Localization of pain in acute pancreatitis

Pain with pancreatitis symptoms

Therefore, when acute pancreatitis occurs, a person immediately experiences very severe pain that comes from the very center of the body.
Since the gland lies deep, this pain, with the typical course of pancreatitis and the usual location of the gland at the very beginning, gives the impression of a stake driven into a person. Then the pain begins to spread around: it seems that it radiates to the back, under the left and right shoulder blades, to the left and right side, and at the same time to the sternum and upper abdomen. Therefore, it is correct to say that in acute pancreatitis the pain is girdling and at the same time deep. This is what distinguishes pancreatitis from biliary colic, in which the pain ultimately descends to the right hypochondrium, and from acute appendicitis, which classically manifests itself as pain in the right iliac region.

What kind of pain are there?

The intensity and nature of pain during pancreatitis depend on the stage of the disease, time of day, and the fullness of the stomach.

Thus, incessant aching pain haunts a person at the beginning of an exacerbation. As a rule, they appear after eating, however, sometimes you can observe the occurrence of cramps at night.

If the development of pancreatitis coincides with an exacerbation of duodenal ulcer, the nature of the pain changes - it becomes cutting, burning, localized in the area of ​​the diseased organ and appears in the morning. This pathology is also characterized by the occurrence of so-called hunger pains.

Sometimes, when describing his condition to the doctor, the patient finds it difficult to determine the location of the spasms. This is due to the fact that in acute pancreatitis the clinical picture is very blurred: girdle pain can be felt not only in the abdomen, but also in the lower back. Often even the arms and legs hurt, although it is very difficult for a person far from medicine to imagine how the limbs are connected to the pancreas. Only a doctor can find out the cause of these strange sensations.

Signs of pancreatitis symptoms where it hurts

Pancreatitis is a disease of the pancreas, or more precisely, its inflammation. Pain occurs because secretions are not released from the pancreas into the duodenum. And the enzymes contained in it begin to corrode the walls of the gland. This leads to scarring of the surface, and in a neglected state to cell death. There are acute and chronic pancreatitis. And if the first can be completely cured, then in the second case it is only possible to stop the process of destruction of the pancreas.

Acute pancreatitis symptoms and treatment

Acute pancreatitis is almost impossible to diagnose at home and very difficult in a clinical setting. Since there are no symptoms characteristic only of him. Most often they are similar to diseases of other internal organs. However, if several characteristic signs are present, this disease can be assumed:

• abdominal pain;
• vomit;
• bloating;
• oily stool;
• change in complexion.

In the case of an advanced disease, when the destruction of the pancreas has begun, characteristic indicators appear:

• purple spots appear on the face and in the right hypochondrium;
• bruising in the abdominal area;
• pinpoint hemorrhages.

The disease can be easily treated, but surgery may also be necessary. When a patient is admitted, the first step is to eliminate pain and reduce swelling. Daily fasting is prescribed and fluid loss is compensated. A strict diet must be prescribed to relieve stress on the digestive system. The patient’s blood circulation is normalized with special medications and antibacterial therapy is administered. In complex forms of the disease, operations are performed during which:

• pump out fluid from the pancreas;
• install a drainage system for gradual swelling of the fluid;
• remove the affected parts of the gland.

Causes of pain with pancreatitis

The appearance and development of pancreatitis can be a consequence of many reasons:

• any disease of the gastrointestinal tract can lead to illness;
• abdominal trauma;
• hormonal imbalance;
• infestation with worms;
• alcohol consumption;
• taking medications, in particular antibiotics;
• unhealthy diet;
• heredity.

Statistics show that in a third of patients the exact cause of pancreatitis cannot be determined. According to recent publications in medical journals, women are twice as likely to be susceptible to this disease than men.

Diagnosis of pain due to pancreatitis

Treatment of the disease is carried out according to the results of a diagnostic examination, which is prescribed at the first signs of the disease. An ultrasound examination of the abdominal cavity is performed, and if necessary, radiography and MRI are prescribed. To diagnose the state of the digestive organs, a scatological examination of stool is necessary, the data of which may indicate disorders of the digestive process.

General and biochemical blood and urine tests are performed, an analysis for pancreatic enzymes (the content of trypsin, lipase, amylase and their effectiveness), and in case of concomitant diseases, a blood sugar test is performed.

Localization of pain in pancreatitis

Abdominal pain is a characteristic sign of pancreatitis. Depending on its shape and which part of the gland is inflamed, the pain is localized in different places in the human body. Types of pain can be different:

• dull;
• aching;
• cutting;
• acute;
• in one place or throughout the entire abdominal cavity.

The pancreas is divided into the head, body and tail. If the inflammation began in the head, then it hurts in the hypochondrium of the right side. Disturbances in the body give off pain in the stomach area. The inflammatory process that began in the tail manifests itself as pain in the left side. It is often difficult for a sick person to pinpoint the exact source of pain. When the entire pancreas is inflamed, everything hurts. The pain radiates to the back, leg, and in women, to the groin area. Other signs of pancreatitis include:

• changed skin color, it turns yellow;
• the appearance of diarrhea or constipation;
• bloating and flatulence;
• headache due to general weakness of the body;

The disease can occur without fever.

Symptoms

Signs of pancreatic pathology depend on the form of the disease and its nature (acute or chronic). Acute disease of the gland is characterized by the manifestation of clear symptomatic signs that require immediate medical attention. Signs of the acute form of pancreatic disease are expressed as follows:

• the appearance of acute pain in the hypochondrium on the right, involving the entire abdominal cavity;
• pain syndrome with girdling manifestations radiates with dagger-like cuts to the lumbar back and shoulder blade area, decreasing when taking a sitting position with a slight bend forward;
• intense level of nausea with characteristic vomiting;
• loss of appetite;
• bloating of the entire abdominal cavity;
• paleness or yellowness of the skin;
• increased heart rate with low blood pressure.

With the development of an acute form of pancreatic disease, the manifestation of pain in the back area becomes permanent. The same painful feelings also arise during exacerbation of the chronic form of this pathology, but they have a less pronounced nature of manifestation and can be mistaken for symptoms of a disease of the spinal column. The localization of back pain depends entirely on which part of the gland is affected by inflammation.

With the progression of inflammatory pathology in the area of ​​the caudal part of the parenchymal organ, pain occurs on the left and can radiate to the lumbar region and chest. And if the head zone of the gland is affected, pain appears on the right side of the hypochondrium and can spread to the area of ​​the right chest and to the lumbar region.

When the entire parenchymal organ is affected with the development of intense swelling, a girdle pain syndrome appears, affecting the entire cavity of the peritoneum and back.

In the event that the patient experiences, along with painful sensations in the area of ​​the upper peritoneum, radiating to the back, a sharp weight loss. As well as a depressive state, vomiting with blood clots and yellowness of the skin and sclera of the eyes - this indicates that pancreatic pathology has entered a complicating stage, and perhaps endocrine pancreatic cancer has already formed. Treatment for this pathology is developed based on its stage of progression. Surgery is necessary for:

• resection of the head part of the gland;
• removal of certain areas of the small intestine;
• elimination of part of the bile duct, and maybe the bladder;
• to amputate the affected area of ​​the stomach and reduce the growth of a tumor-like neoplasm.

After surgery, drug therapy is prescribed.

Mechanism of pain

Inflammatory processes, changes in the structure of the membrane, blockage of the ducts affect the appearance of pain. The occurrence of tumors and scars interferes with the outflow of pancreatic juice from the pancreas. This, in turn, increases the pressure in the ducts and leads to disruption of the blood supply to the tissues. Inflammation causes enlargement of nerve endings and damage to the nerve sheaths, which is accompanied by pain. If pancreatic pain occurs, you should consult a gastroenterologist. It is he who will help determine the causes of the disease and make a diagnosis. Further treatment will take place under his supervision. In complex cases, the treatment process is led by a surgeon.

Muscles and ribs

For abdominal pain, there are three algorithms of action:

• rest, taking an antispasmodic, laxative in case of constipation;
• call an ambulance in case of prolonged sharp and incessant pain, blood in the stool or vomit;
• going to a doctor: a therapist, a gastroenterologist, a nephrologist, or a surgeon or other specialist. In any case, your therapist knows what to do and where to go, what tests to take.

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Pain relief at home

If there is an attack of sharp pain in the peritoneal area, you should, of course, immediately call a doctor. Something cold placed on the stomach will help relieve an attack at home. It doesn't have to be ice. Any product from the freezer that needs to be wrapped in cloth will do. At home, you can take a herbal preparation - no-shpu and drink alkaline mineral water. Painkillers should not be taken. This enables the doctor to make the correct diagnosis. You should refuse food completely. The pain is especially severe if you lie on your back. Relief comes if you lie on your side and bend your knees.

Treatment

The “gold standard” for the treatment of pancreatic inflammation is the use of Creon; it not only relieves pain. To reduce the severity of pain during an attack of pancreatic pain, antispasmodics are used: Mebeverine, Dicetel. Antispasmodics are effective for type A pain.

Increased pain is relieved with the use of Tramadol, Codeine, Pregabalin.

If there is no effect of drug therapy, surgical treatment is used. If the cause is pathological changes in the small ducts, then opioids are prescribed and denervation or resection is performed.

After pain relief, diet therapy is necessary to normalize body weight and enzyme synthesis.

Endoscopic treatment is used to ensure the outflow of pancreatic juice and remove necrotic areas of the gland and cysts.

After stopping the attack, diet therapy is necessary to normalize body weight and enzyme synthesis, and lifestyle correction.

Medication

Tablets are less effective than minimicrospheres and microtablets. The first stage of treatment is the appointment:

• analgesics and antisecretory drugs;
• hormones that reduce the sensitivity of pain receptors;
• histamine receptor blockers;
• proton pump inhibitors.

Signs and treatment of chronic pancreatitis

If a person has already been exposed to the disease, then in the future the pathological changes that occur in the gland do not pass without a trace. They not only persist, but can also progress. With improper therapy, acute pancreatitis becomes chronic.

The difference between these types of disease lies in the different manifestations of symptoms. At first, chronic pancreatitis manifests itself in the same way as acute pancreatitis: indigestion, bloating, etc. Moreover, the symptoms persist for a long time, but are smoothed out. There is a decrease in appetite. Then the patient begins to lose weight: in three months up to 7 kg. During moments of exacerbation of chronic pancreatitis, the patient is bothered by constant and abundant salivation. Chronic pancreatitis has haunted people for decades. Periodic pain may occur after eating. Especially when overusing fried, spicy and fatty foods. Pain sensations appear in the upper abdomen, and can radiate to the heart area, to the left side of the back. The right side of the body hurts less often. The patient has a feeling that his heart or kidneys are hurting. I suffer from abdominal discomfort, bloating, and diarrhea. There may be nausea and vomiting that does not bring relief. Patients with chronic pancreatitis get tired quickly, have difficulty sleeping at night, and become irritated. Therapy will consist of following a constant diet, in which everything fried, fatty, salty, hot spices and alcohol are excluded from the diet. All foods are best steamed or boiled. It is recommended to eat more often (every 3 hours), but in small portions. Complete abstinence from alcohol. Pancreatin enzymes are taken to help the pancreas. Antibacterial therapy is sometimes used. At the time of severe exacerbation, the patient should completely refuse food and take anti-enzyme drugs. This disease is tricky in that it can be virtually asymptomatic for many years. Lack of timely examination and treatment can lead to such serious consequences as:

• pancreas cancer;
• pancreatic cyst;
• diabetes.

How and where does it hurt

The nature and exact location of the pain depend not only on the course of the inflammatory process, but also on the personal characteristics of each person.

In acute cases, pain is often located in the upper abdomen. Most often this is the epigastric zone, but sometimes it can shift to the left or right hypochondrium. Pain during the acute course of the pathology can sometimes resemble the pain that is characteristic of angina pectoris. They can be burning, baking, and spread to the arm, the left half of the lower jaw, and the back.

In a chronic course, the pain does not have a clear location; it can also be of varying intensity:

1. In the form of a left half-belt or a full belt in the lumbar area.
2. In the back area without further spread.
3. In the area of ​​the lower sternum (lower ribs).
4. In the middle or upper abdomen.

Ulcer-like pain (pain on an empty stomach) is quite rare. After periods of improvement, there are sometimes periods of increasing pain.

When the pain disappears, especially if it was very strong, you should not calm down, since its sudden disappearance may indicate the development of necrosis.

Stomach. The most severe pain is in the abdominal cavity, since this is where the inflamed pancreas is located. The pain can spread throughout the entire upper abdomen, painful spasms are accompanied by pain in the stomach and lower abdomen, and may sting in the right side. Such symptoms indicate the initial stage of exacerbation of pancreatitis.

Intestines. The processes occurring in the intestines are the cause of most discomfort, the predominant of which is pain. Poorly digested food accumulates in the intestines, which contributes to irritation of the organ mucosa and acts as a provocateur of inflammation. Consequences in the form of dysbacteriosis force a person to lose a lot of weight.

Back. With an exacerbation of pancreatitis, swelling of the pancreas and its ducts occurs, which causes the tissues adjacent to the diseased organ to be pinched. Along the surrounding nerve fibers, pain spreads to other parts of the body, most often radiating to the perineum and lower back.

Anus. Exacerbation of pancreatitis contributes to disruption of the digestive process. Inadequate processing of food causes an inflammatory process in the lower intestines, and signs of diarrhea or constipation form. Bowel movement is accompanied by pain; it can also occur after defecation, localized in the anus. Painful spasms can be very strong, and the patient may involuntarily begin to resist the urge to defecate, only making the situation worse.

Subcostal area. Pain can be felt in the right or left side, and in some cases radiate to the chest, it depends on which area of ​​the pancreas the inflammation process covers. When pain is felt only on the right, this means that the inflammatory process has affected the head of the pancreas, when on the left - the tail of the organ.

If the inflammatory process affects the entire body of the pancreas, pain can affect the entire epigastric zone: a triangle whose apices are located on the chest and hypochondrium. Similar sensations can occur during a heart attack.

Limbs. Problems in the gastrointestinal tract can affect the general health of the patient. With pathology, there is an acute lack of useful vitamins and microelements, calcium and other important minerals are washed out of the body, which results in problems with the joints - arthritis and arthrosis can occur. Pancreatitis can often cause pain in the knee or elbow joints, which is a result of the destruction of bone tissue.

Head. Violation of the functionality of the pancreas can cause general intoxication of the body. Pathological transformations that affect the nervous and circulatory systems appear due to putrefactive processes occurring in the intestines and a constant lack of nutrients. For this reason, a large number of patients diagnosed with pancreatitis complain of sudden jumps in blood pressure and severe headaches - migraines, attacks of which can last for two or three days.

How does pain occur with pancreatitis?

What kind of pain occurs during pancreatitis and where does it hurt during pancreatitis? The occurrence of pain is due to several reasons.

Pain in chronic pancreatitis, as well as in acute pancreatitis, primarily occurs due to a violation of the patency of the ducts for transporting pancreatic secretions. In addition, the cause of pain may be a violation of microcirculation in the tissues of the organ, the occurrence of foci of suppuration and the occurrence of dystrophic pathological changes.

If the disease occurs in an acute form, pathological changes associated with the formation of suppuration predominate in the tissues of the organ.

In such a situation, the full range of symptoms characteristic of the process of suppuration develops:

• swelling occurs in the tissues of the organ;
• there is a disruption in the functioning of the organ;
• a color change occurs.

The accumulation of fluid in the gland tissue when swelling occurs leads to increased compression of the tissue; in addition, an increase in the size of the gland affects the intestines, squeezing it. Compression of the intestines leads to severe pain.

Each disease has individual characteristics, therefore, as pathology develops, the localization of pain during pancreatitis will differ slightly in each specific case.

Most often, discomfort and acute pain occur in the abdominal area.

If the enzymes produced by the glandular tissue do not find a way out, they penetrate beyond the boundaries of the organ and this increases the pain symptom.

Chronic pancreatitis is characterized by the presence of a pain symptom of relatively low intensity, and the pain itself is dull and aching, can be girdling and reminiscent of the sensations of angina attacks, which can mislead the patient.

Most often, girdle pain in the abdomen and lower back with pancreatitis develops if the disease becomes chronic.

The causes of pain can be a large number of reasons, among which are the following:

1. Any ailment of the gastrointestinal tract can provoke the occurrence of pancreatitis.
2. Injury in the peritoneal area.
3. Disturbances in the hormonal background of the body.
4. Damage to the body by worms.
5. Excessive consumption of alcoholic beverages.
6. Unreasonable use of medications during treatment, for example. Antibiotics.
7. Unhealthy food.
8. Hereditary predisposition.

According to medical statistics, in 30% of all identified cases, the exact cause of pancreatitis cannot be established.

Back pain with acute pancreatitis

Pain in the epigastric and back areas can occur in different ways, depending on the extent and intensity of the pathology present in a particular case.

Pain syndrome with the development of acute pancreatic pathology can have a typical form of manifestation and an atypical one, as well as a permanent manifestation, which, if no treatment is applied, will only worsen, worsening the general well-being of the patient.

Typical and atypical pain

Typical pain symptoms of the acute form of pancreatic disease include pain from the pancreas, which radiates to the back and captures the entire peritoneal cavity in a kind of ring, indicating a severe course of the disease. Temporary relief can be achieved only by adopting the knee-elbow position of the body, but pain relief will not last long.

It becomes really painful when a complication of pancreatic pathology in the form of pancreatic necrosis begins to progress in the body of an adult. In this case, the pancreas radiates not only to the back, but also to the abdominal area with equal pain intensity.

An atypical type of pancreatic pain includes manifestations such as aching aches that appear in the back area. Atypical pancreatic pain can have several types of manifestation:

1. The pain is similar to colic in the kidney, its localization occurs on the left side with a characteristic return to the back area. It bothers you on an ongoing basis, manifesting itself in the form of attacks with a minimal decrease in its intensity.
2. Soreness manifests itself only in the spine area, mainly the pancreas radiates to the scapula area, and does not appear in other parts of the patient’s body.
3. In the female body, nagging painful sensations of a cramping nature may occur.

There are a huge number of provoking factors for the occurrence of such symptomatic pain. Complications can also occur with varying degrees of severity. Therefore, it is recommended that if such pain occurs, immediately seek medical help.

Methods of examination and prevention of pancreatic diseases

Prevention of exacerbations of pancreatitis is quite simple. As well as preventing the occurrence of the disease itself.

To prevent the development of pancreatic inflammation, you should not only adhere to a healthy diet, but also follow a daily routine. It is not recommended to eat at night, this is due to the fact that during this period of the day the organ goes into a slow mode of functioning.

You should not eat fast food, you also need to reduce your consumption of alcohol, fatty and fried foods. It is advisable to use boiled and baked meat for food. Additionally, it is necessary to limit the consumption of flour products and sweets.

Before taking part in the feast, to facilitate the work of the body, it is necessary to take enzymatic preparations that contain amylase, one of the main enzymes produced by the pancreas.

In order to promptly seek help and identify the presence of a disease in the body, you need to know what the first signs of the disease are.

Such signs are the following:

• sharp or aching pain in the abdominal area;
• girdling pain in the lumbar region;
• the appearance of a feeling of nausea and vomiting;
• the appearance of aversion to any food;
• the occurrence of bloating;
• change in skin color;
• decreased blood pressure;
• increase in heart rate.

If pancreatitis is suspected or the first signs of the disease appear, a comprehensive examination should be carried out to establish an accurate diagnosis.

When carrying out diagnostics, the following examination methods are used:

1. Conducting a laboratory blood test.
2. Blood chemistry. This test reveals the level of amylase in the blood.
3. X-ray of the abdominal organs.
4. Fibrogastroduodenioscopy. The use of this technique makes it possible to determine the presence of ulcers and neoplasms; in addition, the method allows one to obtain the patient’s gastric juice for analysis.
5. Laparoscopy. The method allows, if necessary, to take material for a biopsy. A biopsy makes it possible to detect the presence of cancer cells if there is suspicion of cancer development.
6. Computed tomography is performed if a pancreatic tumor is detected.

One of the most common methods for detecting pathology is ultrasound.

If necessary, the doctor may additionally prescribe other types of diagnostics.

Diet for pain

After a 3-day abstinence from food, the patient must follow a strict diet that excludes the consumption of spicy, fried, fatty foods, large amounts of spices and salt. Allowed to use:

• Semi-liquid and liquid porridges, which are prepared with water or low-fat milk;
• Chicken bouillon;
• Meatballs, steamed cutlets, meat soufflé;
• Boiled fish and poultry;
• Vegetable puree;
• Baked fish and meat dishes (without crust);
• Sweet fruits (baked and pureed).

Patients with this diagnosis are advised to follow the principles of fractional nutrition: eat small portions of food 4-6 times a day.

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How do pain symptoms occur with pancreatitis?

In the mechanism of pain in pancreatitis, various processes that occur in the pancreas can play a large role, for example:

• Impaired tissue microcirculation (ischemia).
• Obstruction of the gland ducts.
• Dystrophic and inflammatory changes.

The predominance of certain changes is determined by the nature of the disease (acute or chronic form).

In acute pancreatitis, the palm belongs to inflammatory changes in the tissues of the gland itself. The development of all the classic symptoms of inflammation is observed:

1. pain;
2. swelling;
3. dysfunction;
4. redness.

Edema, which is caused by excess fluid accumulation, has an additional negative effect. It compresses the pancreas tissue.

The appearance of necrotic and dystrophic areas in acute pancreatitis is an individual symptom and can range from single lesions to total pancreatic necrosis.

When such a pathology occurs, a violation of the integrity of the lobules of the gland parenchyma is accompanied by the removal of its enzymes beyond the anatomical boundaries of the duct. Therefore, pain with pancreatitis increases even more.

Inflammatory changes in chronic pancreatitis are less intense. Here, ischemic processes and replacement of glandular tissue with connective tissue predominate. Cysts and areas of calcification appear in some areas of the pancreas.

Treatment of chronic pancreatitis

When pancreatitis is diagnosed, treatment using integral medicine methods is complex and is carried out taking into account all factors in the development of the disease.

Treatment of pancreatitis includes reflexology methods on the bioactive points of the meridians of the pancreas, liver and gallbladder using acupuncture and acupressure.

The most important part of the treatment of pancreatitis is herbal medicine. used to treat pancreatitis have an anti-inflammatory effect, improve the functions of the pancreas and biliary tract, normalize the production and flow of bile, as well as the enzymatic activity of the pancreas (production of pancreatic enzymes), promote the restoration of pancreatic tissue at the cellular level and eliminate the inflammatory process.

Characteristics of pain

The nature and localization of pain in pancreatitis can be considered individual, but on the other hand they depend on the course of the inflammatory process. In acute pancreatitis, pain occurs immediately after eating a food irritant. With the progression of pathological disorders, the pain of pancreatitis gradually increases.

The patient rushes about in an unsuccessful search for a relieving position. However, in most cases, neither the “embryo” position (legs pulled up to the stomach), nor the side position, nor the half-sitting position bring long-awaited relief. In a supine position, more pronounced pain symptoms are observed.

Often, pain with pancreatitis is localized in the upper abdomen. Usually this is the epigastric part, but sometimes the pain can shift to the left or right hypochondrium. Occasionally, pain in acute pancreatitis resembles the pain characteristic of angina pectoris.

They manifest themselves as baking, burning unpleasant symptoms in the chest area, spreading to the left side of the back, the left side of the lower jaw or arm. Chronic pancreatitis manifests itself in that the pain does not have a clear localization. They can vary in intensity:

1. In the lumbar region in the form of a full belt or left half-belt.
2. In the back area without spreading to nearby areas.
3. In the area of ​​the lower part of the sternum (in the area of ​​the lower ribs).
4. In the middle or upper abdomen.

Most patients suffering from chronic pancreatitis experience periodic pain, in other words, a cramping type. With pancreatitis, pain can vary in intensity. But most often it is so high that even mental disorders can occur.

Note! Pain in chronic pancreatitis is directly related to the consumption of fatty, spicy or fried foods and alcohol. The first signs of pain are observed half an hour after eating.

Ulcer-like pain, that is, pain on an empty stomach, is observed very rarely. Sometimes after periods of improvement there are periods of increased pain.

If the pain has disappeared, this is not always a reason for joy. This is especially true in situations where the pain was very severe. Its sudden disappearance indicates that necrosis is developing in most tissues.

Back pain with chronic pancreatitis

When the inflammatory process in the cavity of the parenchymal gland begins to enter the chronic stage, the painful syndrome will not go away and accompanies the patient further, but with less intensity. If you do nothing, the pain will gradually go away, and the intensity of the attacks will no longer be so pronounced.

There are 2 types of manifestation of pain syndrome in chronic gland disease, depending on the location of the lesion of the parenchymal organ:

1. With the development of inflammation in the head area, pain manifests itself in the right side, lower back and sternum.
2. As the lesion progresses in the caudal zone of the gland, pain occurs in the sternum, left hypochondrium and lumbar back.

It is important to know that in some situations, the symptomatic appearance of pain in the back may be associated with other pathological disorders that have nothing to do with the functioning of the pancreas.

Similar pancreatic painful symptoms can result from pinched intervertebral discs, the development of osteochondrosis and other pathologies.

How to relieve pain at home

In acute pancreatitis, the disappearance of severe and sudden pain can have negative consequences. The emerging picture of an “acute abdomen” is correctly diagnosed and assessed by a surgeon only in natural conditions.

That is, the use of any painkillers dulls the pain, making the disease difficult to diagnose. When acute pancreatitis develops, the most effective method is applying a heating pad with ice to the stomach.

Pancreatic pain can be relieved at home using non-narcotic (non-steroidal) analgesics. The most effective substances in this segment are:

• Paracetamol.
• Ibuprofen.
• Diclofenac.

Paracetamol is available in tablets, syrup or liquid capsules. The dose of the drug is selected individually in each case. It is advisable to start treatment with a minimum dosage, and if necessary, it should be gradually increased.

If the analgesic effect is very weak, ibuprofen or diclofenac is prescribed. Relieving pain by potentiating the effect of NSAIDs with tranquilizers or antipsychotics is possible only with extreme severity of pain.

The complex treatment of chronic pancreatitis includes the following groups of drugs.

Pancreatic enzymes

In other words, pancreatin. On the one hand, it improves digestion processes and reduces the load on glandular tissue. On the other hand, reducing the functional load can directly relieve pain or, in extreme cases, their intensity.

The hormone somatostatin and synthetic compounds with it

Somatostatin has the property of reducing the body's sensitivity to pain and, in particular, to pain during pancreatitis. A synthetic analogue of the drug is octreotide. The drug has a long duration of action, so even a three-day short-term course can achieve a fairly long-lasting effect.

However, somatostatin has a fairly wide range of contraindications and side effects, so it and its analogues cannot be used to treat absolutely all patients. The drug is prescribed individually, as is the treatment of pancreatitis with medications.

How to quickly relieve pain

You can quickly eliminate pain in acute pancreatitis using:

• Novocaine;
• Ketanova;
• Omnopona;
• Tramadol;
• Fentanyl.

In addition to painkillers, the patient is prescribed antidepressants, antipsychotics and tranquilizers to alleviate the patient’s emotional state. The administration of painkillers is combined with the use of antibiotics, antispasmodics and other drugs. When used in combination, these measures help to quickly relieve the patient of pain and alleviate the general condition.

Pain caused by exacerbation of chronic pancreatitis can be relieved with the following medications:

• Baralgin;
• Diclofenac;
• Ibuprofen;
• Metamizole;
• Paracetamol.

They are also used in cases where it is necessary to eliminate pain during chronic pancreatitis. The dosage of each drug is determined by the doctor, focusing on the patient’s age and information about what diseases accompany inflammation of the pancreas.

The pain will become much weaker and will soon disappear completely if the patient follows a diet.

• The best remedy for pain that occurs during an exacerbation is fasting. The patient must refrain from eating for three days, drinking only weak, cooled tea with a spoonful of honey and still mineral water. On the fourth day, you can eat little by little - thin porridge, puree soup, skim milk.
• The use of various alcohol tinctures for pain relief is strictly prohibited! They not only do not alleviate the patient’s condition, but, on the contrary, can aggravate it due to the irritating effect of alcohol on the inflamed pancreas.
• Yoga and alternative medicine may be helpful, however, they should only be used after consultation with your doctor.

Causes

Pain with pancreatitis develops due to many provoking factors. Among them:

• excessive consumption of alcoholic beverages;
• dry food, frequent snacks;
• frequent consumption of fatty, fried or spicy foods;
• the presence of concomitant pathologies of the digestive system;
• uncontrolled use of certain medications;
• frequent stressful situations.

The sensation of pain appears after eating, when the pancreas is forced to produce the required amount of enzymes to break down food. The following pathogenesis mechanisms contribute to the appearance of pain:

• increased pressure in the ducts of the organ due to stagnation of juice in it;
• inflammation and swelling of tissue;
• organ hypoxia;
• changes in the gland of a dystrophic nature;
• local circulatory disorder.

Such processes can cause pain in humans regardless of the type of pancreatitis - acute or chronic.

Other symptoms of pancreatitis

In acute inflammation of the pancreas, the symptoms are somewhat similar to signs of poisoning. The enzymes that did not leave the pancreas, but remained in it, began to process the tissues of the organ, destroying it. All processed products enter the bloodstream, causing rapid intoxication. Therefore, in addition to pain, the following symptoms are observed:

1. bloating
   is another sign of pancreatic problems;
2. active vomiting may begin
   , but does not bring much relief, but only temporary;
3. diarrhea
   with specific inclusions in the form of ground black coffee;

4. in case of dehydration and constant pain, shortness of breath develops;
5. the complexion becomes pale, becomes gray, and the facial features seem to become thinner and sharpen;
6. Blueness of the skin at the navel may be observed.

With pancreatitis, body temperature does not increase significantly. The pressure may drop or rise due to the influence of pain.