Abdominal pain, abdominal distension, jaundice, alert to acute pancreatitis

□Liu Yan, Department of Gastroenterology, Mianchi County People’s Hospital

The pancreas is a gland in the human digestive system whose main function is to secrete pancreatic juice. Under normal circumstances, pancreatic juice is discharged from the pancreatic duct. When various causes cause pancreatic juice to flow out and reflux, the pancreas and surrounding tissues will be digested by the digestive enzymes secreted by the pancreas, which will cause pancreatitis.

Pancreatitis can be divided into acute and chronic two. Among them, acute pancreatitis can be caused by overeating, long-term alcoholism, hyperlipidemia, pancreatic tissue damage during surgery or inspection, long-term use of sulfonamides and glucocorticoids, viral infections, and complications of pancreatic cystic fibrosis. Pancreatic duct obstruction, gallstones, etc. can be caused. Often have the following symptoms:

Abdominal pain and bloating. Sudden persistent severe upper abdominal pain, pain like a knife cutting, can radiate to the back or radiate to the whole abdomen. Pain can be relieved by bending forward or curled up, and may be exacerbated by lying on the back.

Nausea and vomiting In acute pancreatitis, bile stasis cannot be discharged in the pancreatic duct, causing bile to reflux into the stomach and irritate the gastric mucosa, leading to nausea and vomiting. The vomit is usually stomach contents, bile or coffee-colored liquid, and the abdomen still hurts after vomiting , swollen and puzzled.

Fever and shortness of breath Most patients experience fever with shortness of breath. The body temperature is generally around 38°C and lasts for 3 to 5 days. If it persists for more than 1 week, secondary infection needs to be considered.

Jaundice When the head of the pancreas is swollen, it may compress or block the adjacent common bile duct, hindering the release of bile, causing cholestasis and elevated levels of bilirubin in the blood, manifested in the sclera, mucous membranes, skin, and other tissues yellow dye.

Other symptoms include subcutaneous hemorrhage, shock, oliguria, hand and foot cramps, diarrhea or constipation, etc.

The etiology of chronic pancreatitis includes genetic causes, gene mutations, pancreatic duct obstruction, systemic metabolic diseases, and abnormal immune systems in the body. Patients with chronic pancreatitis have no special symptoms. They may only feel slight discomfort in the stomach, or repeated abdominal pain and bloating. In severe cases, fat malabsorption occurs. The stool is thin, greasy, and foul-smelling, and it is difficult to flush.

Patients with acute abdominal pain or other symptoms of pancreatitis should seek medical attention immediately, and should not eat or drink before seeing a doctor.

After active treatment, most patients can be cured. If the incentives are not removed, the patient fails to control the high-risk factors, or fails to pay attention to maintaining good eating and living habits, it may cause recurrence.

After completing the treatment of pancreatitis, it is necessary to measure body temperature daily and pay attention to abdominal signs. If you have symptoms such as upper abdominal discomfort, chronic abdominal pain, palpable mass in the abdomen, or fever, you should seek medical attention in time.

Edit: Chen Jing

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