When inflammation in the pancreas occurs, then pancreatitis and
when the end in permanent structural acute damage of pancreatic tissue then called
Chronic Pancreatitis.
CAUSATION
The gallstone which causes only acute attacks of
pancreatitis.
Cystic fibrosis is another common cause of chronic
diseases in children.
SIGN AND SYMPTOMS
Malabsorption occurs in association with steatorrhea and
weight loss.
Pain, the standard presenting symptom typically occurs
within the epigastrium after eating and radiates to the rear.
Loss of apatite, Nausea, Vomiting, Constipation, Flatulence
are the common symptoms of Chronic Pancreatitis.
Pain and tenderness over the pancreas, mild guarding could also
be noticed.
There may be sometimes jaundice or edema and fibrosis within
the pancreatic head and causes obstruction of the pancreatic portion of the
common duct.
The diabetes Mellitus is common, results in ketoacidosis,
nephropathy and diabetic vascular disease rarely occur.
INVESTIGATIONS
In blood tests, serum amylase and lipase level could also be
raised. Fecal fat could also be increased.
Abdominal X-ray, which reveals pancreatic calcification in
35%-45% of cases
ERCP: Shows diffuse ductile dilation with an irregular
beaded appearance
CT SCAN and Endoscopic
MANAGEMENT
Control of pain
Nowadays a chance of replacement of pancreatic enzymes is
indicated if steatorrhea is documented.
Subtotal pancreatectomy if necessary
HOMEOPATHIC MEDICINES
BELLADONNA 3 one dose fourfold during a day
IRIS VER 6 one dose twice daily if there is a burning sensation along with pain
IODUM 30, where pancreatic disease with cutting pain in the abdomen. Empty eructation and patient is sensitive to heat
Need physician's consultation
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