Pancreatitis: pain, symptoms and complications

The pain of pancreatitis is manifested in a specific way and is one of the main symptoms of this disease. The pain of pancreatitis is manifested in a specific way and is one of the main symptoms of this disease. Pancreatitis is associated with pain and some other symptoms, some of which can be serious. There are two types of pancreatitis: acute and chronic.

Gallstones and alcohol are the two main causes of acute pancreatitis. In the case of chronic pancreatitis, it is estimated that up to 55% of cases are caused by excessive alcohol intake or alcoholism.

Where does pancreatitis pain feel?

The most common symptom of acute and chronic pancreatitis is pain in the upper abdomen, usually just below the ribs. This pain:

It may be mild at first and worsen after eating or drinking.
It can become persistent and severe and last for several days
It tends to be worse when lying on your back and lessens when you bend forward while sitting
Often radiates to the entire back
Don’t get aggravated by movement
– It is not deaf or localized in the lower abdomen.
Abdominal pain can also vary depending on the cause of pancreatitis.

For example, the pain of biliary pancreatitis is usually sudden and stabbing and may spread to the back. On the other hand, the pain of alcoholic pancreatitis may progress more slowly and be less localized.

Other symptoms of acute pancreatitis

Besides abdominal pain, nausea and vomiting are characteristic symptoms of acute pancreatitis. The stress on different systems can also cause patients to appear as sick as they are. She may be pale, sweaty and depressed.

Other symptoms are:

– Fever
Jaundice (yellowing of the skin and eyes)
– pulse rate
Abdominal bloating or pain
– bloating
– hiccups
– Indigestion
Mud-colored stools

Because pancreatitis causes your digestive enzymes to drop, you can’t break down food enough. When you can’t adequately break down food, it isn’t absorbed the way it should. This changes the nature of the stool. This difficulty absorbing foods and their nutrients can also lead to weight loss.

Symptoms of chronic pancreatitis

Symptoms of chronic pancreatitis often appear only when complications develop or worsen. Chronic pancreatitis pain takes two forms. The pain may come and go, and escalate for several hours or weeks, without discomfort between attacks. In the second case, the pain is persistent and debilitating. In some cases, people with this type of pancreas may experience pain in other parts of the body besides the abdomen. Sometimes there may be no pain at all.

Here are some of the characteristic symptoms of chronic pancreatitis:

– Diarrhea
– nausea
– vomiting
– Lose weight
– greasy stools

What is severe pancreatitis?

Acute pancreatitis is classified as mild, moderate, or severe. While mild or moderate pancreatitis lasts for a few days, severe pancreatitis can last for several weeks.
Acute pancreatitis, which occurs in 15-20% of acute pancreatitis cases, can cause multiple complications. Stage 1 severe pancreatitis is characterized by organ failure that does not resolve on its own within 48 hours. Scientists do not yet know exactly how this organ failure occurs, but they believe that pancreatitis, being an inflammatory condition, sets off a chain reaction of inflammation that damages and penetrates the systems related to or near the pancreas. this.

The lungs are the first to be affected. The inflammation causes the surrounding blood vessels to leak into the air sacs, and fluid in the lungs makes breathing difficult. Breathing problems caused by organ failure are the most common complication of acute pancreatitis. If organ failure is treated within days, the risk of death is low. On estime que si la défaillance d’un organe persiste pendant une semaine ou plus, le risque de décès est de 1 sur 3. Dans le cas d’une pancréatite grave, les tissus du pancréas meurent ( la nécrose fect pancréatique) usually. This complication occurs after the discovery of organ failure. To prevent the infection from spreading, dead tissue is often removed. It is possible to have acute pancreatitis with necrosis but no organ failure.

Other complications of severe pancreatitis include:

– hemorrhage (bleeding)
– bile duct obstruction
Peritonitis, which is an inflammation of the tissues that line the inner lining of the abdomen (the peritoneum).
Pancreatic duct rupture
– acute respiratory distress syndrome (ARDS)
acute lung injury

What other complications are associated with pancreatitis?

Here are some other complications that can occur as a result of acute, severe, or chronic pancreatitis:

Low blood pressure
– drying
Respiratory problems due to hormonal changes that affect lung function
Malnutrition as a result of insufficient absorption and absorption of food.
Pancreatic pseudocysts, or sacs filled with fluid and debris, which can cause bleeding and infection if they rupture.
Infections outside the pancreas (outside the pancreas), including pneumonia, blood infections and urinary tract infections.
– diabetic

As your body uses its fluids to fight damage to your pancreas, you may become dehydrated. Vomiting and the inability to breastfeed can also contribute to dehydration, as well as low blood pressure.

How is pancreatitis diagnosed?

As with most diseases, a diagnosis of pancreatitis often begins with a medical history and physical examination. Your doctor will also order a blood test and possibly one or more imaging tests, such as:

Magnetic resonance imaging (MRI), especially magnetic resonance imaging, which allows magnetic resonance imaging of the bile ducts and pancreas.
Computed tomography (CT)
Abdominal ultrasound
Endoscopic ultrasound, which uses a long, thin tube that is inserted into the small intestine through the throat.
Endoscopic cholangiopancreatography (ERCP), a procedure that uses an endoscope to x-ray the bile ducts and pancreas.

To be diagnosed with pancreatitis, you must have at least two of the following symptoms:

Abdominal pain associated with pancreatitis
The results of the blood test show that the level of the enzyme pancreatic amylase or lipase is at least three times higher than the normal range.
Abdominal images showing the characteristic changes of pancreatitis.

* Presse Santé strives to convey health knowledge in a language accessible to all. In any case, the information provided cannot replace the advice of a health professional.

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