Is paracetamol for pancreatitis possible or not?

Indications for use

Due to its analgesic effect, Paracetamol is prescribed for the chronic form and for exacerbation of pancreatitis, when the patient experiences pain. Moreover, in case of severe pain during an attack, other, stronger medications are prescribed, and after the sharp pain subsides and a nagging soreness develops, patients take Paracetamol.

Indications for the use of the drug for pancreatitis are:

• soreness,
• elevated temperature,
• inflammatory process.

How to relieve pain from pancreatitis

First of all, you need to remember: in this case, the patient should be given complete rest, and he also needs a “starvation” diet.
Sometimes, if only these conditions are met, it is possible to achieve a significant reduction in pain. Also read: Diarrhea with pancreatitis - treatment

It is allowed to drink mineral water (alkaline, still). Apply cold (ice pack) to the abdominal area.

Pancreatitis has worsened - the pain can be relieved with painkillers, which are administered by injection; tablet forms are excluded. This is explained by the fact that this pathology is accompanied by nausea and often vomiting, as a result of which the drugs do not have time to be absorbed by the body and do not have the desired effect. Taking enzymes in the acute period is strictly prohibited.

As a rule, painkillers are prescribed by a doctor, and only in complex treatment, which implies:

• restoration of water-salt balance;
• decreased activity and production of pancreatic enzymes;
• suppression of infection.

Important! You should not take painkillers for pancreatitis on your own, without medical advice, because by eliminating the pain syndrome, you will “veil” the symptoms of the disease. This will make it difficult to diagnose.

To the question: is it possible to cure a stomach or duodenal ulcer at home, a gastroenterologist, head of the gastroenterology department, Mikhail Vasilievich Arkhipov, answers.

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Pancreatitis is accompanied by intense pain, and it is often long-lasting and debilitating. Acute attacks are relieved with strong analgesics, but their long-term use can cause significant harm to the body and cause addiction. Therefore, after relieving acute pain during the activation of the disease, as well as to reduce the intensity of periodically occurring painful sensations in chronic pancreatitis, Paracetamol is prescribed.

Painkillers for acute pancreatitis

Acute pancreatitis is a condition that requires urgent pain relief. First aid is provided at home, so most often patients take tablet forms of medications.

The best painkillers for pancreatitis are paracetamol. This drug effectively relieves inflammation, reduces swelling and thereby helps restore blood flow in the affected gland and removes ischemic pain.

Paracetamol for pancreatitis is an emergency medicine, if it is ineffective, other non-steroidal anti-inflammatory drugs, such as Indomethacin, are prescribed.

The use of Pentalgin is popular, which, as a combined analgesic, is the most powerful in action. It must be taken in a standard dosage to avoid side effects on the liver and other organs.

Antispasmodic drugs are also popular for pain relief - No-sha, Papaverine, and Duspatalin.

Of course, taking pills does not give an immediate effect, and in the case of inflammation of the pancreas, you need to act immediately. Therefore, painkillers are often administered intramuscularly.

One injection relieves pain significantly more than a pill, even at a higher dosage. Faster-acting forms of medicine - suppositories, for example, baralgin for pancreatitis in the form of suppositories perfectly relieves pain, and also counteracts inflammation and spasm and is suitable even for children.

Features of analgesics

The use of non-narcotic analgesics is allowed at home as prescribed by a doctor. Baralgin is considered one of the best. It is a combination product and has a complex composition:

Therefore, it relieves spasms and quickly relieves pain, especially when used parenterally. Even if you cannot give an injection, and the drug is not available in tablet form, you can drink the solution from the ampoule: the effect will occur in 10–20 minutes.

Maxigan works similarly. Use 1-2 tablets three times a day, depending on the severity of the pain symptom.

Mivalgan - has similar characteristics, but is contraindicated in agranulocytosis, since it itself causes such changes in the blood, especially when taken uncontrolled.

Nospaz is another combination drug that relieves pain for a long time. Contains an analgesic and antispasmodic. Contraindicated for people with bronchial asthma and a tendency to allergic reactions.

Tramadol is an opioid non-narcotic analgesic with a mixed mechanism of action. It has a powerful and immediate analgesic effect, comparable to a narcotic, has a central effect and affects the spinal cord. Refers to list No. 1 of potent substances of the Standing Committee for Drug Control of the Ministry of Health. Dispensed with a prescription with two seals.

Narcotic drugs

These drugs are taken last. Despite the immediate effect, they have many serious side effects, the most severe being addiction (withdrawal syndrome). Therefore, they are prescribed for a short period of time in a hospital setting. The mechanism of action is to block pain receptors and release endorphins and enkephalins.

Of the drugs in this group, only Morphine is not used: it causes a spasm of the smooth muscles of the ducts of the pancreas and gall bladder, which causes pain even more, and the inflammatory process worsens.

Used: Promedol, Fentanyl.

Painkillers for pancreatitis of the pancreas: injections, tablets, antispasmodics

The main sign of pancreatitis is severe pain in the abdominal area. Unpleasant symptoms force the patient to take painkillers for pancreatitis of the pancreas.

In the event of painful conditions, it is important to correctly prescribe medications that can eliminate the discomfort, at least for a short time. Pain relief affects the elimination of pain symptoms and the treatment of the disease itself.

With pancreatitis, the stomach hurts for various reasons:

• in case of alcohol consumption;
• as a result of intoxication of the body due to poisoning;
• if the food you eat is difficult to digest;
• due to exacerbation of gastrointestinal diseases;
• as a result of stressful conditions.

With pancreatitis, the stomach begins to hurt soon after eating. This happens when the pancreas is exposed to the greatest secretory load.

The duration of pain depends on the degree of organ damage and the nature of the inflammation.

The pancreas undergoes changes during pancreatitis:

1. As a result of the blockage, the bile ducts become blocked.
2. The walls of the organ swell and become inflamed.
3. There are problems with blood supply.
4. There is a lack of oxygen in the body.
5. Structural changes in the organ begin.

In the case of aggravated pancreatitis, the inflammatory process is expressed in swelling and disruption of the basic functions of the pancreas. The pain intensifies when pancreatic juice enters the abdominal cavity.

How does pain occur in acute pancreatitis?

The frequency of attacks of acute pancreatitis directly depends on the location of the source of pain. Most often, discomfort is felt under the ribs. Sometimes pain impulses are felt in the left shoulder blade or lower jaw. In such a case, a consultation with a cardiologist is required to establish the correct diagnosis.

How does pain occur in chronic pancreatitis?

With secondary exacerbations, the pain is less pronounced than the initial attack. The location changes. Discomfort is felt in the following areas:

• in back;
• at the top or belly visa;
• in the chest.

In the case of chronic pancreatitis, the pain is not very pronounced and has a different frequency. The discomfort that arises is associated with the consumption of heavy food and alcohol.

It happens that after a severe exacerbation, the painful sensations disappear. Don’t relax, we may be talking about necrosis of a large area of ​​the pancreas.

As a result of painful sensations, patients experience a disturbance in their psycho-emotional state. With a long course of the disease, the psyche is seriously damaged.

Painful sensations during an exacerbation of pancreatitis cause irreversible damage to the patient’s health. Therefore, it is important to relieve pain in the pancreas in time, forgetting about stress and pain for a while.

Ways to relieve pain from pancreatitis

The first attack of the disease usually comes unexpectedly. For objective reasons, first aid is provided to the patient at home or at work. The following rules must be followed:

1. The victim is given complete rest.
2. Sit with your torso slightly tilted.
3. The pain can be relieved a little by shallow breathing.
4. It is not recommended to eat food.
5. When vomiting, it is not recommended to drink medications or solutions intended to cleanse the stomach and intestines. You can get rid of vomiting only with the help of your fingers.
6. You should not take pills, they will affect the results of diagnosing the disease.
7. The patient is allowed to give a quarter glass of still water.
8. You should not apply an ice pack to the problem area - the cold increases vascular spasms, complicating the work of the diseased organ.
9. In case of severe spasm, the patient will not be harmed by analgesics intended to eliminate pain symptoms. Antispasmodics for pancreatitis are prescribed to relieve spasms.
10. After first aid is provided to the victim, a doctor is called to his home.

Drugs that help relieve pain symptoms

After making a diagnosis, doctors decide which medicine to prescribe to the patient. Injections for pancreatitis are prescribed by the doctor, taking into account the patient’s condition and predisposition to allergies. Below are medicines that alleviate the suffering of patients with pancreatitis.

Injections

For injections for pancreatitis, antispasmodics are used that relax the muscles of the internal organs. The most common are no-spa and atropine.

You can numb the pancreas with analgin, baralgin, and paracetamol. Often analgesics are prescribed together with antihistamines, for example, suprastin or diphenhydramine.

In difficult cases, patients are prescribed narcotic drugs, for example, tramadol. The injections are intended for adult patients. The drugs are prescribed for three days at the specified number of times a day.

Pills

To restore the functioning of the pancreas, patients are prescribed tablets containing enzymes. Medicines are selected based on the doctor’s testimony regarding the course of the disease. Some drugs (festal, ferestal) contain bile. In the presence of concomitant gastrointestinal diseases, such drugs are contraindicated.

How to eliminate pain during acute pancreatitis

With the described pathology, painkillers are treated with caution, since pain also occurs for other reasons. If there is no doubt about the cause, it is allowed to additionally take baralgin and diclofenac. The choice and dosage are prescribed by the doctor, taking into account a number of factors.

To make the pain less frequent, drugs are used that suppress the production of enzymes during the onset of spasms, for example, contrical.

Somatostatin with analogues is prescribed to suppress the production of secretions produced by the pancreas.

Mezim or pancreatin reduces the load on the problem organ. To reduce swelling, diuretics are prescribed, for example, furosemide. Antihistamines, for example, suprastin, are used for a similar purpose.

Alternative ways to relieve pain from pancreatitis

A special diet will help eliminate discomfort. The regime consists of a three-day fast, and you are allowed to drink still mineral water and tea with honey.

Relieves the pain syndrome of yoga, selected folk methods of treatment. Such methods require caution, certainly after a conversation with a gastroenterologist.

You cannot relieve an attack using infusions containing alcohol. This will aggravate the situation and lead to complications of the disease.

Source: https://GastroTract.ru/bolezn/pankreatit/obezbolivayushhie-pri-pankreatite-podzheludochnoj-zhelezy.html

Enzymatic preparations

Painkillers for pancreatitis of the pancreas do not always effectively cope with pain. The thing is that analgesics and antispasmodics only temporarily eliminate the unpleasant symptom, but do not fight the cause of inflammation.

To prevent exacerbation of chronic pancreatitis of the pancreas and complications in the form of stenosis or necrosis, doctors prescribe enzymatic preparations.

Creon is considered the best drug from this group. But it cannot be used in all cases. The medication is prescribed only after the results of tests and diagnostics have become known.

In addition to Creon, the patient may be prescribed the following medications.

1. Panzinorm. Used for insufficiency of exocrine functionality. Available in capsule form.
2. Pancreatin. Russian analogue of Creon. It's inexpensive. But it is not effective in all cases. May have an adverse effect on the walls of the stomach.
3. Festal. Multicomponent herbal preparation. It contains not only enzymes, but also bile components and hemicellulose. Prescribed for adults and children over 3 years of age.

Treatment with enzymes lasts from 2 weeks to 1.5 months, depending on the severity of the disease, the nature of the pain syndrome and the age of the patient.

How to treat pancreatitis

The main goals of treatment for chronic pancreatitis are to relieve pain and prevent destruction of the affected organ. This disease cannot be cured completely, so the patient needs to take medications all the time - otherwise the inflammatory process progresses. Since pancreatitis should be treated comprehensively, enzyme replacement and antibacterial therapy is needed.

In case of exacerbation, prompt hospitalization is necessary - timely treatment can prevent tissue necrosis. In the hospital, the patient's stomach is washed through a tube and injections are given with medications, including antibiotics.

Objectives of drug treatment

Medicines for pancreatitis in adults and children are prescribed to prevent the development of complications, as well as to prevent relapses. The drugs should ensure the normalization of digestive processes and improved absorption. The dosage must necessarily correspond to the age of the patient.

Treatment of pancreatitis with folk remedies

Due to the fact that the role of the pancreas is digestion, recipes are aimed at maintaining its functions.

Golden mustache

To prepare the medicine, you will need to take 2 freshly cut leaves of the plant, chop them and pour 1 liter of boiling water. Leave to infuse at room temperature. Next, simmer in a water bath for 30 minutes and leave for 24 hours. Take 50 g of decoction in the morning and evening, 30 minutes after meals.

To prepare you will need to take 1 tbsp. l dill seeds pour 1 tbsp. boiling water Cool, strain, add boiled water as before. You need to drink the infusion 30 minutes before meals. Dill has a beneficial effect on the pancreas and prevents its destruction.

Pour the oats with warm water and leave to steep for a couple of days. After the oats begin to sprout, they are dried and ground into powder using a blender.

In 1 tbsp. l of powder, add 200 ml of water and put on low heat. After the water boils, let it sit for an hour and a half. Strain and use as medicine. The effect of treatment with this folk remedy will be noticeable after 5-7 days.

Chicory

Chicory has a high healing effect in gland therapy.

Using the drink helps get rid of bloating, normalizes stool, and all this happens due to its composition:

• vitamins B and C;
• medicinal resins;
• pectin;
• carotene.

The main quality of chicory is the presence of inulin. It is he who is responsible for normalizing digestion. The easiest way to use chicory without additives. The drink should be drunk instead of tea or after meals during the day. Also, when brewing chicory, you can add a little milk and sugar to it.

Buckwheat with kefir

To prepare the medicine you will need 0.5 tbsp. buckwheat and 1 tbsp. kefir, preferably low-fat. Wash the buckwheat and place it in a glass bowl. Pour kefir over the buckwheat and put it in the refrigerator overnight. In the morning, divide the portion of buckwheat into 2: for morning intake and evening. The course of therapy depends on the individual characteristics of the body.

Tablets for the treatment of pancreas should be taken daily, and some of them for a long time. With proper adherence to the medication regimen, you can completely get rid of the symptoms of pancreatitis.

A severe attack of pancreatitis requires treatment with serious medications. Since in case of acute pain taking pills and turning to analgesics becomes useless, doctors turn to injections. If there are appropriate medical indications, anesthetics (Lidocaine or Novocaine), narcotic anesthetics (Fentamil or Promedol) can be prescribed. They are administered in the hospital in the intensive care unit, less often in the gastroenterology department.

Pancreatitis often leads to the development of severe edema. Diuretic therapy helps eliminate them.

Other methods of pain relief for pancreatitis

What methods and techniques exist to relieve pain from pancreatitis? The mechanism of pain occurrence plays an important role here.

If obstruction of the gland ducts predominates, the following surgical procedures will be effective to restore the patency of its ducts:

• stenting of the gland duct: allows you to “straighten” its lumen, which relieves pain;
• lithoextraction: surgical removal of common bile duct (glandular duct) stones;
• intraductal lithotripsy: laparoscopic surgery during which the ducts of the gland are dilated mechanically.

If the disease is autoimmune in nature, the analgesic effect will be achieved by using duct stenting, taking corticosteroids and ursodeoxycholic acid drugs (Ursosan, Ursoliv, Ursodex).
If a patient has biliary pancreatitis associated with disturbances in the outflow of bile, inflammation of the gland and the formation of stones in its ducts, then ursodeoxycholic acid preparations, increased dosages of pancreatic enzymes, and the use of antispasmodics will be quite effective.

Also read: How to relieve an attack of pancreatitis at home

Pharmacological action and components of the drug

The main functional substance of the drug is paracetamol. The following additional components are used:

• potato and corn starch;
• gelatin;
• stearic acid;
• lactose.

The medicine acts in three main areas:

1. Reduces fever.
2. Pain relief.
3. Has a mild anti-inflammatory effect.

Such results from using the drug are achieved due to the fact that the drug inhibits the processes of prostaglandin production in the organs of the central nervous system. Prostaglandins increase the sensitivity of receptors to pain mediators, and are also able to intensify and prolong inflammatory processes. Reducing the amount of these components helps to relieve pain impulses and reduce the intensity of inflammation.

The drug can only affect the production of prostaglandins in the central nervous system; it does not affect other tissues, the stomach and intestines, and does not affect water-salt metabolism.

Paracetamol also affects thermoregulatory areas in the brain and enhances heat transfer. Due to this, body temperature decreases.

Results from the effects of the drug should be expected approximately half an hour after its use. The maximum decrease in body temperature is achieved after about one and a half to two hours. The medication is absorbed by the intestinal walls and excreted through the kidneys.

Price of the medicine and release form

Paracetamol is produced in the form of white round pills or capsules with blue powder. Recently, new forms of the drug have appeared on the market - syrup, suspension and rectal suppositories. For pancreatitis, tablets are usually used, and syrup and suppositories can be prescribed to small children.

Ten pieces of Paracetamol pills with a dosage of 500 mg cost about 10 rubles. Price of children's syrup with a capacity of 100 ml. varies between 45-60 rubles.

On sale you can also find paracetamol with ascorbic acid, which enhances the anti-inflammatory effect of the drug. The price of 10 pieces of such pills is 65 rubles.

Effect on the pancreas

Paracetamol is used as a pain reliever for chronic pancreatitis. Inflammation of the pancreas is accompanied by severe, long-lasting pain, and this condition over time can lead to the development of depression or a nervous disorder. In order to alleviate the patient's suffering, it is necessary to reduce the intensity of pain.

Is it possible to take paracetamol for pain relief with pancreatitis? It should be noted that doctors often prefer this particular medication because it does not have a harmful effect on the organs of the gastrointestinal tract and does not change the water-salt balance. In addition, unlike strong and narcotic analgesics, Paracetamol is not addictive.

At the same time, the drug is a medium-grade pain reliever, so it will not be able to stop acute attacks on its own. Therefore, the drug is mainly prescribed to reduce pain in chronic pancreatitis.

Paracetamol during an acute attack of pancreatitis can only be used together with drugs that can enhance its analgesic effect (neuroleptics, tranquilizers). Often, to eliminate such pain, products based on paracetamol and caffeine, codeine, and acetylsalicylic acid are prescribed. The latter components increase the effectiveness of paracetamol.

Drug pain relief for chronic pancreatitis

Chronic forms of the disease are characterized by less intense pain. This is explained by the fact that the inflammation process occurs in a more erased form. However, the affected pancreatic parenchyma gradually undergoes cicatricial changes. It grows with connective tissue, its coarse fibers compress blood vessels and nerve endings.

Chief gastroenterologist of the Russian Federation: “PANCREATITIS does not go away?! A simple treatment method has already healed hundreds of patients at home! To cure the pancreas forever you need...” Read more »

As a result, the function of the organ is disrupted, all this is accompanied by aching and dull pain in the hypochondrium area. During periods of exacerbation, the pain intensifies, but usually does not reach the intensity as with acute pancreatitis.

Also read: Herbs for pancreatitis of the pancreas

How to relieve pain from pancreatitis if it occurs in a chronic form?

As with acute manifestations of the disease, painkillers are used. In this case, on an outpatient basis, it is allowed to take drugs in tablets as prescribed by a doctor.

In order to relieve pain and alleviate the patient’s condition, the following are used:

• non-steroidal anti-inflammatory drugs: Diclofenac, Nimesil, Ibuprofen, Voltaren;
• antispasmodics and analgesics: No-shpa, Buscopan, Meteospasmil, Trigan, Pentalgin.

In addition to targeted pain relief, medications are used to “unload” the gland. Some of them relieve swelling, others partially restore its functions, thereby participating in the relief of pain. These include:

• proteinase inhibitors: Kontrikal, Gordox, Kontriven;
• Somatostatin drugs (Octreotide), which can suppress the secretory function of the gland;
• enzyme preparations to restore digestion: Mezim, Pancreatin, Festal (not used in the acute period);
• antihistamines: Suprastin, Diphenhydramine, Pipolfen (participate in relieving swelling and inflammation, reduce allergic reactions);
• diuretics: Furosemide, Hypothiazide, Spironolactone (reduce tissue swelling).

Antibiotics

Antibiotics are used extremely rarely to treat pancreatitis. This is due to the fact that they do not help either relieve inflammation, or reduce the secretion of digestive enzymes, or eliminate pain. Their use is indicated only if the patient has:

• addition of a bacterial infection;
• pancreatic necrosis or cholangitis;
• rupture of the pancreatic duct;
• bile stasis.

In this case, antibiotics are used only to prevent the development of complications. And in the case of acute pancreatitis, the following are used:

• Ampioks,
• Amoxiclav,
• Vancomycin,
• Ceftriaxone,
• Ampicillin.

The dosage and duration of taking antibiotics is determined by the attending physician and can be adjusted depending on the patient’s condition and the course of the disease.

Remember that treatment of pancreatitis is a very complex and time-consuming process that requires a lot of strength and patience from the patient. Undoubtedly, drug therapy is necessary in this case. But we should not forget that diet plays an important role in this matter. And if you want to avoid constant exacerbations of pancreatitis, you will need to not only periodically take various medications, but also strictly monitor your diet.

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Reviews about the application

Daria: Paracetamol is one of the mandatory medications in my first aid kit. It helps well with headaches, menstrual pain, and reduces fever during colds. By the way, many cold powders (for example, Fervex, Pharmacitron) contain paracetamol as an active substance, but are much more expensive. My mother has been suffering from chronic inflammation of the pancreas for five years. Pain in the hypochondrium appears very often, as soon as you eat something wrong. Paracetamol helps her relieve pain.

Natalia: The doctor prescribed paracetamol for chronic pancreatitis. Of course, it does not save you from severe pain; you have to use stronger analgesics. But it copes very well with painful sensations of moderate severity.

Karina: I’ve been familiar with pancreatitis since college. No matter how it was treated, the disease periodically makes itself felt again. Especially if you break your diet. Paracetamol is really effective in relieving pancreatic pain. During all the time I used it, I did not find any side effects. For colds and during menstruation, I also save myself only with Paracetamol.

Evgeniya: Pancreatitis is a terrible disease, especially when it strikes during pregnancy. The big advantage of Paracetamol is that it can be taken in the second and third trimesters of pregnancy and during breastfeeding. He saved me from pancreatic pain, migraines, pain in joints and muscles. However, you should not use it for too long, as this can lead to nausea and vomiting.

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Instructions for use of the drug Pankreoflat for pancreatitis

It helps remove excess gases from the body, prevents the development of symptoms of digestive disorders such as bloating and intestinal colic.

A big plus is that paracetamol can be taken by pregnant women and during lactation. However, it only saves from minor pain. If the pain is intense, you need to take a stronger drug.

I always keep paracetamol in my medicine cabinet. Helps with headaches, muscle pain, and fever during ARVI.

Doctors often prescribe painkillers for patients with pancreatitis. When asked whether it is possible to take painkillers for pancreatitis, doctors give an unambiguous answer in the affirmative, because they, like no one else, know what agony the patient has to endure during an attack. In pain, a person begins to rush from side to side. Trying to find a comfortable position, he most often takes a knee-elbow position, which slightly masks the pain.