The Patient

Reflux occurs when: The presence of failure (hypotension) – papillity, diverticulitis, the passage of the stone, dysmotility; development of duodenal stasis (chronic duodenal obstruction) Combinations of these two states. Development chronic pancreatitis may be a complication of peptic ulcer – ulcer penetration into the pancreas (pancreatitis secondary). Nutritional factor in the development of chronic pancreatitis Eating greasy, fried, spicy foods, low protein content in the diet (eg, fibrosis and atrophy of the pancreas and expressed secretory failure occurs in liver cirrhosis, malabsorption syndrome). Genetically determined (Hereditary) pancreatitis There are so-called hereditary pancreatitis – an autosomal dominant pattern of inheritance with incomplete penetrance. The same is basically hereditary pancreatitis in cystic fibrosis.

Medicinal pancreatitis is rare. Among the factors pankreatopovrezhdayuschih include: Azathioprine; Estrogen; Glucocorticosteroids; Sulfonamide; Nonsteroidal anti-inflammatory (brufen) Furosemide, Thiazide diuretics, tetracycline; Indirect anticoagulants, cimetidine, metronidazole, cholinesterase inhibitors. The clinical picture of primary chronic pancreatitis. Outcomes of chronic pancreatitis. The clinical picture chronic pancreatitis is characterized by three main syndromes: Pain in chronic pancreatitis, exocrine insufficiency syndrome of the pancreas (a violation of digestion, diarrhea); Syndrome incretory failure (violation of insulin secretion, diabetes). Pain syndrome with chronic pancreatitis pain, leading sign of chronic pancreatitis. For more specific information, check out James A. Levine, M.D.. It is felt mostly in my left side, may have nature of the "girdling" of pain, ie, to capture the entire left side with a call back.

Unlike pain in acute pancreatitis is that the intensity of the pain is such that the patient writhes and can not even straighten up. Increasingly, such seizures occur after alcohol abuse, especially of poor quality, or his surrogates that contain a large number of toxic substances. However, these attacks can be triggered by excessive intake and excessive amount of fatty or spicy foods. Exacerbation of chronic pancreatitis is characterized, first, less severe pain, and secondly, as a rule, these painful episodes are repeated periodically after errors in the diet or alcohol abuse.

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