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.
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.
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.