Pancreatitis

Pancreatitis in pregnancy: dangerous complications!

Carrying a child is a difficult test for the body of any woman, subjecting all organs to an increased load. This leads to an exacerbation of all chronic diseases that existed earlier.

In the early stages, there are often:

If these symptoms do not disappear in twelve weeks, it is likely that such an unpleasant combination of pancreatitis and pregnancy. The disease occurs or worsens due to toxicosis in about a third of pregnant women. It is an inflammation of the pancreas.

Active enzymes are malfunctioning. Iron swells, is destroyed. Food is digested and absorbed with great difficulty. Everything is complicated by the bearing of the baby. The methods of diagnosis and treatment in this case are very different from the classic version of the disease.

Reasons for development

Acute pancreatitis accompanying pregnancy may begin due to:

  • squeezing ducts that remove bile with a high fundus of the uterus,
  • gastrointestinal diseases
  • constipation
  • duodenal ulcers, stomach,
  • decrease in digestive activity,
  • taking drugs without the control of the attending doctor.

Some enzymes can be delayed and then sharply activated. This leads to rapid growth, and then wrinkling of connective tissue, the formation of scars, sclerosis of the pancreas. Also, a neoplasm in the pancreas ampoule can provoke processes.

The main danger is that pancreatitis in pregnant women can be confused with toxicosis, since the signs are really similar. It is very important to monitor the progress of the process. If vomiting, nausea and all kinds of disorders last longer than three months, it is worth checking if there are problems with the pancreas.

The symptoms of this inflammation are divided into three groups, which manifest themselves differently. The first of them is dyspeptic. It includes everything that causes discomfort in the digestive tract. Such failures are manifested:

  • vomiting
  • nausea
  • digestive upset
  • flatulence
  • weight loss or appetite.

The second group is pain attacks in the upper abdomen. Unpleasant sensations, arising, encircle the stomach, passing slowly to the back. The third group, asymptomatic, is the hardest. It is difficult to determine, since there is no clinical picture. Often combined symptoms from the first two groups.

Among the possible consequences:

  • fungus in the vagina
  • lack of vitamins
  • allergic dermatitis,
  • dysbiosis,
  • allergy.

When the disease worsens, the temperature may rise. Sometimes even lowering blood pressure, which leads to convulsions and dizziness. The disease can be severe and develop very quickly. And this is fraught:

  • miscarriage
  • premature birth
  • fatal.

Acute pancreatitis

The acute form of pancreatitis during pregnancy is rare. This option is very dangerous and fraught with complications that have a bad effect on its course. This form of the disease is developing rapidly, so it is important to pay attention to its main symptom: significant pain in the region of the left ribs. She also has other symptoms:

  • a sharp increase in temperature
  • Abdominal pain, above, spreading to the back,
  • pressure reduction
  • vomiting with nausea
  • flatulence,
  • severe weakness.

The general symptoms of the pancreatic process are vague. Therefore, the diagnosis of acute pancreatitis during pregnancy is difficult. These signs are not a guarantee of the development of this particular disease, but an occasion to seriously beware and consult a doctor. It is necessary to go through all the examinations as soon as possible and take tests to clarify the diagnosis.

Chronic pancreatitis

Chronic pancreatitis during pregnancy is not a rare phenomenon, especially in the first trimester. The unpleasant thing is that in this case it is quite difficult to make an accurate diagnosis. Most often, with this disease, pregnant women have a stomach ache, digestion is disturbed, and dermatological reactions appear. Vomiting, nausea, loss of appetite and a bad feeling in the abdomen can be both with this disease, and with ordinary toxicosis.

An asymptomatic, dyspeptic or painful form of pancreatitis appears, or a combination of the last two forms. All intestinal disorders that appear with this disease lead to an increase in the volume of pathogenic microorganisms, and then to the development of dysbiosis.

Superimposed on digestive disruptions, dysbiosis and leads to hypovitaminosis, vaginal candidiasis, neurodermatitis, food allergies. All this in some cases affects the development of the fetus, as well as the health of the expectant mother. The pains are very strong: starting in the abdomen, they girdle the whole body through the back.

The most difficult diagnosis is the asymptomatic form of pancreatitis, which does not manifest itself in any way. Moreover, without feeling anything special, a woman does not rush to a doctor - and this is fraught with serious consequences. Among other things, this disease is accompanied by a sharp and rapid weight loss. In any case, you should consult a doctor as soon as possible.

During pregnancy, pancreatitis is not the only problem a woman may experience, and an upset stomach is also a common problem.

How to treat

The treatment of pancreatitis during pregnancy is very specific. Quite a lot of drugs for women in a banned position. For therapy to be effective, you should:

  • review the diet
  • reduce the amount of drugs taken,
  • adjust the liver,
  • conduct replacement therapy,
  • cure dysbiosis,
  • to correct the work of the pathways that remove bile,
  • reduce gastric acidity.

Particular attention should be paid to taking medications. The volumes of drugs taken should be reduced as much as possible. The advisability of taking each of them is reviewed and carefully weighed with the attending doctor.

Pancreatitis replacement therapy during pregnancy involves the use of digestive enzymes. Accept funds like Mezim and Creon. They try to combine their intake with the last meal of the day. Drugs are washed down with a glass (or slightly less) of mineral water - alkaline and without gas.

Women in position are contraindicated in medications like Omeprazole or H2 blockers. Therefore, the treatment of pancreatitis in the early stages of pregnancy (and beyond) includes taking Almagel. This medication reduces acidity in the stomach.

To adjust the efficiency of the liver and the pathways that remove bile, the attending physician prescribes herbal medicines, preferring:

Thanks to these drugs, bile is excreted much faster.

To normalize the composition of microflora in the intestine, probiotics are needed. Women in position are allowed:

In addition, doctors prescribe prebiotics, most often Dufalac.

As soon as pancreatitis was detected during pregnancy, especially in acute form, starvation is indicated during the first two days. Do not worry about the health of the fetus - it receives all the necessary substances from the resources available in the mother's body. At this time, only drink alkaline non-carbonated mineral water - and then in small quantities. Sometimes it is alternated with tea brewed weakly, or broth of wild rose.

Over the next week, a woman is shown the strictest low-calorie diet. The patient has to give up:

  • fried
  • smoked
  • fatty, rich broths,
  • raw vegetables and fruits.

At the same time they eat as often as possible and in very small portions. Dishes that have undergone heat treatment are carefully frayed using, for example, a strainer. During the remission of pancreatitis, a woman in position can and should eat fully. However, she will observe a special diet all her life.

Doctors are allowed to eat:

  • boiled meat
  • cottage cheese - low fat
  • fish - mainly river.

The daily dosage of these products is allowed in the amount of 125 grams. In this case, fat - within eighty grams, carbohydrates - three hundred and fifty grams per day.

Doctors are not allowed in this disease to eat foods containing a lot of easily digestible carbohydrates. Under strict ban candy. While there is an active therapy, they refuse food that increases the formation of pancreatic juice. All dishes are boiled or steamed.

After stabilizing the condition of the pregnant woman, she is allowed to eat in small pieces, and preferably mashed potatoes or liquid food. The interval between her receptions does not exceed three to four hours. The food is moderately heated so that it is not hot.

With pancreatitis, pregnant women can eat stale bread made from wheat flour. Light vegetable soups and crackers are good for their health. Prohibited:

Doctors also recommend eating steamed omelets, drink low-fat kefir. They allow you to add a little milk and butter to the diet. High fiber vegetables are also recommended. Of the fruits in this disease, pears and apples are preferred.

What is pancreatitis?

To begin with, you should find out what constitutes a disease such as pancreatitis.

The pancreas plays a huge role in the human body. One of its most important functions, which ensure healthy functioning of the body, are:

    • the production of food enzymes for healthy digestion,

    • the production of insulin (a substance vital for human health, with a deficiency in the body of which, another life-threatening disease like diabetes mellitus begins to develop),

  • participation in the regulation of energy metabolism, as well as in many other processes.

Note that pancreatitis is of two types:

    1. Chronic pancreatitis, which means that island-inflammatory processes are initially concentrated in the pancreas.

  1. Concomitant pancreatitis, which provides for the development of the disease that appeared due to other diseases of the gastrointestinal tract, such as: gastritis, enteritis and others.

Chronic pancreatitis - the program “Live healthy!”

Classification

Pancreatitis (or, more simply, “inflammation”) affects pancreatic tissue as a result of exposure to enzymes produced to digest food. It is likely that before pregnancy, a woman was rarely tormented by unpleasant symptoms of the disease, but due to a sharply enlarged uterus, which presses on the glands that remove the flow of enzymes, such manifestations became more frequent.

All enzymes are quite aggressive and, under favorable conditions, can easily provoke tissue breakdown. In addition, the pancreas produces insulin, thereby participating in the regulation of glucose metabolism. That is, the long course of the disease and its exacerbation, associated with the period of gestation of a new life, is quite capable of provoking a disruption in the performance of the entire digestive system. There are two types of pancreatitis: acute (involves the complete destruction of tissues with their further death: abscess and necrosis) and chronic (over time, the fibrous tissue is replaced by glandular and calcification sites form). In the latter case, depending on the clinical course of the disease, five forms can be distinguished:

  • chronic, with constant relapses (there is a pronounced change in exacerbations of pancreatitis and periods of its remissions),
  • a pain form characterized by constant pain manifestations, which are the main symptom in the overall picture of the disease,
  • pseudotumor (often they take it for the development of real oncology),
  • latent form (due to the absence of pain manifestations, a woman may not be aware of the presence of problems),
  • a sclerosing form, which is characterized by early manifesting and rapidly developing signs of pancreatic dysfunction (this form leads to the rapid development of obstructive jaundice caused by compression of the densified gland tissue of the portion of the common bile duct passing through it).
Based on the severity of the course of pancreatitis, three main stages of the disease are distinguished: initial, moderate and severe (in turn, it is divided into terminal and cachectic). Already at the second, and especially at the third stage of the disease, exocrine and sometimes endocrine pancreatic function is disrupted.

If many women know about the chronic form of the disease even before pregnancy, then its acute version often becomes a real surprise, especially when you consider that most of the symptoms can really be connected with the normal restructuring of the body. So with the manifestations of early toxicosis coincide: nausea, vomiting, dizziness, diarrhea and flatulence, as well as a decrease in appetite and allergies to foods that did not cause it before. In addition to these manifestations, painful sensations in the abdomen (or more precisely: in its upper part), drawing pain from the abdomen to the heart (an imitation of angina pectoris) are often added. At the same time, pain discomfort has a girdling direction: it starts from the front of the body and gradually moves to the back. If any of these symptoms appear, you should immediately consult a doctor for an accurate diagnosis and adequate treatment.

There are many reasons for the first manifestations of pancreatitis and its further development, not only during pregnancy, but also in the normal state of a person. Of course, every ailment requires immediate treatment, with the timely elimination of all possible causes of its occurrence. So, in the case of the manifestation of an acute form, obstruction or partial patency of the duct and, as a result, rupture of the gland wall serve as such bases, which creates excellent conditions for the development of various pathologies in the tissues. Patency problems are directly related to the level of dysfunction of the bile ducts (a flow stone clogs a hole in the area of ​​the Vater's nipple, biliary dyskinesia and other deviations that provoke narrowing or deformation of the pancreatic and common bile duct) are observed.

As for chronic pancreatitis (in particular during pregnancy), its causes are often:

  • gastrointestinal diseases (e.g., hepatitis, peptic ulcer, gastritis, etc.),
  • chronic alcoholism,
  • violated lifestyle and nutrition (unbalanced diet or constant overeating),
  • drug abuse
  • hereditary predisposition
  • viral diseases.
In addition, during pregnancy, the tone of the digestive system is often reduced due to overeating, toxicosis and changes in taste preferences, which in turn adversely affects the functioning of the gland. You should not abuse vitamin and mineral complexes, since such seemingly useful supplements can also provoke the development of the described disease.

Diagnostics

It can be difficult to determine the presence of pancreatitis in a pregnant woman, since not all diagnostic procedures can be applied during this special period. The most common and safe diagnostic options in such situations is the analysis of feces and ultrasound research. In the first case, it is possible to establish excess intestinal microflora, to identify violations in the process of digesting carbohydrates, proteins and fats, which indicates the presence of chronic pancreatitis. Using the ultrasound machine, you can determine the density of tissue components, the size of the organ itself and the condition of the duct.

The acute form in pregnant women is very rare, but if this happens, then a blood test will help to understand the diagnosis. So, in women who suffer from an acute form of the disease, there is a very high leukocytosis, with a shift to the left of the formula, as well as the development of hypocalcemia and hyperglycemia during a biochemical blood test.

The main role in the final diagnosis belongs to the diagnosis of pancreatic enzymes. Eight hours after the onset of the disease, the level of amylase in the blood rises significantly, which will reach its maximum values ​​in one or a half days. However, we must not forget that a similar phenomenon is observed not only with pancreatitis, but also with normal pregnancy, as well as with renal failure, problems with the biliary tract and mumps. The lipase level rises somewhat later, but in an elevated state is longer. A decrease in the level of calcium in the blood serum during a dynamic blood test indicates the rapid progression of the disease.

Anyway, you can not rely on the results of only one analysis, and when the slightest suspicion appears, it is better to undergo a comprehensive examination.

How does pregnancy affect

Pancreatitis during pregnancy certainly causes unrest in many women, and I must say, not without reason. One could say that it is easily treated and does not lead to significant complications, but the truth is that because of this disease, the probability of miscarriage and premature birth increases, so you should not think long about whether to treat it or not. In severe illness, in addition to the symptoms already described above, high body temperature, low blood pressure and even the development of a shock state can be added, which negatively affects the mother's body and the emerging body of her unborn child.

Treatment features

Depending on the severity of the course of the disease, an appropriate way to combat it is selected. If you are lucky, then the doctor should prescribe only compliance with the diet and diet, but with serious complications, this can even come to surgical intervention. Let us consider in more detail each treatment option.

When making a diagnosis of pancreatitis, it is first of all necessary to pay due attention to your usual diet. With an exacerbation of the disease, accompanied by all the characteristic symptoms, it is important to completely switch to dietary products for a while, and in the diagnosis of the chronic form of the disease during pregnancy, the diet takes priority. Usually, pregnant women are advised to add more protein foods to their usual diet: meat, low-fat fish, low-fat sweet cottage cheese, steam omelettes, kefir. In addition, you should not eat too fresh bread, let it be better yesterday, baked from wheat flour. Forget about salty, fatty and spicy dishes, and also minimize the use of raw fruits (you can only pears, sweet apples) and vegetables.

Medications

In the standard course of treatment, infusion therapy is often used, which involves the internal administration of special solutions (in large quantities) that promote blood thinning. Due to this, the concentration of enzymes in the pancreas is significantly reduced.

The treatment of the chronic form of the disease during pregnancy is significantly different from the fight against it in the normal state of the body. Therefore, a woman must necessarily agree with the doctor on the dosage and appropriateness of using each individual medication. Quite often, in the treatment of pancreatitis, pregnant women are prescribed Creon or Mezim, and in the chronic form, when the bile ducts and liver are disturbed, additional drugs should be taken that help to eliminate bile from the body.

Of course, during the period of bearing a child, it is worth giving preference to medicinal compositions of animal or plant origin (for example, Holosas, Holiver, etc.), and from drinking it is better to use a small amount of alkaline water and a rosehip decoction.

Subject to all the recommendations and prescriptions of the doctor, the intestinal microflora and the normal functioning of the digestive system will quickly return to normal.

Surgical intervention

Pregnant surgery is the last solution to the problem of pancreatitis. They resort to it only if there is a serious threat to the life of the expectant mother (for example, with an abscess, purulent form of the disease or pancreatic phlegmon).

Of course, such surgical intervention will require termination of pregnancy (in the first trimester) or early birth if it is a third trimester. As for the terms of interruption, they are determined purely individually, focusing on the severity of the disease and the condition of the pregnant woman.

How is the birth

Even the chronic form of pancreatitis is not yet a 100% indication for cesarean section. With the use of adequate painkillers (epidural anesthesia), natural births are quite acceptable, but in severe forms of the disease, surgical intervention is really not possible.

In a word, if your pancreas regularly hurts or your stomach swells too much, then you should not delay a visit to the doctor (especially during pregnancy). Perhaps a timely request for help will avoid serious consequences.

The reasons for this condition

What is pancreatitis in general? By this state is understood the inflammatory process developing in the pancreas. It can be caused by various factors:

  • improper diet - if you like fatty, fried and smoked foods, all this is a strong burden on the pancreas (Our course details how to eat properly: Secrets of proper nutrition for expectant mother >>>),
  • other chronic diseases of the digestive organs - gastritis, ulcer, cholecystitis,
  • alcohol and nicotine have an extremely negative effect on the state of the pancreas,
  • hereditary predisposition - if your blood relatives had pancreatic diseases,
  • sometimes there is an infectious pancreatitis - caused by viruses or bacteria,
  • diabetes mellitus - a long course of the disease provokes the occurrence of inflammation in the gland.

In the event that you are pregnant, the pancreas is subjected to even greater stress. This is due to hormonal changes in the body, changes in nutrition, increased load on the liver. It contributes to the exacerbation of pancreatitis and compression of the gland by the growing uterus, its displacement to the sides, a more snug fit of other organs.

Pancreatitis in pregnant women can occur for the first time, and there may be an exacerbation of pancreatitis during pregnancy.

Symptoms of pancreatitis in pregnant women

How can you understand that you have pancreatitis? The signs of this condition are no different from the symptoms of pancreatitis in non-pregnant.

  1. First, nausea occurs, which you may not even notice at first. Indeed, during pregnancy this is a common occurrence (for more details, read the article Nausea during pregnancy >>>). But nausea does not stop and can even turn into vomiting. This is already an unusual sign that may indicate an existing pathology (get more information from the article Vomiting during pregnancy >>>),
  2. In some cases, your temperature may rise - slightly, up to 37.5 * C,
  3. Then you can feel heaviness in the stomach and to the left under the rib. The severity gradually increases, can turn into aching and tingling pain. Often the pains are girdle - that is, it hurts both in front and behind. This means that you have a painful form of the disease,
  4. More common dyspeptic variant of pancreatitis. In this case, you have a disorder of the stool - it becomes frequent and mushy, sometimes even fluid (read the current article Diarrhea during pregnancy >>>). Feces are shiny and smooth - this is due to undigested fat. At the same time, bloating and rumbling of the abdomen appear,
  5. Sometimes you can observe the asymptomatic course of the disease. Of course, the symptoms are not absent absolutely, but you can attribute them to an error in nutrition, or toxicosis.

In general, your well-being suffers quite a lot. Naturally, appetite is disturbed. This affects the fetus, because he does not receive the necessary amount of nutrients. What to do with pancreatitis during pregnancy? Carry out the necessary measures to eliminate inflammation of the pancreas.

How can I help

If you have pancreatitis for the first time during pregnancy and significantly impairs your well-being, there are severe pains, severe nausea with vomiting, you should seek medical help. Surgical treatment may be required.

If you have already encountered this disease before, and now it does not cause severe inconvenience, you can take independent measures to treat pancreatitis during pregnancy.

The initial exercise you can do is to eat the right diet. Naturally, pregnancy already implies a complete and rational diet (this is described in detail in the article Nutrition during pregnancy >>>). However, pancreatitis is a disease of the digestive system, which means that nutrition must be adjusted accordingly.

What can you eat with exacerbation of pancreatitis?

  • Chicken broth, fish soups, low-fat boiled meat. It is best to cook steamed dishes or boil. It is also recommended to eat pureed food - at least in the first days of the disease,
  • Dairy products can be consumed in small quantities. The best food for you will be low-fat cottage cheese and kefir,
  • Fruits and vegetables are low in fiber. Useful will be bananas, dried fruits, berries,
  • Rice and buckwheat porridge, better on water. The most useful for pancreatitis is oatmeal,
  • You should use natural sweets in small quantities,
  • It is useful to use mineral water - Borjomi, Essentuki. Before drinking this water, you need to release all the gas bubbles from it.

Such nutrition is aimed at maximizing the discharge of the pancreas. This allows you to reduce the inflammatory process.

What should you exclude from the diet, at least temporarily?

  1. Fatty meats and fish, fatty and fried foods, smoked and salty foods,
  2. Chocolates, cream cakes and cakes,
  3. Apples, pears, potatoes,
  4. Chicken eggs in any form.

You should eat fractionally - this means that you need to take food 5-6 times a day, in small portions. It also helps to reduce the load on the pancreas.

Unfortunately, pancreatitis alone cannot be avoided. You still have to take some medications that will restore gland function. Pregnancy limits the list of such drugs.

  • Enzymatic agents. These include Mezim, Festal, Creon. They are a means of replacement therapy - your pancreas cannot fully produce the required amount of enzymes. This leads to digestion, and therefore, the fetus does not receive the necessary nutrients. You need to take them immediately before meals,
  • Antacid preparations. Among them, Almagel and Gaviscon are allowed for pregnant women. Their use is necessary to reduce the acidity of gastric juice, which can irritate the pancreas. Take them half an hour before meals,
  • Means for improving peristalsis. Pregnant women are allowed to take Trimedat. Its use will prevent the reflux of digestive juice back into the pancreas,
  • Cholagogue is indicated for you to improve the outflow of bile and restore digestion. These include Allohol and Holosas,
  • With severe pain, you can use antispasmodic drugs - No-shpa, Spazmalgon. However, they should not be abused, as they can affect the tone of the uterus,
  • To restore normal stool you need to take preparations with probiotics - Linex (current article on the topic: Linex during pregnancy >>>), Maxilak, Normobakt, Baxet.

The course of drug treatment should be at least a week and should be prescribed by a doctor.

Pancreatitis during pregnancy - how to treat from folk remedies? Unfortunately, folk recipes may not have a good effect on pancreatitis. The risk of side effects from their use can significantly exceed the benefit. Therefore, traditional medicine is not recommended for you in the treatment of pancreatitis during pregnancy.

The only thing that can be advised is the intake of syrup or a decoction of rose hips. It contributes to a better outflow of bile, which helps to improve the digestion process.

The occurrence of pancreatitis is always an unpleasant condition. Especially if you are pregnant. However, one should not be scared, because this disease is easily treatable. The main thing is to start it on time and use only approved drugs.

Talk about the reasons

Other factors, such as:

  • excessive consumption of fatty and unhealthy foods,
  • a side effect of taking a number of medications (antibiotics and hormones),
  • viral infections
  • metabolic disorders in the body,
  • hereditary predisposition.

The main symptom that prevails over others is cutting pain in the upper abdomen, also called epigastric region. Among the people you can often hear the expression "sucks under the pit."

Pain of this nature is observed with pancreatitis. It is important to note that the pain is not relieved such painkillers as No-shpa or Analgin.

If abdominal pains torment you for a long time and the pills do not save you must beat the bells!

Other significant symptoms are:

    • high body temperature. With the rapid development of the disease, the patient’s condition rapidly deteriorates, and the indicator of the medical thermometer rises to very high rates,

    • complexion. With the development of the disease, the complexion of a person acquires a pale, earthy tint,

      sickening state. As with any other gastrointestinal disruption, the main symptom is nausea.

    The work of the stomach slows down and he does not have time to process the incoming food, processing it into decay products, as a result of which, the patient feels a nauseous state.

    Doctors recommend minimize food intake while undergoing treatment. Hunger is the key to a speedy recovery of the patient,

  • weakness, dizziness. With pancreatitis, a decrease in blood pressure is often observed, which leads to a general malaise in the body, manifested in the form of weakness and dizziness.

Features of the course of the disease in pregnant women

Pancreatitis in expectant mothers most often develops with the onset of early toxicosis. The disease affects every third woman who carries a baby.

Pregnant women are characterized by symptoms such as:

  • sharp, cutting pain in the left hypochondrium, extending to the back,
  • diarrhea,
  • total weight loss.

What is the danger?

Pancreatitis in itself a very life-threatening disease. With untimely treatment of which, the result can be fatal.

Undoubtedly Pancreatitis very dangerous during pregnancy. And unlike an ordinary person, a pregnant woman endangers two people at once - herself and her future child.

With untimely treatment of the disease, pancreatitis can cause such complicationslike: diabetes and pancreatic necrosis, which are fatal.

For baby

The presence of pancreatitis in a pregnant woman alone will not affect the health of the unborn child.

The only thing, what can be said is the use of potent drugssuch as antibiotics and other painkillers that have a synthetic structure.

This can affect the health of the unborn baby. Therefore, during pregnancy, doctors advise to avoid such drugs and take more natural remedies based on herbs.

Medication

How to treat pancreatitis during pregnancy? In order to normalize the vital activity of the liver and biliary tract during the course of gestation, drugs are used that lead to an acceleration of bile excretion.

The advantage should be given to medicines of plant or animal origin, such as: Holosas, Ursofalk, Holiver.

To get rid of dysbiosis, that is, an intestinal disorder, is vital in order to continue the comprehensive treatment procedure for both acute and chronic pancreatitis during pregnancy.

To normalize the intestinal microflora, the following drugs must be used:

  • medicines from the group of probiotics, such as: Linex, Hilak forte, Bifikol and etc.,
  • drugs from the prebiotic group, such as: Dufalac.

Taking these medications, the intestinal microflora gradually resumes, and the symptoms of digestive upset go away.

Self-medication at any stage of the course of pregnancy is fraught with unpleasant consequences, both for the expectant mother and for the unborn child.

Folk remedies

Traditional medicine has passed its historical path through the millennia and does not lose its popularity to this day, when millions of drugstores are replete with a huge selection of drugs for any ailment.

Despite the fact that there are drugs for every taste and pocket, more and more people are turning to traditional medicine. Because this is what time tested.

From generation to generation, word of mouth, our ancestors passed on to us recipes for curing almost all diseases on our planet.

Nowadays, there is no need to buy special medical literature, which tells about methods of cure using traditional medicine. All the necessary information can be found on the World Wide Web - on the Internet.

Below are the most popular recipes to help cure an insidious disease:

    1. Treatment of pancreatitis with propolis: Pour 20 drops of alcohol tincture with propolis in half a glass of warm milk and drink it overnight. With exacerbation of pain symptoms, it is necessary to chew a small piece of fresh propolis.

    1. Treatment of aloe pancreatitis with honey: 1 teaspoon of honey is mixed with 1 teaspoon of juice or aloe chopped into gruel and consumed 1 tablespoon on an empty stomach (30-40 minutes before eating).

      Golden mustache: in order to cook a decoction of the leaves of a golden mustache, you need to take 2 leaves of grass 10-16 cm long. Next, finely chop and pour the leaves with 600 ml of boiling water.

    It is necessary to boil them for 20 minutes over low heat. Wrap the pan with the cooked broth firmly with a terry towel and leave it to stand for 10-12 hours.

    It is recommended to take the medicine 3-4 times a day, 50-60 ml 40 minutes before meals.

    Potato and potato juice: in order to get rid of chronic pancreatitis as soon as possible, you need to make potato juice. For its preparation, a juicer should be used, for a more uniform consistency.

Such a drink should be taken 2 times a day, 100-200 ml for 1, -1.5 hours before meals.

How to Prevent Pancreatitis and How to Combat It

Prevention

No wonder the famous proverb says “The best tactic is prevention!”. After all, having prevented the disease in advance, you won’t have to spend a lot of time, finances, and, most importantly, efforts to defeat the acquired illness.

Occasionally need to stick to a diet. The pancreatitis diet during pregnancy should consist of low-fat soups, dairy products and other foods that are low in fat.

Necessary take medicationsaimed at the prevention of pancreatitis. Their goal is to slow down the functioning of pancreatic enzymes, as well as cure other disorders present in the body.

And, of course, the most important thing is do not forget about proper nutrition and observe it not only during the diet, but throughout life! Proper nutrition is the key to health and longevity.

The most important thing is love yourself and take care of yourself and your health. When planning to have a baby, first of all it is necessary to undergo a full examination of the body in order to identify the problems existing in your body and resolve them.

Well, if it so happened that the disease began to develop during pregnancy, then It is very important to cure the disease in a timely manner, so that in no case get complications, which in the future can affect not only your health, but also the health of your future baby.

Why does pancreatitis occur during pregnancy?

Along with common etiological factors (cholelithiasis, chronic and acute toxic poisoning, alcoholism, trauma, secondary infection, diseases of the gastrointestinal tract), other reasons can be identified in pregnant women. Among them:

  1. Eating more food than before pregnancy. This negatively affects the work of the pancreas and digestive tract. Pancreatitis in this situation can occur both independently and against the background of another pathology that has arisen.
  2. Compression of the enlarged uterus of blood vessels and bile ducts. As a result, the outflow of bile and pancreatic juice is disrupted. There is a reverse casting of digestive enzymes into the pancreas, which leads to the development of inflammation.
  3. A bacterial or viral infection of the pancreas that has arisen against the background of an immunodeficiency state of a pregnant woman.
  4. The intake of large doses of vitamins by a pregnant woman, which accumulate (accumulate) in the intestines. These accumulated compounds gradually begin to have a toxic effect on the liver and pancreas, which is fraught with inflammation of the pancreas.

Symptoms of pancreatitis that occur in a pregnant woman

Diagnosing pancreatitis in pregnant women is a task that only an experienced obstetrician-gynecologist will cope with. In the first trimester of pregnancy (up to 20 weeks), pancreatitis, if present, flows under the guise of early pregnancy toxicosis. This is manifested by the following symptoms:

  • Vomiting of food eaten the day before. This symptom is preceded by pain, but not always. Therefore, many women attribute this to the commonplace toxicosis of pregnant women.
  • An abdominal pain of a girdle or localized nature that occurs in response to the ingestion of fatty foods, alcohol or drugs. Pain can radiate to the scapula, lower back.
  • Flatulence and bloating.
  • Diarrhea (a liquid private unstable stool) is yellow with a high content of fat, undigested pieces of food.
  • Symptoms of general intoxication: an increase in body temperature (normal may be in pregnant women), weakness, decreased appetite.
  • Rarely - icteric staining of the sclera, mucous membranes and skin.

If a pregnant woman has noticed 2-3 of the above symptoms, she should immediately consult an obstetrician-gynecologist for advice. To confirm the exacerbation of the disease, pregnant women need to undergo additional laboratory tests. Diagnosis based only on complaints is not possible.

Clinical blood test

Pay attention to acute phase indicators (ESR, C-reactive protein, white blood cell count), the changes of which indicate the presence of an inflammatory process in the body of a woman. Another indicator that is mandatory for pregnant women is the amount of hemoglobin. With a decrease in hemoglobin in the blood, insufficient absorption of nutrients, vitamins and minerals from the intestinal cavity is judged.

Blood chemistry

They look at the number of enzymes (transferase, amylase, LDH), bilirubin. A significant increase in amylase in the blood suggests acute inflammation of the pancreas. This analysis also allows you to track in pregnant women cholesterol, a common protein in the blood, a change in which can affect the course of pregnancy.

Ultrasound examination of the abdominal organs

The only instrumental method that is used to diagnose pancreatitis in pregnant women. It is harmless, does not affect the developing fetus. If there is a disease, the doctor will see diffuse changes in the pancreatic tissue on the monitor screen, edema and infiltration. The condition of the liver, gall bladder and ducts is also evaluated. Their inflammation and other pathological changes can cause the development of pancreatitis.

Pregnancy planning for previously diagnosed chronic pancreatitis

You need to understand that the inflammation in the pancreas itself does not affect the conception process. Therefore, it is not at all difficult to conceive a woman with established chronic pancreatitis. However, you need to keep in mind that with inflammation you need to take regular medications, many of which are contraindicated during pregnancy. All this leads to spontaneous abortion or interruption for medical reasons.

If a woman with chronic pancreatitis is planning a pregnancy in the near future, she needs to undergo a full examination by a gastroenterologist. The doctor will help you choose the right period of conception, when the disease will be in the phase of persistent remission. During this period, daily regular intake of medicines is not required, which means that the fetus will develop normally.

Important! You should not plan a pregnancy during an exacerbation of chronic pancreatitis and in the next month after the acute process subsides. Due to the increasing load on the body of a pregnant woman, the disease can be activated again, which will negatively affect the fetus.

Pregnancy and childbirth

During pregnancy, women with chronic pancreatitis are regularly observed by a gynecologist, general practitioner and gastroenterologist. In the first half of these patients, pronounced toxicosis is observed, which can easily be confused with another exacerbation. The acute process diagnosed in time does not affect the course of pregnancy in any way, since all the symptoms can be stopped on time. With a protracted, severe inflammatory process, a threat of interruption is created, the woman is hospitalized in a hospital.

Caesarean section for pregnant women with chronic pancreatitis is not shown. Childbirth flows without complications through the natural birth canal.

Treatment of acute pancreatitis during pregnancy

When symptoms of toxicosis are identified, a pregnant woman is hospitalized in a hospital, where they conduct a full diagnostic study and invite specialist doctors for consultation. In the early stages, the pregnant woman is hospitalized in the therapeutic or gastroenterological department, in the later - in the department of pregnant pathology. The issue of further management of pregnancy and childbirth is also solved there.

If an exacerbation occurs, adequate treatment is prescribed taking into account the tolerability of the drugs.

Important! If pancreatitis worsens during pregnancy, a woman should not self-medicate and take the usual medications to stop attacks: they can affect the fetus. After applying to the antenatal clinic, there is no need to refuse hospitalization. In order to maintain pregnancy, a woman should be constantly monitored. In addition, the hospital will conduct a full range of additional studies, tests and prescribe individual therapy.

Special diet for pregnant women

In the first half of pregnancy, if severe toxicosis is observed, the nutrition should be the same as during exacerbation. Meals should be regular, 5 times a day. It is better if a woman eats at the same time. All dishes are steamed or boiled, you should refuse to eat fresh products. All food should be neutral in taste: not spicy, not salted, not bitter, and not sweet. Try to grind all dishes with a blender to a puree state. The lack of vitamins is compensated by vitamin preparations intended specifically for pregnant women.

In the second half, in the absence of toxicosis and signs of exacerbation, the table is expanded. The diet is the same as in the phase of remission of chronic pancreatitis.

Important! Dieting during pregnancy is an important component in preventing exacerbation of inflammation. Like any pregnant woman, a woman may have moods and food addictions, but you need to suppress this in yourself so as not to harm the unborn baby. Proper nutrition is the key not only to your health, but also to the health of your baby.

Watch the video: What is Pancreatitis? Q&A (November 2019).

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