What fruits can you eat with pancreatitis?

Written by Li Xue Qing

Gastroenterology

Updated on September 22, 2024

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Patients with pancreatitis can eat some mild fruits, such as apples, bananas, peaches, kiwis, and strawberries. It is best to avoid more acidic fruits like oranges, lemons, and hawthorns. For cooler fruits, they can be soaked in warm water for a certain period before eating. Also, regardless of the type of food, fruit, or daily diet, it is important not to overeat.

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Written by Si Li Li

Gastroenterology

1min 21sec

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How to treat mild pancreatitis

Pancreatitis occurs due to the abnormal activation of pancreatic enzymes, leading to the self-digestion of the pancreas. The primary causes include alcohol, where excessive drinking can induce acute pancreatitis. Another cause is hyperlipidemia, as individuals with high blood lipid levels are prone to acute pancreatitis. Additionally, cholelithiasis, including stones in both the bile ducts and the gallbladder, can also trigger acute pancreatitis. Symptoms of acute pancreatitis manifest as severe pain in the upper abdomen, accompanied by nausea, vomiting, abdominal bloating, and fever. Acute pancreatitis is classified into mild, moderate, and severe categories. Mild cases mainly exhibit edema of the pancreas without bleeding, necrosis, or involvement of other organs. Treatment primarily involves fasting and fluid replacement, typically lasting for more than 48 hours or until abdominal pain ceases. Another aspect of treatment is inhibiting pancreatic enzyme secretion. Some patients with acute pancreatitis might also need antibiotics. Typically, mild acute pancreatitis can heal within one to two weeks of treatment.

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Written by Wei Shi Liang

Intensive Care Unit

1min 4sec

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Severe pancreatitis complications

Complications of severe pancreatitis primarily include: 1. Acute peripancreatic fluid collection and interstitial edematous pancreatitis, where fluid accumulates around the pancreas without necrosis. This can be diagnosed with enhanced CT. 2. Pancreatic pseudocysts, characterized by fluid encapsulated by a clearly defined inflammatory cyst wall around the pancreas, with no or minimal necrosis, commonly occurring around four weeks after an episode of interstitial edematous pancreatitis. 3. Accumulation of acute necrotic material, involving necrotic tissue and liquids from necrotizing pancreatitis, including the parenchyma and peripancreatic tissues, also diagnosable through enhanced CT. 4. Encapsulated necrosis, observable as a clearly defined inflammatory encapsulation of the pancreas and peripancreatic tissues, commonly occurring four weeks post an episode of necrotizing pancreatitis.

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Written by Wang Li Bing

Intensive Care Medicine Department

1min 5sec

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Treatment of severe pancreatitis

Severe pancreatitis must be managed with comprehensive measures and aggressive rescue treatment. For medical treatment, the first step is to enhance monitoring of vital signs such as heartbeat, respiration, and blood pressure. The second step involves actively replenishing fluids and electrolytes to maintain effective blood volume. Severe cases often experience shock, and it may be appropriate to administer albumin, plasma, etc. The third step for patients with severe pancreatitis, who typically have high metabolic demands, is to enhance nutritional support, possibly using parenteral nutrition. The fourth step involves routine use of antibiotics for severe pancreatitis to prevent infections related to pancreatic necrosis. The fifth step involves using somatostatin analogs like octreotide to suppress the secretion of pancreatic enzymes and pancreatic juice as part of conservative medical treatment. If pancreatic necrosis is complicated with infection, or if a pancreatic abscess forms, surgical treatment can be considered.

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Written by Zhu Dan Hua

Gastroenterology

1min 17sec

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How is pancreatitis caused?

Pancreatitis is also a common disease in clinical practice, especially acute pancreatitis. There are many causes of acute pancreatitis. From a definitional perspective, it refers to the inflammatory changes in the pancreas caused by various reasons. For Chinese people, some common causes include biliary tract stones, cholelithiasis, etc., as well as excessive eating and drinking, hyperlipidemia, and alcohol consumption. The symptoms of pancreatitis include upper abdominal pain or pain in the waist and back, accompanied by nausea, vomiting, fever, etc. The diagnostic criteria for acute pancreatitis include typical abdominal pain, abnormal serum and urinary amylase levels, and abnormalities found in abdominal ultrasound or abdominal CT scans. If the aforementioned three criteria are met, pancreatitis can be diagnosed. The treatment plan for pancreatitis varies depending on the cause. For example, lipid lowering treatment is recommended for hyperlipidemia-induced cases, and surgical intervention is suggested for biliary tract stones.

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Written by Wei Shi Liang

Intensive Care Unit

1min 3sec

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Severe pancreatitis symptoms

Severe pancreatitis, due to different stages of pathological changes, presents diverse systemic responses. Generally, mild symptoms of pancreatitis include abdominal pain, nausea, vomiting, and fever. In severe pancreatitis, apart from these symptoms, due to bleeding, necrosis, and autolysis of the pancreas, additional symptoms such as shock, high fever, jaundice, abdominal distension, and paralytic ileus, peritoneal irritation signs, and subcutaneous ecchymosis may also occur. Abdominal pain is the earliest symptom, while nausea and vomiting are manifestations due to inflammatory factors stimulating the vagus nerve. The likelihood of jaundice is relatively low in acute edematous pancreatitis but is more common in severe pancreatitis. Extensive inflammatory exudation in the pancreas can lead to pancreatic necrosis and localized abscesses, which may cause varying degrees of fever increase.