Inflammatory and infectious diseases rarelypass without a trace for the body. After them, doctors often diagnose reactive pancreatitis. In children, the symptoms of this disease indicate that the main organ of the digestive system, the pancreas, is affected. However, abdominal discomfort, belching and heartburn do not always indicate an inflammatory process. If a child complains of pain, you should immediately call a doctor. Self-treatment may result in a complication of the pathological process.
What you need to know about the disease?
Pancreatitis is one of the mostcommon diseases of the pancreas. It happens in both adults and children. The clinical picture and the nature of the pathological process determine its shape - acute or chronic. This condition is very dangerous. If you do not take timely steps to eliminate the cause of the disease, you will have to follow a strict diet throughout your life.
Reactive pancreatitis in a childdifferent from the main form of the disease. Its development begins with inflammation of the pancreas. As a result, the work of the body is disrupted, and the functions assigned to it are not carried out in full. Enzymes that are involved in the process of splitting food, can not pass through the inflamed ducts. They remain in the pancreas and begin to literally digest it from the inside.
Causes of the inflammatory process
Recently, reactive pancreatitis in childrendiagnosed more often. Doctors explain this trend by changing the taste preferences of the population. Today, the diet of the child consists mainly of products, which include a large number of preservatives, dyes and flavors. These substances adversely affect the work of the pancreas. They provoke a spasm of the organ ducts, as a result of which the enzymes do not enter the digestive tract. Gradually, the inflammatory process develops.
Reactive pancreatitis in a child may occurdue to recent infectious diseases. For example, ARVI or acute respiratory infections often act as a trigger mechanism of the pathological process. Another cause of the disease is antibiotic therapy. Using "Metronidazole" or "Furosemide" in the treatment increases the risk of developing the disease.
In rare cases, reactive pancreatitisdevelops against the background of congenital diseases of the pancreas. These include lactase deficiency, cystic fibrosis, abnormal changes in the duodenal passages. Such patients are aware of health problems from an early age, so they follow a special diet and take medication. The probability of inflammation in the pancreas in them is negligible, but it still exists.
The first manifestations of the disease
Signs of reactive pancreatitis in childrenpractically do not differ from the symptoms of the disease in adults. The development of the pathological process is accompanied by severe pain in the epigastric region. The clinical picture is complemented by nausea, a violation of the chair. Attacks of diarrhea are replaced by constipation. With diarrhea, the stool is liquid, and the feces are covered with a shiny patina. Children often complain of dry mouth, intense thirst. Appetite worsens, and some babies refuse to eat at all.
The disease is often accompanied by symptoms.general malaise. The child becomes lethargic and apathetic, loses interest in everything that happens. He constantly wants to sleep, and the heat does not allow him to do his usual activities.
Выраженность симптомов заболевания зависит от age of the patient. The older the child, the greater the signs of illness. In newborns, abdominal pain is expressed by capriciousness and increased motor activity. Reactive pancreatitis in young children is also accompanied by severe discomfort in the navel. However, they cannot show the exact location of the pain. Older children usually complain of severe nausea and vomiting. All the above symptoms can serve as a basis for immediate treatment to the doctor.
First aid for a pancreatitis attack
При появлении симптомов реактивного панкреатита you must immediately call the team of medical workers. Before the arrival of care you need to carefully lay the child on a sofa or bed, to ensure him complete rest. On the abdomen, you can put a cold heating pad. It is not recommended to give the patient analgesics or other drugs, as they may blur the overall clinical picture. Reactive pancreatitis in children, the symptoms of which are often taken by surprise by parents, is a transient disease. Therefore, its treatment should be treated with the utmost seriousness and responsibility.
Diagnostic Methods
Before starting treatment of the disease, the young patient needs to undergo a full medical examination.
- A complete blood count is required for counting white blood cells. The number of these elements increases with pancreatitis.
- An ultrasound scan of the abdominal organs shows a lump in the gland, as well as other pathological changes in the organ.
- Biochemical analysis of blood to assess the level of enzymes produced by the pancreas.
- With the help of gastroscopy, the doctor can take material for cytological examination in the laboratory.
If tests confirm reactive pancreatitis in a child, treatment of the disease is started immediately.
Basic principles of therapy
Treatment of inflammation in the pancreas requiresintegrated approach. It usually involves taking medication and following a strict diet. The choice of specific drugs for treatment depends on the condition of the patient and the characteristics of his body. The patient must be placed in the hospital. For the first few days, he should be given complete rest. The hospital regime during the period of exacerbation of the disease allows us not to worry about the question of what should be the menu for reactive pancreatitis in children.
Parents need to strictly adhere torecommendations of the doctor, because he wants the child only a speedy recovery. Therefore, all nutritional restrictions can not be considered the whim of a doctor, as it may seem to many. If a small patient has already had an attack of reactive pancreatitis, his symptoms have appeared, adherence to a strict diet is an integral part of therapy. Otherwise, a relapse may occur.
Diet for inflammation of the pancreas
What should be changed in the diet at diagnosis"Reactive pancreatitis"? Child diet should not be embarrassing. He should consider it a part of his usual way of life, because the main restrictions apply only to harmful products. This list includes fatty and spicy dishes, smoked meats and fast food. It is also recommended to exclude chocolate, cocoa and concentrated juices. The remaining dietary guidelines are listed below.
- It is necessary to ensure the pancreasfunctional rest. From the diet of a small patient in the first place you need to eliminate all the stimuli. Products boiled or steamed should be served in shredded form at room temperature.
- Важно позаботиться о сохранении энергетической и nutritional value of the diet. There is no need to feed the baby only protein food. The diet should be as diverse as possible and also include carbohydrate foods.
- It should be eaten in small portions, but often. It is recommended to recall the principles of fractional power. The interval between meals should not exceed four hours.
To prevent new outbreaks of the disease, you need to constantly monitor nutrition. Any experiment with food can lead to a new attack and the need to take medicine.
What should be the power with reactive pancreatitis?
Children with signs of inflammation infirst put on a starvation diet. For two days, patients are allowed to drink only ordinary mineral water. From the third day of treatment, the ration is supplemented with homemade crackers and tea without sugar, oatmeal on the water. Then you can include jelly, fermented milk products, stale white bread. On the fifth day of therapy, simple vegetable broths or mashed potatoes are allowed. After another five days, provided positive dynamics, patients can eat lean meat, steam meatballs. Fresh vegetables and fruits should be introduced into the diet gradually, preferably the most recent. A complete list of permitted dishes at each stage of the diet must determine the attending physician.
Treatment of reactive pancreatitis medications
Использование при этом заболевании лекарственных drugs allows you to stop its progression and arrest the symptoms. All medicines included in the standard course of therapy can be divided into two conditional groups:
- Antispasmodics. This group includes "clean" drugs ("No-shpa") and drugs that have in its composition anesthetic components ("Analgin", "Paracetamol").
- Ферментные средства.Their action is aimed at improving the process of digestion. In this group, drugs are divided into two categories: incorporating enzymes ("Mezim", "Pancreatin") and containing bile ("Festal", "Forestal"). It is not necessary to abuse drugs, because the body can get used to such artificial assistance. Preparations from the second group give a good therapeutic effect, but their use is contraindicated in case of gallstone disease and exacerbation of gastritis.
To enhance the therapeutic effects of medication,Doctors recommend additionally take antacids. They help reduce the acidity of the stomach, thereby increasing the beneficial effect of drugs.
Treatment with folk remedies
Reactive pancreatitis in a child cannot be curedwithout the use of drugs. However, for the relief of symptoms, you can resort to using recipes of folk healers. Before starting a course of therapy should consult with your doctor.
One of the popular products in the treatmentpancreatitis is royal jelly. It can be used only if the child is not allergic to honey. The duration of the course of therapy is 2-3 months. Then you need to take a short break for a few days. Take royal jelly is recommended for a teaspoon three times a day. It is better to slowly dissolve the sweet treat, rather than swallow it whole.
You can also make homemade kvass from celandine.For its preparation will require 3 liters of whey. If it cannot be found, it can be replaced with ordinary water. The liquid must be poured into a jar, add a teaspoon of sour cream and sugar. In a gauze bag should be poured half a cup of herb celandine, immersed in a jar of water or milk whey. For two weeks, you need to stir the kvass daily. If you follow the instructions clearly, on the 10th day the drink should start to foam. Take kvass throughout the week for a tablespoon three times a day.
Preventive measures
Not always parents can save their offspring fromfactors contributing to reactive pancreatitis. That is why they have to explain to the child the seriousness of the disease, to talk about the need for a special diet.
Many children have a sweet tooth.It is cakes and pastries that deal the most severe blow to the pancreas. One of the measures to prevent the disease is to limit the consumption of sweets. In the role of their substitute may be the most common honey. However, with this delicacy it is important not to overdo it. A kid needs two tablespoons of this product, provided there is no allergy. Another important rule is not to overeat. The child must rise from the table with a slight feeling of hunger.
Another way to prevent ailment istimely treatment of infectious and inflammatory pathologies, diseases of the gastrointestinal tract. Very often, on the background of such problems, reactive pancreatitis develops in a child. Only due to competent therapy, self-destruction of the pancreas can be avoided. It should be noted that a doctor should prescribe any drugs for treatment. Independent selection of drugs is strictly prohibited.
Let's sum up the results
Reactive pancreatitis in children, symptoms and treatmentwhich are described in this article, is considered a dangerous condition. When the first symptoms of the disease appear, urgently seek medical help. Ignoring the pathology can lead to unpleasant consequences. Among them, the most disturbing is the self-destruction of the pancreas. Due to the late treatment to the doctor in the future, the child may develop diabetes.
