Diarrhea in acute and chronic pancreatitis: symptoms and treatment

Diarrhea is probably one of the most unpleasant events in our life, causing some discomfort and often destroying important plans, arising at the most inopportune moment. The cause of this condition can be food poisoning and eating disorders, taking certain medicines and eating poor-quality food. However, diarrhea often becomes a symptom of diseases of the gastrointestinal tract, because such a manifestation of digestive disorders can be observed in pancreatitis, gastritis, duodenitis, stomach ulcer and duodenum, colitis, etc. In other words, stool disruption is inherent in any pathology of the inflammatory GI tract.

Today we will talk about diarrhea, which occurs against the background of chronic inflammation of the pancreas, which produces important digestive enzymes.

[1], [2], [3]

Causes of the diarrhea with pancreatitis

Diarrhea in pancreatitis - a phenomenon that characterizes the performance of the pancreas. The more often this phenomenon is observed, the worse the condition of the organ.

Doctors-gastroenterologists agree that the main cause of diarrhea in chronic pancreatitis is a protracted inflammatory process, which adversely affects the production of pancreatic juice consisting of aggressive enzymes (trypsin, phospholipase, amylase, lactase, etc.), through which food coming into the digestive tract completely digested and absorbed in the intestines in the form necessary for the body of nutrients.

With a deficiency of digestive enzymes, digestion of food in the duodenum is inhibited. The situation is aggravated by the development of dyskinesia of bile ducts against the background of the inflammatory process in the gastrointestinal tract reflexively weakening the functionality of the gallbladder and its motor skills. Incidentally, the inflammatory process in some of the organs of the abdominal cavity can spread to other organs, for example, the gallbladder (cholecystitis - inflammation of the gallbladder), which again affects its contractile function, causing dyskinesia hypotonic type (with a decrease in motility).

The bile produced in the liver and stored in the gall bladder plays the role of a catalyst for pancreatic enzymes and an antimicrobial component. In other words, it activates the digestive function of pancreatic enzymes and prevents rotting processes in the duodenum, where bile comes along with pancreatic juice when food gets into the body.

Weak work of the gallbladder and its ducts causes a lack of bile in the DPC, and therefore even the insufficient amount of pancreatic juice released into the DPC has a low activity. The food remains not fully digested, and the violation of intestinal motility (again due to inflammatory processes in the peritoneal organs) contributes to the appearance inside the gastrointestinal tract of the processes of decay and fermentation with violation of the intestinal microflora, which results in the characteristic pancreatogenic diarrhea.

Indigestion of food against the background of inflammation and a lack of digestive enzymes in the composition of gastric and pancreatic juices is the main cause of diarrhea in pancreatitis. However, there are other, less common (secondary) causes that affect the functioning of the pancreas.

Risk factors

Risk factors for the appearance of diarrhea in patients with pancreatitis may include:

• viral, bacterial and parasitic abnormalities of the abdominal organs causing a violation of the balance of intestinal microflora,
• vascular pathologies affecting the kinetic function of the digestive system,
• traumatic pancreatic lesions due to stroke, penetrating injury and surgical intervention,
• diseases of the liver, gallbladder and bile ducts, including the formation of stones (stones),
• the use of strong drugs (for example, for the treatment of the same cholecystitis), as well as allergic reactions to drugs.

[4], [5]

Pathogenesis

Pancreatitis is one of the most dangerous progressive inflammatory pathologies of the gastrointestinal tract, which, with its connivial attitude, risks causing irreversible disturbances in the digestive process, which most negatively affect the functioning of almost all organs and systems of the body.

In most cases, the inflammatory process in the pancreas with a violation of its functionality is caused by bad habits. The most frequent cause of pancreatitis is the abuse of alcoholic beverages for a long time, followed by smoking, known for the negative effect of nicotine on most organs and body systems.

To promote the development of pancreatitis can: constant overeating, passion for fatty foods, protein-free diets. Complications to the pancreas are given by many medications, especially with prolonged use (some antibiotics, hormonal drugs, strong diuretics used for edematous syndrome, resulting from cardiovascular pathologies, etc.).

The disease can occur in both acute and chronic form. Acute pancreatitis can develop against the background of infectious viral diseases caused by cytomegalovirus, hepatitis B and C virus, etc., parasite infestations, pathologies such as intestinal infarction, perforated duodenal ulcer, biliary dyskinesia, chronic and acute cholecystitis, presence of stones in the gallbladder.

With insufficient therapy and non-adherence to diet, acute pancreatitis with acute pain in epigastrium, vomiting, icterus and constipation very quickly passes into a chronic form, characterized by moderate pain on an empty stomach and after a plentiful meal, intensifying toward evening, a feeling of heaviness in the stomach, pronounced dyspepsia, pancreatic diarrhea.

Diarrhea in chronic pancreatitis is a common symptom, but the intensity of this manifestation of the disease is strictly dependent on the severity of the pathology. While the inflammatory process is detected only in the initial parts of the pancreas and is not accompanied by a marked pain syndrome, limited to a feeling of heaviness and pressure in the left side, diarrhea is observed in case of overeating or a dense supper. In the afternoon, such a symptom is extremely rare.

If the diet is not adhered to and there is no appropriate treatment, the inflammation covers all the larger areas of the organ, significantly reducing its efficiency. The cases of diarrhea in pancreatitis become more frequent, accompanied by worsening of the patient's condition (nausea increases, vomiting appears, stomach pains and intestines have severe painful spasms, etc.) and the appearance of neurologic symptoms (weakness, dizziness, hyperhidrosis).

The pathogenesis of diarrhea in chronic pancreatitis is based on a decrease in the enzymatic function of the pancreas. Insufficient production of digestive enzymes leads to a deficiency in the duodenum, where half-digested food from the stomach enters. Violates the whole process of digestion, suffers suction function of the intestine with the development of a putrefactive process in it (food does not split, but rot in the intestine).

Pancreatitis rarely appears as an independent disease. Usually it can be observed in conjunction with other inflammatory diseases of the gastrointestinal tract or against the background of infection of the abdominal cavity.

[6], [7], [8], [9]

Symptoms of the diarrhea with pancreatitis

The mention of the fact that with prolonged and severe forms of pancreatic inflammation there is a characteristic pancreatogenic diarrhea, is not accidental. After all, with pancreatitis diarrhea has its own distinctive features and does not look like diarrhea caused by food poisoning.

Characteristic features of diarrhea in pancreatitis:

• kashchitseobrazny character of stool,
• presence in feces of slices of undigested food,
• strong unpleasant odor,
• oily appearance,
• large volume of excreted feces during one act of defecation (polyphecal),
• grayish or greenish shade (diarrhea with pancreatitis and accompanying cholecystitis due to a violation of the outflow of bile often has a grayish-yellow color).

The mechanism of the development of diarrhea in the enzymatic insufficiency of the pancreas determines exactly what diarrhea we observe in pancreatitis.

The main characteristic of feces in pancreatitis is the presence of the remains of undigested food. It is this indicator that indicates the violation of the digestive process due to a lack of special enzymes designed to break down food into the smallest particles. Lack of pancreatic juice and low activity of enzymes in it lead to the fact that semi-digested food is taken out to the outside in the same form, because the process of final grinding of the food lump falls out of the digestive chain.

Disruption of absorption of nutrients in the intestine as a result of inadequate processing of the food lump leads to the fact that fats, as a necessary energy component, simply "fly out into the toilet", settling on its walls in the form of oily, difficult to wash off gruel, and the patient begins to experience weakness and decay forces.

A large amount of excreted feces indicates a low percentage of digestibility of food in the intestine. Those. In fact, everything that a person ate, came out without benefit to the body.

As for color and smell, then there are already imprinting those processes that occur in the body as a result of stagnant phenomena. Violation of the admission of bile and pancreatic enzymes into the 12-duodenum changes the color of the feces to a gray or yellowish light hue. And the processes of putrefaction and fermentation, carried out with the participation of bacteria, lead to the fact that with congestive chronic pancreatitis, we observe green diarrhea. It is the putrefactive processes in the intestine that cause and the fetid smell of the kashchitseobraznyh gray-green stool.

There is diarrhea with pancreatitis after eating, usually 1-2 hours after eating. At the same time, there are other symptoms of the disease. The frequency of manifestations of such a symptom, as diarrhea, is 1 or 2 times a day. In severe cases of the disease, multiple acts of defecation are observed, repeated every day after each meal and even between them.

Diarrhea in pancreatitis is accompanied by symptoms such as nausea and vomiting, spastic pain in the stomach and intestines, weakness, dizziness. Against this background, the patient has a cold sweat, the skin acquires a light tint, sometimes with a pronounced yellowness, darkens in the eyes, there is a shiver in the body.

As for vomiting, most often there are weak desires that do not lead to the eruption of the contents of the stomach outside.

A diffuse inflammatory process in the pancreas can cause a fever with the appearance of chills. Diarrhea and temperature in pancreatitis indicate that the inflammation inside the body is progressing and the disease acquires a life-threatening severe form.

[10], [11]

Complications and consequences

Whichever cause is caused by diarrhea, the most dangerous consequence of it is dehydration (dehydration). The appearance, smell, and color of the stools do not matter, it is sufficient that the feces become more liquid, and therefore the volume of H ₂ O in them increases.

For one act of defecation with diarrhea, the body leaves 2-3 times more water than usual. And if you consider that diarrhea with prolonged pancreatitis can occur several times a day, the loss of fluid over time will reach critical levels.

Hence dry skin and thirst, which are often diagnosed in patients with chronic pancreatitis.

The longer a symptom is observed, such as diarrhea in pancreatitis, the worse the patient's condition, because together with the water, the minerals necessary for the body also go away, which means that the water-electrolyte balance is disturbed. Violation of the digestion and absorption of the intestine results in a deficiency of vitamins and the development of anemia, a lack of protein in the body (an important building material of the body cells), various metabolic disorders.

All this leads to deterioration of the skin, bones, teeth, nails, hair, muscle weakness, inflammatory lesions of the tongue (glossitis), the appearance of cracks on the lips and "zaed." The patient begins to rapidly decrease weight, reaching critical figures. Complications of pancreatitis in the form of diarrhea contribute to the development of asthenic syndrome, accompanied by emotional lability (mood swings, short temper, sentimentality), anxiety, sleep disorders.

The shortage of nutrients necessary for the life of the organism significantly reduces its protective functions. Therefore, patients with pancreatitis are more likely than others to have bacterial and viral infectious pathologies.

Diarrhea in pancreatitis becomes a frequent cause of necrosis of internal organs with the development of their dystrophy. Decreasing in size, the organs and glands are no longer able to perform their full responsibilities, which causes new and new disorders of the body. For example, a decrease in the functionality of the pancreas is fraught with the development of diabetes mellitus.

A significant role in the well-being of patients with pancreatitis accompanied by diarrhea is played by a subjective assessment of what is happening. Frequent painful urge to defecate can significantly worsen the quality of life of patients, limiting their opportunities for productive work and recreation, destroying the planned plans, putting them in an uncomfortable position before the surrounding people. This point leads to the fact that many patients with neglected form of pancreatitis have nervous disorders, depression, which only aggravate the patient's condition and the course of the illness (stresses never contributed to recovery).

[12]

Diagnostics of the diarrhea with pancreatitis

Very often, we do not pay attention to the alarming signals that the body, subject to this or that disease, gives to us. Pain in the epigastrium is written off for stale or poor-quality food, diarrhea for food poisoning, nausea for poisoning, pregnancy or increased blood pressure, dyspepsia for stomach problems and stale foods. Any symptom can be found habitual and quite logical explanation. But as far as our assumption is correct, only the results of diagnostic studies can tell.

If unwanted symptoms are ignored for a long time, you can skip the onset of the disease and its transition to a chronic form, thereby exposing your body to even greater danger, because any chronic diseases weaken the immune system and leave a person vulnerable to all sorts of infections. But this is not about this, but about the fact that the appearance of certain symptoms indicates not the development of the process, but its chronization.

So, diarrhea in pancreatitis is a signal to the fact that the disease has acquired a chronic course. However, a belated treatment of a doctor even with such symptoms requires a special examination of the digestive tract to establish a primary diagnosis, in which diarrhea will be only one of the manifestations of the disease.

Symptoms of pancreatitis in many ways resemble the clinical picture of many pathologies of the gastrointestinal tract. However, the characteristic of pain that occurs mainly after taking "forbidden" food, a feeling of heaviness in the abdomen, the quality and amount of excreted feces give the doctor a reason to suspect pancreatitis. But the presence of such a symptom as diarrhea in pancreatitis will tell a lot about the course of the disease.

Diagnostic measures for suspected pancreatitis involve examining the patient with palpation of the epigastric region, examining the symptoms according to the patient's words, if necessary, measuring body temperature.

The patient is prescribed such tests:

• a general blood test (will show the presence of an inflammatory process and changes in the blood composition, indicating the development of anemia),
• a blood test for glucose (to clarify whether pancreatitis is the cause of the development of diabetes),
• a general urine test (also provides information on inflammation, but will also diagnose the kidneys needed to prescribe medications),
• analysis of stool (will show the presence of undigested components of the food lump, fats, as well as the processes of decay on the background of bacterial activity).

If pancreatitis is suspected, a laboratory diagnosis of the pancreas is performed. For this purpose, a special blood or urine test is administered for enzymes (blood amylase or elastase-1 feces).

Instrumental diagnostics allows to estimate the sizes of internal organs and processes occurring in them. Popular in the pathology of the gastrointestinal tract fibrogastroskopia in the case of pancreatitis is unlikely to give enough useful information, so hope for it is not worth it.

The most informative and therefore popular method of instrumental diagnosis of pancreatitis remains ultrasound (ultrasound) of the pancreas. A more modern methods for diagnosing pancreatitis are also computer and magnetic resonance imaging of the organ, which allow examining the pancreas from all sides in a three-dimensional image.

[13], [14], [15]

Differential diagnosis

Differential diagnosis is performed with inflammatory pathologies of the digestive tract (gastritis, duodenitis, colitis), intestinal infections, intoxications.

Treatment of the diarrhea with pancreatitis

Another feature of diarrhea in pancreatitis is that it is not so easy to stop. Some fixing drugs can not do it, because they can not affect the pancreas. And is it worthwhile to inhibit the excretion of toxic food rotting products from the body without carrying out detoxification measures?

Get rid of diarrhea with pancreatitis can only stabilize the pancreas, and this requires patience and self-discipline.

Inflamed pancreas reacts very hard to heavy loads and thermal effects. Heat is generally contraindicated in inflammatory processes, since it only aggravates the situation. But the use of hard-to-digest fatty foods requires a great deal of return from the sick body, which it can not do. As a result, pains appear in the epigastrium, nausea, and stool disorders.

To stop the attacks of pancreatitis in the first days of exacerbation the patient is offered a little hunger, using enough water. On the pancreas to remove the edema and inflammation it is necessary to apply an ice compress (for example, a hot-water bottle filled with ice pieces, laying between the body and a warmer the fabric folded from several layers to avoid frostbite of the skin).

When the disease worsens, bed rest is recommended, because rest is one of the main factors in the successful therapy of pancreatitis.

In the future, to facilitate the work of the pancreas, it is recommended to maintain a sparing diet. A fractional diet (6-8 times a day) is mandatory, while portions should be minimal to only slightly quench the hunger. The food should be liquid or semi-liquid, well-ground, without seasonings and sauces.

It is necessary to limit the use of indigestible coarse fiber, pearl barley, milk (with diarrhea it can be added in small quantities to cereals and soups). Fruits and vegetables must be heat treated. Alcohol and soda, beans and mushrooms are strictly prohibited.

The food should be one that does not cause piles in the pancreas. Products are cooked or steamed, food is consumed only in a warm form. Water is shown in large quantities (at least 2 liters per day), which will help to fill its reserves with diarrhea.

Peace and proper nutrition will help to normalize the functioning of the pancreas, but not as quickly as we would like. Therefore, to facilitate the work of this important organ, patients are prescribed enzyme preparations (Pancreatin, Creon, Mezim, Festal, etc.). Thus, the load on the pancreas is reduced, and the 12-duodenum receives a sufficient amount of digestive enzymes, which promote rapid and effective digestion of food. And if the food does not stagnate in the intestine, it leaves the body naturally in the form of a normal stool.

Activated charcoal and other enterosorbents (for example, "White coal", "Polisorb" and even popular in gastroenterology "Almagel") help to cope with the manifestations of intoxication resulting from stagnant phenomena in the digestive tract. And the water-electrolyte balance can be restored by intravenous electrolyte salt injections (in a hospital) and using a large amount of liquid.

To reduce the frequency of defecations, increasing the tone of the rectum and anus, antidiarrhoeal preparations based on loperamide ("Immodium", "Loperamide", "Lediumum", etc.) will help. However, with the use of such drugs you need to be careful, because they cause a delay in the body of toxic substances. Take them only if absolutely necessary.

Analgesics (for example, "Baralgin") and spasmolytic drugs ("No-shpa", "Papaverin") will help to remove pains and spasms outside and during diarrhea with pancreatitis. Alternatively, you can take drugs with a complex effect, which cures and cures, and anesthetize ("Spasmil", "Spazmalgon", "Renalgan").

Since prolonged diarrhea always contributes to the disturbance of the intestinal microflora, measures should be taken to restore the beneficial bacterial composition of the internal environment of the body. To this end, the doctor appoints a sequential method of probiotics containing colibacillus, bifido- and lactobacilli ("Colibacterin", "Bifidobacterin", "Lactobacterin"). Each of the drugs is taken within 21 days, so the course of recovery of the intestinal microflora is delayed sometimes up to 2 or more months.

But before starting to restore useful flora in the intestine, it must be thoroughly cleaned from harmful microorganisms involved in the processes of putrefaction and fermentation that occur in chronic pancreatitis. For this purpose, the colon is cleared with an enema. And such a preparation as "Polyphepan" will help to clean the entire intestine completely, preparing the soil for the safe settlement of useful microflora.

Diarrhea in pancreatitis leads to the fact that the body begins to lack the necessary for its functioning of vitamins and minerals. The mineral reserve can be replenished injectively, which is done in severe cases of diarrhea. But the necessary vitamins with food restrictions can be obtained from vitamin-containing drugs. The optimal option to fill the deficiency of vitamins and minerals is vitamin-mineral complexes in the form of tablets, but they should be taken after the diarrhea is eliminated, otherwise the effect of their intake will be zero.

Drugs for diarrhea in pancreatitis

Treatment of diarrhea with pancreatitis is impossible without restoring the normal digestive process. Since the normalization of the pancreas occurs gradually, and you need to eat every day 6 or more times a day, you can improve the digestion of food only by taking substitutes for pancreatic juice.

Substitution therapy in the case of chronic pancreatitis is a regular intake of enzymatic drugs that help eliminate diarrhea and prevent the development of other complications.

"Creon"  is one of the popular substitutes for pancreatic juice enzymes. The drug is based on porcine pancreatin, in its properties identical to the human. Pancreatin, in turn, consists of 3 enzymes: lipase, amylase and protease, which help to break down the fats, carbohydrates and proteins that enter the body in the food composition, respectively.

For convenience of use, the preparation is available in capsules of various dosages: 150 mg (10,000 units of lipase, 8,000 units of amylase, 0.6 thousand units of protease), 300 mg of 25,000 units of lipase, 18,000 units of amylase, 1 thousand ED proteases), 400 mg (40 thousand units of lipase, 25 thousand units of amylase, 1,600 units of protease).

Since the need for pancreatin depends on the degree of pancreatic insufficiency in different patients, an effective dosage of the drug is established individually (from 2 capsules of 150 mg to 3 capsules of 300 mg at a time). Snacks should additionally be accompanied by taking capsules in a reduced dose (one capsule of 150 or 300 mg).

Take the drug should be either during meals, either immediately before or after eating. Capsules do not need to be chewed, enough to drink them with a lot of water. During therapy, the amount of water drunk per day should be at least 2 liters.

The medicine has very few contraindications to use. It is not prescribed for patients with intolerance to the components of the drug, as well as for pancreatic hyperfunction. Side effects are limited to the appearance of constipation (against the background of insufficient amounts of liquid being drunk), dyspepsia, pain syndrome with localization in the epigastric region.

"Festal"  is a combined preparation that, in addition to pancreatin, contains other enzymes that promote faster and more effective digestion of food. Bovine bile in the form of a powder stimulates the activity of lipase in the metabolism of fats, and the hemicelulase participates in the cleavage of plant fiber. It will be especially useful in the treatment of diarrhea in cholecystitis and pancreatitis.

The preparation is produced in the form of a dragee, the shell of which protects the enzymes from the action of hydrochloric acid. One dragee contains: 6 thousand ED lipase, 4.5 thousand ED amylase, 0.3 thousand ED protease, 50 mg bile, 25 mg hemicelulase.

The drug is prescribed to adult patients for 1-2 tablets with each meal. Swallow the sweets with water.

Contraindications to the use of the drug are: hypersensitivity to the drug components, acute stages of hepatitis and pancreatitis, mechanical jaundice, severe violations of intestinal permeability, pathologies associated with impaired glucose and sucrose metabolism.

Side effects on the basis of taking the drug may be as follows: disruption of the gastrointestinal tract, accompanied by nausea, vomiting, stiffness or stiffening of the stool with a change in its characteristics, spasmodic pain in the intestines, irritation in the anus.

Infrequent allergic and anaphylactic reactions occur. Taking large doses of enzymes can lead to changes in blood composition, irritation of the oral mucosa, development of hyperuricosuria.

Enzymatic drugs are used in the chronic form of pancreatitis during the remission of the disease.

If diarrhea in pancreatitis becomes regular and pose a threat to the health of the patient, the doctor may carefully prescribe the use of fixative drugs.

"Immodium"  - antidiarrhoeal drug based on loperamide, which reduces the production of mucus in the intestines and improves the absorption of liquids in the digestive tract. Produced in the form of capsules and tablets.

For the treatment of chronic diarrhea, adults are usually prescribed 2 capsules or tablets for resorption, children - 1 tablet per day. Then the dose is adjusted in such a way that the number of defecations was no more than 2 per day.

Capsules without chewing are washed down with water, and the tablets are kept in the mouth until they completely dissolve.

The drug is not used for intolerance of its components, acute dysentery, pseudomembrane and acute ulcerative colitis, bacterial enterocolitis, impaired motor function of the intestine, lactation. Caution is observed with liver pathologies.

During the medication, such unpleasant symptoms as nausea, vomiting, flatulence, dizziness, weakness, drowsiness, constipation can be observed. May disturb abdominal cramps, signs of indigestion appear. In rare cases, patients complain of trembling in the body, loss of consciousness.

On the background of hypersensitivity, allergic reactions can occur, incl. And heavy.

Diarrhea in pancreatitis, like the disease itself, is often accompanied by painful sensations in the pancreas and intestines. In this case, the doctor prescribes pain medications and antispasmodics.

"Spazmil"  is a drug with complex action that contains 3 active substances, being both an antispasmodic (pitofenone and fenpiverinium), and an analgesic (metamizole).

Take the pill is recommended after a meal with plenty of fluids. The daily dose is 1-2 tablets, the course of treatment is not more than 5 days.

The drug has a lot of contraindications, which must be taken into account in its appointment. It is forbidden to take the drug to patients with hypersensitivity to its components, impaired bone marrow function and blood pathologies, anemia, renal and hepatic insufficiency, decreased tone of the gallbladder and urinary bladder walls, arrhythmia with high heart rate. Do not prescribe medicine for acute porphyria, glaucoma, prostate adenoma with impaired urine outflow, intestinal obstruction, collapse, bronchial asthma, suspicion of appendicitis or peritonitis.

In pediatrics apply since 15 years. Do not use to treat pregnant and lactating women.

The appearance of side effects is associated with the analgesic component of the drug. It can be allergic reactions, skin rashes, attacks of suffocation, tachycardia, lowering blood pressure, the development of blood diseases.

Quite often patients complain of disruptions in the work of the gastrointestinal tract, accompanied by dry mouth, nausea and vomiting, stool disorders.

[16], [17], [18], [19], [20]

Alternative treatment

It can not be said that non-traditional methods of treating pancreatitis were more effective than classical ones. However, to deny their effectiveness is also not worth it. Still, many plants have effects useful in inflammatory pathologies of the gastrointestinal tract, since they can remove inflammation, and somewhat anesthetize, and improve digestion.

Diarrhea in pancreatitis occurs only after the normalization of the digestive process, in which the pancreas takes a very active part. Violated her work because of the inflammatory process in the body.

Soothing and regenerating effect on the mucosa of various digestive organs is provided by freshly prepared potato and carrot juices. The juice should be squeezed off with carefully washed vegetables and peel. It is better to mix the juices in equal proportions and drink them 1 glass 3 times a day for half an hour before a meal.

And the broths of pomegranate crusts, walnut leaves, seeds and leaves of horse sorrel help to fight the liquid stool.

A good effect in pancreatitis is also provided by herbal treatment, which will stop diarrhea, and the general condition will improve.

To remove inflammation in the pancreas helps infusion of camomile chamomile (1 tablespoon of raw materials per 1 cup of boiling water). Take it 3 times a day for ½ cup.

And if the chamomile is supplemented with corn stigmas and flowers of calendula, you can prepare an effective antidiarrhoeic remedy. A glass of boiling water is now taken from the tablespoon of the collection, it is insisted for about an hour in the heat and taken 15 minutes before a meal a month's course.

Help to fight diarrhea and such herbs as immortelle and wormwood. 1 tbsp. Any of the herbs pour a glass of boiling water. Immortelle enough to insist for half an hour, and wormwood boil and insist 45 minutes.

Infusion of immortelle take ½ cup 3 times a day. But with wormwood you need to be more careful, since the grass is rather poisonous. It is recommended to take its broth in small portions (2 tablespoons) up to 5 times a day.

To improve digestion with pancreatitis, cholagogue collections are also shown.

• Collection 1: celandine, mountaineer, dandelion root, three-color violet. Each herb take in the amount of 20 g, pour a mixture of raw materials 1 liter of water and boil for 3 minutes. Take 3 times daily before meals. Course - 2 weeks.

After finishing the course of treatment with the first collection we pass to the second one.

• Collection 2: seeds of dill and mint - 60 g each, hawthorn fruit and immortelle - 40 g each, chamomile - 20 g. Ingredients are poured 1 liter of boiling water and insist until it cools. Is taken after the main meals. Course - 4 weeks.

It is important to remember that herbal preparations will not replace drugs prescribed by a doctor, but will only enhance the effect of the latter. In addition, taking any alternative medicine requires prior consultation with your doctor.

[21]

Homeopathy

Fans of homeopathic treatment can also be offered several effective drugs that help to combat such an unpleasant and dangerous phenomenon as diarrhea in pancreatitis:

Arsenicum is based on arsenic, with a frequent fluid stool, which can be accompanied by vomiting and painful spasms.

Normalization of the stool with pancreatitis is also promoted by Yodum (an iodine preparation).

Fight with pain in the intestines and diarrhea helps Kolotsint, Momordika compositum (drug for intravenous administration).

If pancreatitis occurs against the background of cholelithiasis, it will be useful homeopathic preparation Helidonium-homaccord N.

With any type of diarrhea, such drugs as Aloe and Belladonna will have a positive effect. But Argentina nitrikum appoint only when the stool contains particles of undigested food, which is observed in pancreatitis.

Despite the seeming safety of homeopathic remedies, they should be taken only at the doctor's prescription.

Prevention

Diarrhea in pancreatitis is a signal that the disease, having passed into a chronic form, continues its development, and the condition of the pancreas is already such that it can not normally perform its functions, because of which the whole digestive process suffers. It turns out that you need to treat not diarrhea itself, but damaged by inflammation pancreas.

The same can be said about prevention. In principle, to prevent the appearance of such an unpleasant symptom, as diarrhea in chronic inflammation of the pancreas, you can, if you constantly follow certain rules:

• Forget about such harmful habits as smoking, alcohol abuse, overeating.
• To adhere to the strict diet appointed by the doctor, excluding the use of fried, sweet, salty, sharp, heavy in terms of assimilation of dishes. All products must be crushed. Vegetables and fruits should be boiled or baked. Must be a fractional and preferably separate food, which facilitates the assimilation of products.
• Monitor physical activity and weight.
• Regularly monitored by a gastroenterologist, performing all of its appointments.

The restrictions are rather tough, but this is not a whim, but a harsh necessity. After all, chronic pathologies in the vast majority of cases do not lend themselves to treatment. You can only adjust your condition by prolonging the period of remission, and for this you will have to completely reconsider your attitude towards the lifestyle, some of its joys and nutrition.

[22], [23]

Forecast

If you adhere to the above rules for at least 3 weeks, they will become a habit. This is the mechanism of habit formation, described in treatises on psychology. After 21 days, the rules for the prevention of exacerbation of pancreatitis will become the norm of life and allow you to enjoy it without excess, finding joy in other things. Otherwise, the prognosis of the disease will not be so favorable.

Diarrhea in pancreatitis is a kind of signal about the degree of disruption of the pancreas. While this is a rare case of stool disorders, it is still possible to fight for the body, changing your habits and helping it to work with enzymes and herbs. If diarrhea passes into a chronic form, we need more conservative methods of fighting the disease, conducted mainly in a hospital. And here we have to fight not so much with the disease itself as with its dangerous consequences in the form of dehydration, disturbance of the water-electrolyte balance, failures in the work of other organs caused by deficiency of the substances necessary for the body due to a violation of their digestibility in the intestine.

[24], [25]