Cholecystopancreatitis: symptoms and treatment
One of the most common diseases of the gastrointestinal tract is cholecystopancreatitis, a disease in which simultaneous inflammation of the pancreas and gallbladder is observed. According to ICD 10, the code for this disease is K87.0.
The main reason for the progression of this pathology is a close anatomical and physiological connection between the two organs — the pancreatic duct and the bile duct. Therefore, if one organ is affected, the pathological process can also spread to the second. With a disease such as acute cholecystopancreatitis, the liver is often involved in the process — it becomes inflamed and dystrophic and necrotic changes occur in it.
This disease occurs for various reasons. The most common are:
- infectious diseases
- stomach ulcers
- metabolic disorders
- inflammation in the gallbladder
- Oncological pathology
- presence of parasites in the body.
Of course, the wrong diet and bad habits, too, can often trigger the onset of this disease. In addition, from a pathology such as cholecystopancreatitis, alcohol abusers and many smokers often suffer. Even to the inflammatory changes in the gallbladder and pancreas can lead to various medications that are taken by people uncontrolled, without taking into account side effects.
Stress and excessive emotional stress are also a provoking factor for this disease, and as today all layers of society are subject to stress, the disease is quite common, and the number of cases with each year is increasing. If a person in the body has foci of bacterial infection, for example, untreated caries, or sinusitis, etc., these foci can also provoke the development of acute cholecystopancreatitis.
Cholecystopancreatitis has symptoms similar to those of other diseases of the gastrointestinal tract. In particular, these are diarrheal disorders, nausea (and sometimes vomiting) after eating, a feeling of heaviness or even pain in the right hypochondrium.
Distinguish between acute and chronic cholecystopancreatitis. The acute form occurs immediately after eating, when a person consumes fried or fatty foods. Patients complain of pain, shingles, excruciating vomiting, bloating, belching, and bitterness in the mouth. There may be insomnia due to persistent pain, diarrhea or constipation develops.
A person with a diagnosis of chronic cholecystopancreatitis, the disease occurs with periods of exacerbation and remission. During the period of exacerbation, the symptoms of the disease are similar to those described above, and during the remission period the doctor determines the enlargement of the liver, which is painful on palpation, and pain in the area of the gall bladder. The course of such a disease as chronic cholecystopancreatitis is long and treatment requires an integrated approach that includes medical therapy, physiotherapy, folk methods and diet.
Sometimes cholecystopancreatitis takes a severe form — obstructive. With this form of the disease, the pancreatic ducts are clogged, which leads to a disruption of the digestive processes and the development of inflammatory phenomena in other organs of the gastrointestinal system.
There are also rare symptoms of this disease that occur in some people:
- ascites development
- yellowing of the skin
- lesions of small joints
- the occurrence of false cysts.
In those cases when timely treatment of the disease has not been carried out, the probability of complications increases. Among the most frequent complications of this pathology, it is necessary to isolate the obstruction of the bile duct, vein thrombosis, endocrine system diseases, as well as peripheral nerve damage and peritonitis.
Diagnosis and treatment
The diagnosis of cholecystopancreatitis is based on patient complaints and visual examination. Also taken into account the data of laboratory diagnosis (blood test, urine).
When the disease can not be accurately diagnosed, an ultrasound of the gallbladder and pancreas, as well as an MRI scan, are shown.
Treatment of this disease should be comprehensive. This means that the medication is complemented by diet and physiotherapy procedures. The drugs that are prescribed for the patient with this disease are:
- painkillers (baralgin, analgin)
- metabolic drugs (methyluracil)
- Enzymatic agents (pancreatin, festal)
- means of oppression of the secretion of juice (cimetidine, omeprazole).
Nutrition for ailment should be normalized, and certain categories of products should be excluded. In particular, the diet provides for a complete refusal of pickles, marinade, smoked products, preserves and alcoholic beverages. Food should be divided and often, and the diet should be observed for a long time, and not only during the period of exacerbation of the disease.
There are many other products that the diet for cholecystopancreatitis does not allow for use. In particular, these are pastries, ice cream and chocolate, green onions, strong tea, radish, sorrel, sour juices, lean meat and fish broths, as well as some other products. Therefore, nutrition for this disease requires a careful approach — a person needs to completely rebuild their diet in order to avoid repeated exacerbations of the disease.
Patients are allowed a diet number 5, and all the products that it includes, for example, boiled meat, fish, vegetable soups, semi-liquid porridge, fresh sour-milk products and much more. A full description of what the diet number 5 consists of, will be written by the attending physician after confirmation of the diagnosis.
Folk remedies have a good effect on the digestive organs, so treatment is justified, but only in combination with diet and drug therapy.
As for physiotherapy, it is appointed strictly individually, depending on the severity of the process and the form of the disease. And in the acute stage it is contraindicated, and in chronic cholecystopancreatitis it is carried out only in the stage of remission. Sometimes the only possible method of eliminating the pathology is surgical treatment.