Acute pancreatitis

acute pancreatitis in children and adultsPancreatitis is an inflammatory disease that occurs in the pancreas and manifests itself most often in childhood in acute form.

Causes and development of pancreatitis

Very often this disease is transmitted by heredity. If the child's parents had an enzyme deficiency or they suffered from cystic fibrosis, the baby's risk of pancreatic disease increases. An important role in the emergence of pancreatitis is the nutrition of the baby. Products such as concentrated broths, smoked products, excess sweets, different extractives negatively affect the function of the pancreas. The acute form of pancreatitis can occur after a severe stroke in the stomach or after another abdominal injury. In some cases, pancreatitis occurs after some infectious diseases, especially after mumps or flu. When treating such drugs as cytostatics, sulfonamides, corticosteroids, too, acute pancreatitis may occur. The development of pancreatitis can affect gallstone disease, inflammatory process of the duodenum, connective tissue diseases. Acute pancreatitis can occur due to a disorder in the gland of the circulation, because of stagnant phenomena in the upper parts of the digestive tract - gastritis, gastric ulcer, duodenitis. Allergic conditions also contribute to the onset of this disease.

Clinical manifestations of acute pancreatitis

Strong pain sensations appear in the abdomen. In some cases, the pain can be so strong that the baby can have a painful shock. The pain is mainly manifested near the navel, in the upper half of the abdomen. You can give pain in the back or in the thigh. Children have nausea, vomiting. After vomiting, there is no relief. There is an unformed feces with a very unpleasant odor. The body temperature remains normal or subfebrile, the child's tongue is moist, lightly coated with bloom. Pale skin becomes pale. When palpation of the anterior wall of the abdominal cavity no pain occurs, the abdomen is soft. In some cases, an attack of acute pancreatitis can be caused by a strong physical strain.
If the inflammatory process in the pancreas does not start in time to treat, then complications arise, such as the formation of cysts, abscesses, sepsis, and sometimes necrosis of the body (dying out). Therefore, with the slightest signs of this disease you need to immediately seek help from a specialist.

Diagnosis of acute pancreatitis

In order to diagnose pancreatitis, a child's examination is carried out, which involves conducting a general clinical blood test, in order to identify the symptoms of the inflammatory process - increased ESR, increased number of leukocytes. A biochemical blood test is also performed to reveal a high level of pancreatic enzymes - lipase, amylase, trypsin. Urine is analyzed if amylases are found in the urine, this is a sign that the baby has pancreatitis. To diagnose this disease, ultrasound diagnosis of the abdominal cavity, with which you can detect changes in the pancreas, as well as other organs, for example, the gallbladder. As an additional diagnostic, EGDS is used - gastroscopy, ERHPG - endoscopic retrograde cholangiopancreatography, angiography of abdominal organs, functional tests.

Treatment of acute pancreatitis

Treatment is carried out in a hospital. In the first days a strict diet is prescribed to the child, which provides for a restriction of almost everything, except for a plentiful drink in the form of mineral water or unsweetened tea. After a while introduce rubbed dishes, for example, uncooked porridge or mucous soups. After discharge from the hospital, you can not use fresh pastries, chocolate, smoked, spicy, fizzy. As a drug treatment spasmolytics, antiferment preparations, painkillers are used.
If there is a risk of developing a secondary infection, then antibacterial treatment is performed. In order to avoid the transition of acute pancreatitis to chronic, it is necessary to carefully follow all the recommendations of the doctor. After the end of treatment, it is recommended to hold a recovery period in sanatoria, such as Borjomi, Truskavets, Morshin and so on.

Prevention of acute pancreatitis

Since early childhood, it is necessary to teach the child to follow the basic rules of healthy eating. Do not use timely fast food, as it can lead to a general deterioration in health. If there is a high risk of acute pancreatitis due to negative heredity, parents need to be careful when choosing the staple foods for the baby. If the child has any infectious diseases, then it is necessary to conduct timely and carefully treatment.

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