What can be eaten during the recovery period of acute pancreatitis?

Written by Wu Hai Wu
Gastroenterology
Updated on September 28, 2024
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Patients with acute pancreatitis in the recovery phase should start to eat some sugary liquid diets, beginning with easily digestible sugary foods. Generally, it is recommended to transition from liquid to semi-liquid diets, and then to a normal regular diet. However, patients with acute pancreatitis in the recovery phase should still avoid overeating and consuming too greasy foods. They should also abstain from alcohol and avoid eating overly fatty foods such as meat fried noodles, fried rice with eggs, and braised pork. These foods should be largely avoided, while increasing the intake of protein-rich foods for the patient.

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Does acute pancreatitis cause abdominal muscle tension?

If a patient with acute pancreatitis shows symptoms of peritonitis, abdominal muscle rigidity may occur. Acute pancreatitis is divided into acute edematous pancreatitis and acute hemorrhagic necrotizing pancreatitis. The main symptoms of acute edematous pancreatitis include abdominal pain, nausea, vomiting, and fever. If it is hemorrhagic necrotizing pancreatitis, it can lead to shock, respiratory distress syndrome, high fever, jaundice, abdominal distension, and the abdominal compartment syndrome in the patient. Severe cases can cause intestinal paralysis and signs of peritoneal irritation, leading to abdominal muscle rigidity and also possibly presenting with shifting dullness, among other symptoms.

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How long does it take to recover from mild acute pancreatitis?

After an acute pancreatitis attack, most require fasting, gastrointestinal decompression, acid suppression, enzyme inhibition, fluid replenishment, and maintenance of water and electrolyte balance to achieve early recovery from pancreatitis. After the onset of acute pancreatitis, it is first necessary to understand the cause of pancreatitis. Many patients have biliary pancreatitis, and some are considered to be caused by alcohol or hyperlipidemia. Depending on the type of pancreatitis, the course of the disease may vary. Clinically, the most common biliary pancreatitis caused by gallstones generally improves with conservative treatment. In most cases, the condition can be controlled within about three days and recovery can occur within a week, whereas pancreatitis caused by hyperlipidemia or alcohol may take about ten days to control the progression of the disease.

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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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How long will the fever last in acute pancreatitis?

Patients with acute pancreatitis may experience different symptoms based on the cause of the pancreatitis and the staging of the patient's condition. A fever in acute pancreatitis indicates a severe infection. If a CT scan shows extensive pancreatic effusion, coupled with hyperglycemia and hypocalcemia, it suggests that the condition is severe and there is a tendency towards severe pancreatitis. This type of fever generally requires treatment, sometimes even surgical intervention, and usually takes about half a month to a month to subside. If the fever is caused solely by biliary pancreatitis due to bile duct obstruction by gallstones, and surgical intervention to remove the obstruction is performed, the fever will typically diminish significantly in the short term.

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Written by Wei Shi Liang
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Is acute severe pancreatitis serious?

Acute severe pancreatitis is a very serious disease in clinical practice, with a high mortality rate, often requiring comprehensive treatment in the ICU. Acute severe pancreatitis is a disease caused by multiple etiologies that results in localized inflammation, necrosis, and infection of the pancreas, accompanied by a systemic inflammatory response and persistent organ failure. It is divided into three phases. The first phase is the acute response phase, occurring from onset to about two weeks, characterized by systemic inflammatory response; the second phase is the systemic infection phase, occurring from two weeks to about two months, characterized by necrosis and infection of the pancreas or peripancreatic tissues; the third phase is the residual infection phase, occurring two to three months later, with clinical manifestations primarily of systemic malnutrition and persistent fistulas, accompanied by gastrointestinal fistulas.