What IV fluids should be administered for acute pancreatitis?

Written by Yang Chun Guang
Gastroenterology
Updated on September 10, 2024
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If the diagnosis confirms acute pancreatitis, venous medication generally involves the use of proton pump inhibitors to suppress gastric acid, which also helps reduce the secretion of pancreatic enzymes. Meanwhile, to prevent infection, antibiotics can be used appropriately. Medications that reduce pancreatic secretion, such as octreotide or somatostatin, can be considered, as well as drugs that inhibit pancreatic enzyme activity. Since patients with pancreatitis must abstain from food and water intake, it is important to pay attention to energy intake and maintain electrolyte balance. Once acute pancreatitis is confirmed, it is essential to seek hospital treatment as this condition can be quite dangerous. All mentioned medications should be used under the guidance of a doctor.

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Written by Zhu Dan Hua
Gastroenterology
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Acute pancreatitis clinical manifestations and signs

The clinical manifestations of acute pancreatitis generally present as upper abdominal pain, with some patients also experiencing fever, nausea, vomiting, and pain in the lumbar and back areas. In terms of physical signs, the main ones are abdominal distension and tenderness in the upper abdomen, with abdominal pain being the most commonly seen symptom in clinical settings. This pain is typically in the upper abdomen, persistent, and difficult to alleviate, although bending forward may provide some relief for the patient; some patients may also experience symptoms of vomiting. Diagnosis of the condition primarily relies on blood and urine amylase levels and imaging studies. Typically, an ultrasound and CT scan of the abdomen are completed, which can reveal typical changes associated with acute pancreatitis, such as effusion, etc. Treatment, for now, involves enzyme inhibition, fasting, acid suppression, fluid replacement, and other symptomatic treatments. Generally, the acute phase of pancreatitis can be controlled within five to seven days, but if severe pancreatitis is considered, the treatment period may be longer. (The use of medication should be under the guidance of a physician.)

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Written by He Zong Quan
General Surgery
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The causes of nausea and vomiting in acute pancreatitis

The causes of acute pancreatitis are often considered to be gallstones, as well as hyperlipidemia, alcohol-related reasons, and others. After the onset of pancreatitis, it usually causes significant gastrointestinal symptoms, accompanied by nausea and vomiting. Due to the increased intra-abdominal pressure, it can also cause abdominal compartment syndrome, which can exacerbate gastrointestinal symptoms. Therefore, the symptoms of nausea and vomiting may worsen, and after vomiting, symptoms do not ease significantly, which is a clear distinction from other diseases. After the onset of acute pancreatitis, it is necessary to address the root cause of the condition, and to use acid suppression, enzyme inhibition, and suppression of gastrointestinal symptoms to promote the recovery from pancreatitis.

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Written by He Zong Quan
General Surgery
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Is it normal to have a fever with acute pancreatitis?

Acute pancreatitis often occurs following gallstones, hyperlipidemia, and alcohol consumption. Patients with acute pancreatitis sometimes exhibit clear symptoms, including fever. This is due to the significant inflammatory irritation and the extravasation of pancreatic juices, causing infection and effusion around the pancreatic tissue. If not treated promptly, the fever may persist. Therefore, after diagnosing acute pancreatitis, treatments such as dietary restrictions, gastrointestinal decompression, enzyme inhibition, acid suppression, correction of fluid and electrolyte balance, and anti-infection measures should be taken. These treatments can delay or alleviate the progression of acute pancreatitis and help the patient's body recover sooner, thereby reducing the fever.

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Written by Wu Hai Wu
Gastroenterology
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Can acute pancreatitis patients have sexual intercourse?

Patients with acute pancreatitis cannot have sexual intercourse during the acute treatment period because it can lead to physical exhaustion and further weaken the patient's condition. Therefore, during the acute phase of acute pancreatitis, the focus should be on rest, and the diet should include foods rich in vitamins and carbohydrates, such as starchy foods, fresh vegetables, and fruits. It is important to avoid overeating, greasy foods, and alcohol consumption. If patients with acute pancreatitis recover fully, and their physical strength is completely restored, they may then consider resuming sexual activity.

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Written by Ren Zheng Xin
Gastroenterology
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Can you smoke with acute pancreatitis?

Acute pancreatitis is an emergency related to the pancreas. Smoking during this time is very harmful to health. Nicotine in tobacco directly affects the blood vessels of the pancreas, causing vasoconstriction and exacerbating pancreatitis. During acute pancreatitis, it is necessary to abstain from eating, not consuming any food, and timely use of medications is required to control the infection and decompress the gastrointestinal tract, providing parenteral nutrition. If acute pancreatitis is not treated actively, it can turn into acute suppurative pancreatitis, which poses a risk of shock. Therefore, it is best to be hospitalized for treatment of acute pancreatitis.