Chronic pancreatitis (ICD code 10: K86) is an inflammation of the pancreas related to diseases of the digestive system. The disease proceeds cyclically, there are periods of remission and exacerbation. Against this background, dystrophic changes that negatively affect the work of the pancreas often progress in the body. In order to prevent complications, it is necessary to identify symptoms in time, undergo examination and a course of therapy.
Possible causes of the disease
The International Classification of Diseases (ICD) provides a specific coding, assigning a specific index to each of the possible pathological and abnormal health conditions of patients. This fate did not pass over such a disease as chronic pancreatitis. ICD Code 10: K86 - this is its indexation today in modern medicine. This classification was developed by the World Health Organization, therefore, it is quite significant in the current medical industry as a whole.
The main reason for the development of chronic pancreatitis (ICD code 10: K86) is the abuse of alcohol and the progression of gallstone disease. Due to the constant abuse of alcohol in humans, intoxication is observed, which is provoked by decay products.
The progression of gallstone disease does not allow bile to normally pass through the body. In addition, often in addition to the wrong outflow, an infection joins, which also affects the pancreatic tissue, causing an inflammatory process.
People who abuse junk food from an early age create favorable conditions for the rapid development of diseases of the digestive system. There are also a number of factors that provoke the development of chronic pancreatitis:
- high levels of calcium in the blood;
- cystic fibrosis;
- ailments affecting the digestive system;
- malfunctioning of the thyroid gland;
- food poisoning;
- injuries affecting the abdominal area;
- taking certain drugs;
- infections affecting the digestive tract;
- blood flow disturbance;
- endocrine system diseases;
- frequent stress and depression;
- overweight.
Unhealthy diet and constant quick snacking also provoke the development of chronic pancreatitis. Complications of this disease are fraught with the fact that other organs can also be affected. Medical diagnostics and therapy allow them to be avoided by relying on the timely identification of relevant symptoms.
Symptomatology
At the initial stage of the development of the disease and during the onset of remission of chronic pancreatitis, there are no signs of the disease. And during an exacerbation, indirect symptoms may appear:
- belching;
- bad breath;
- periodic stool disorders.
All of these signs may indicate digestive problems or the development of a more complex pathology.
Minor pain and heaviness after eating are the first symptoms indicating that chronic pancreatitis develops in the body. ICD-10 provides for the assignment of this pathology to the group of diseases of the digestive system. Often, concomitant echo signs, such as increased compaction of the organ tissue or foci of the formation of a possible pseudocyst, can indicate a problem with the pancreas.
As the disease develops, exacerbations occur more often. A complicated form of pancreatitis may be accompanied by severe symptoms, such as:
- severe diarrhea;
- intense pain in the abdomen;
- discomfort in the back and shoulder blades;
- diffuse sounds in the stomach;
- unpleasant bitterness in the mouth;
- frequent burping;
- bouts of nausea;
- causeless increase in body temperature;
- sharp loss of body weight;
- decreased appetite;
- itchy skin;
- headache.
During periods of exacerbation, diarrhea and vomiting can lead to complications of chronic pancreatitis such as dehydration and weakness throughout the body. Dizzy spells are observed, blood pressure rises.
With the transition of the disease to the stage of remission, the nature of the stool may change, the patient will complain of constipation.
Possible complications
If you do not pay attention to the first symptoms of the disease and do not pass the diagnosis on time, then serious complications of chronic pancreatitis can develop. These include:
- abscess;
- the formation of one or more pancreatic cysts;
- severe diabetes;
- splenic vein thrombosis;
- blood loss in the digestive system, provoked by rupture of the cyst;
- fistulas of the gland;
- cicatricial inflammatory stenosis.
Often, patients with pancreatitis have obstructive jaundice. With a prolonged course of the disease in chronic form, secondary development of pancreatic cancer is possible.
Diagnostic research
Diagnosis of chronic pancreatitis is based not only on the assessment of clinical symptoms, but also on a series of instrumental studies. After visiting the doctor and taking an anamnesis, the patient is recommended:
- assess the biochemical composition of pancreatic juice;
- evaluate the amylase activity that the pancreas produces;
- go through a coprogram that will help identify the remains of undigested food;
- radiography, which helps to identify gross anatomical changes in organs;
- Ultrasound
After carrying out all the studies and collecting the obtained data, it is possible not only to accurately diagnose, but also to choose the right treatment, because often patients have chronic pancreatitis and gastritis in addition. Such conditions require more serious complex therapy.
Medication for chronic pancreatitis
There are several basic treatments. For example, for patients with the initial stage of the disease, it is enough to simply review the diet, follow a diet for a while - and the disease will go away. But with advanced cases, an integrated approach cannot be dispensed with. You may need to take a number of drugs and, in addition, use traditional medicine recipes.
Drug treatment includes:
- Reception of enzyme preparations. They contain analogues of enzymes that the pancreas produces. With their help, it is possible to improve digestion. Taking these drugs can cause a number of undesirable manifestations, such as constipation or diarrhea, nausea or vomiting, and abdominal pain. If side effects are observed, then it is necessary, together with the doctor, to adjust the dosage of the drugs.
- Steroid hormones. They help reduce inflammation that damages gland tissue. It is recommended to take this type of drug in the treatment of patients with chronic pancreatitis, if the problem is related to immunity. But it is worth remembering that prolonged use can cause serious complications, such as osteoporosis and a sharp increase in body weight.
- Painkillers This is the most important component of the treatment of chronic pancreatitis ICD-10. Initially, it is recommended to take weak funds, if the pain does not recede, then they switch to stronger ones. Immediately after the first visit to the doctor, the doctor prescribes “Paracetamol” or drugs that are part of a group of non-steroidal anti-inflammatory drugs, for example, “Ibuprofen”. But prolonged use of the latter can cause serious complications, such as, for example, a stomach ulcer, in connection with which sometimes additional intake of proton pump inhibitors is required, which protect the body from the activation of such ailments. If these types of drugs do not bring relief, then the patient is recommended to take opioid drugs, for example, Codeine or Tramadol. In cases where the bouts of pain are too strong, the doctor may prescribe Morphine.
Due to the complications of chronic pancreatitis, some patients may need to take Amitriptyline. It is prescribed for patients who have depression, and for some patients, its administration helps to relieve pain.
If drug treatment does not give the desired result and the pain does not recede, then a nerve block will help to remove it. This procedure helps to alleviate the patient’s condition for weeks or even months. Nerve block is an injection that stops bouts of pain.
If the inflammatory process suddenly builds up, then the patient must be urgently hospitalized. Inpatient treatment will include the introduction of fluids into the body through a vein, nutritional support using a probe and additional supply of oxygen through a special tube.
Diet for chronic pancreatic pancreatitis
The main place in the treatment of chronic pancreatitis is given to dietary nutrition. Especially it gives good results in the period of remission. Dietary treatment of chronic pancreatitis, the symptoms of which are pronounced, helps to reduce the load on the gland and significantly improve the reparative processes in it. As a result, the doctor manages to reduce the level of the next relapse of the disease.
A diet for chronic pancreatitis is based on the following principles:
- It is necessary to use products with a high protein content - in this way it is possible to compensate for their lack, because quite a lot of them are spent during pancreatic restoration;
- during the day, the patient should eat at least four times;
- in no case should you allow overeating - it is better to eat in small portions, but more often;
- boiled food should be preferred, it is recommended to cook dishes for a couple;
- it is necessary to completely exclude all fried, spicy, salty and smoked;
- it is required to reduce the consumption of fatty and heavy foods, as well as easily digestible carbohydrates;
- it is necessary to completely eliminate concentrated broths from the diet - when cooking meat, it is better to drain the first water after boiling.
In addition, the patient should abandon the use of alcohol-containing drinks, which provoke toxic damage to the pancreas.
It is important to adhere to a diet for chronic pancreatic pancreatitis, because you can completely exclude the possibility of exacerbation of the disease and improve well-being and overall health. To achieve a long-term remission, the patient must completely change his life by abandoning alcohol and adhering to a proper diet. Only in this way will he be able to repair the damaged organ and improve its performance.
Alternative methods for the treatment of pancreatitis
Alternative treatment of chronic pancreatitis, as well as drug treatment, should be carried out only after consulting a doctor. Self-medication can lead to serious and irreversible consequences. In order to cure a patient with pancreatitis with herbs, it is necessary to correctly select recipes, taking into account concomitant diseases and the patient's age. If the combination of medications and herbs is combined correctly, then stable and long-term remission can easily be achieved even in patients with advanced forms of the disease.
Fortunately, there are many high-quality and simple formulations that, with an integrated approach, can normalize the work of the body and prevent the development of complications. These recipes can only be used for chronic pancreatitis in adults. With their help, it is possible to improve the outflow of bile, relieve inflammation and improve the condition of the pancreas. There are several time-tested recipes that help patients get rid of painful symptoms.
To improve the outflow of bile, it is necessary to take 30 g of immortelle, dandelion roots, chamomile flowers, tansy and knotweed. Pour all this mixture with a liter of hot water and leave to infuse for two hours. Drink this broth in a glass half an hour after each meal. Additionally, before a meal, you should drink a glass of mineral water containing sodium hydrochloride.
To stop the inflammatory process in the body, you will need to take and squeeze the juice from the leaves of the plantain and take 1 teaspoon of it before each meal for 30 days. Freshly squeezed juice from the leaves of plantain contains a large amount of vitamin R, which is considered a natural hepatoprotector. After 30 days of use, it is advisable to take a break for three months, and then repeat the course again.
To relieve severe pain, you can use a painkiller decoction. To prepare it, you will need to take the herbs of zopnik, repeshka, plantain, dandelion, chamomile, cucumber, motherwort and yarrow. All this needs to be mixed well, pour 2 tablespoons of the collection to pour two glasses of boiling water and insist in a thermos for at least 8 hours. You need to drink the drug at night to relieve pain and increase the separation of bile.
These recipes will help relieve pain and reduce the severity of symptoms of chronic pancreatitis. Diet will be a great addition to therapy. It is important to maintain water balance, it is useful to use alkaline mineral water. It is enough to drink a glass of water at night, and the pain will become less noticeable.
Surgical intervention
If a patient has experienced intense pain for a long time, which even effective medications cannot cope with, then surgery may be recommended. The choice of surgical procedure depends on the causes of the disease. After consulting a specialist, several possible options for surgery may be recommended to the patient.
- Endoscopy If chronic pancreatitis with an ICD code of 10 K86 is associated with the fact that the excretory pathways are blocked by stones, then endoscopic therapy with lithotripsy is used. This technique allows you to destroy stones with a shock wave into small particles, which are subsequently removed with an endoscope. Such a treatment technique can alleviate pain, but the effect of it is not always constant.
- Pancreatic resection. Patients in whom certain parts of the gland are inflamed and cause severe pain, are invited to remove them. This technique is called resection, when only parts of the organ affected by the disease are cut off. This method is used in cases where endoscopic treatment cannot be used. There are several resection techniques, and the choice depends on which parts of the gland to remove. Some operations involve the removal of part of the gland and gall bladder. All types of resection have the same effectiveness, help relieve pain and maintain the functionality of the organ. But we must remember that the higher the complexity of the surgical intervention, the more likely the risk of complications, such as infections and bleeding, and a long recovery period after surgery.
- Total pancreatectomy - complete removal of the pancreas. This technique is used only in extreme cases, when most of the organ is affected by the disease and requires its complete removal. This technique has proven to be highly effective, because the pain completely goes away. But only after such operations, the patient’s body is no longer able to produce the vital hormone - insulin. That is why a new unique technique was created, which is called autogenous cell transplantation of the islet of Langerhans. Its essence lies in the fact that even before the organ is removed, the cells of the islets of Langerhans, which are responsible for the production of insulin, are taken from the patient. After that, they are placed in a special liquid and injected into the patient’s liver. If everything goes well, then these cells will take root in the liver and will produce the necessary insulin for the body. For a short time, this technique can help, but in the future, the patient may need to take medications containing a hormone.
The patient who underwent surgery to remove the pancreas in chronic pancreatitis, diet should adhere to the rest of his life.
Preventive actions
People who are prone to the development of pancreatitis and other diseases of the digestive system must necessarily be prevented. And its essence is that:
- completely limit yourself in drinking alcohol;
- adhere to proper nutrition - no fatty foods and carbohydrate foods;
- should stop smoking;
- in the diet should be a sufficient amount of vitamins and minerals that will allow you to organize the work of not only the pancreas, but also other systems;
- consume a sufficient amount of water - each person should drink a minimum of 1.5 liters of purified water per day;
- you need to consult a doctor in a timely manner, follow all his recommendations and get treatment for diseases of the digestive system in time.
To extend the period of remission in chronic pancreatitis will help sanitary treatment. It is better to find out from the attending doctor where and how to get therapy in order to prevent complications.
Forecast
If you turn to the doctor in time and follow all his recommendations for the prevention and treatment of pancreatitis, then the prognosis can be made favorable. If the patient does not adhere to a diet, will regularly drink alcohol, then treatment will not bring the desired results, and dystrophic processes in the pancreas will lead to serious complications. Severe forms of the disease require surgical intervention. If it is not done in a timely manner, then the patient may face death.