Pancreatitis, inflammation of the pancreas, occurs in acute and chronic forms and may be due to edema, necrosis, or hemorrhage. In men this disease is commonly associated with alcoholism, trauma, or peptic ulcer; in women, it’s linked to biliary tract disease. The prognosis is good when pancreatitis follows biliary tract disease, but poor when it follows alcoholism.
Acute pancreatitis results from the leakage of pancreatic enzymes into pancreatic tissue, leading to autodigestion. Because acute pancreatitis is more common than chronic pancreatitis, acute pancreatitis is the common than chronic pancreatitis.
Cases of acute pancreatitis
- Idiopathic causes
- Post operative causes
- After endoscopic retrograde cholangiopancreatography
- Metabolic causes (renal failure, hyperparathyroidism, acute fatty liver of pregnancy)
- Hereditary causes
- Infections (mumps, mycoplasma, echovirus)
- Vasculitis (SLE, necrotizing angilitis)
- Ampulla of vater obstruction (Crohn’s disease, duodenal diverticulitis, penetrating duodenal ulcer)
- Hypotension may be present in as many as half of the patients; it results from vasodilatation, myocardial depressant factor, and the loss of plasma and blood in to the retroperitonium.
Clinical feature acute pancreatitis
Acute pancreatitis is generally a severe clinical disease, frequently with peritonitis like symptoms and various local and systemic complications, up to and including shock and multiple organ failure. A leading symptom is severe continuous epigastric pain, which can often be felt in the right epigastric region in bilary pancreatitis.
Belt-shaped radiation of the pain along ribs on both sides and to the back is typical. Ulcers, intestinal perforation, acute cholecystitis, and myocardial infraction must be considered in the differential diagnosis.
In comparison to a perforation, the abdomen Is generally less tense. It is rarely board-hard shaped, always there is almost always a severe diffuse sensitivity to palpation of the bloated abdomen with rebound tenderness in later stage.
Initially the abdomen may be soft without rebound tenderness. The discrepancy between the severity of the symptoms and the discrete physical findings id typical for this stage. In this stage a circumscribed pain upon palpation is found.
The patient’s face is pale and sunken with perforation, but often reddened with pancreatitis. Leukocytosis is almost always present.
Laboratory findings in acute pancreatitis
- Elevated serum amylase and lipse are the hallmarks of acute pancreatitis.
- Other findings may include leukocytosis, hypoalbuminemia, hyperglycemia, and elevated aspartate aminotransferase (AST, serum glutamate oxaloacetate transaminase (SGOT), alkaline phosphatase, and bilirubin.
Chronic pancreatitis is defined as an inflammatory disease of the pancreas characterized by persistent and often progressive lesions resulting in functional impairment and structural alterations. Alcohol misuse and malnutrition represent the leading causes of chronic pancreatitis. Metabolic and mechanical disturbances and hereditary disposition have also been implicated.
Pain is the most important symptom of chronic pancreatitis. Possible causes include inflammation of the pancreas, increased intrapancreatic pressure, neural inflammation, and extrapancreatic pressure, neural inflammation, and extrapancretaic causes such as common bile duct stenosis and duodenal stenosis.
The multiple testes available for the diagnosis of chronic pancreatitis can be separated in to chemical measurements of pancreatic function and radiological procedures that provide information on pancreatic structure. Among the pancreatic function tests, the direct stimulatory tests with secretin or cholecystokinin are the most sensitive and specific for evaluation of pancreatic function.
Homeopathic treatment of pancreas affections
Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat pancreas affections but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to treat pancreas affections that can be selected on the basis of cause, sensations and modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. There are following remedies which are helpful in the treatment of pancreas affections:
Phosphorous; Iris; Spongia; belladonna; Conium; pulsatilla; Nux Vomica; Mercurius; kali iod; colocynth; Carbo Animalis; Calcaria Ars; Baryta Mur and many other important medicines.