride levels.

If the pancreatitis is due to gallstones, a surgical procedure to get the gallbladder and gallstones removed (cholecystectomy) is a suggested option.

If specific complications (for example, enlargement or severe injury of the pancreas, bleeding, pseudocysts, or abscess) develop, surgery may be required to groove, repair, or eliminate the affected tissues.

 

Treatments for Pancreatitis

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