Can I eat lamb with acute pancreatitis?

Written by Wu Hai Wu
Gastroenterology
Updated on September 13, 2024
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Patients with acute pancreatitis must not eat or drink during the acute phase. Absolutely no binge eating or drinking should occur, as it can lead to gastrointestinal dysfunction, obstruct the normal movement and emptying of the intestines, and hinder the normal drainage of bile and pancreatic juice, thereby easily triggering an attack of acute pancreatitis. Alcohol must also be avoided, as excessive drinking can lead to chronic alcohol poisoning and malnutrition-related liver and pancreatic damage, reducing the patient's ability to fight infections and also easily triggering and exacerbating acute pancreatitis.

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Written by He Zong Quan
General Surgery
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Does acute pancreatitis have anything to do with the stomach?

Acute pancreatitis is not closely related to stomach conditions, although it is sometimes associated with overeating, but it is not caused by stomach diseases in patients. Instead, it relates to lifestyle habits. The occurrence of pancreatitis is often considered to be due to biliary, alcoholic, hyperlipidemia, and idiopathic causes. In China, the most common causes are biliary and alcohol-related. Biliary causes are mainly related to gallstones, while alcohol-related causes are mostly associated with drinking. Common stomach diseases include gastritis, ulcers, and stomach cancer. These conditions can sometimes cause an increase in amylase during acute abdominal conditions, but they do not cause acute pancreatitis.

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Written by Wei Shi Liang
Intensive Care Unit
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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.

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Written by Yang Chun Guang
Gastroenterology
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What IV fluids should be administered for acute pancreatitis?

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 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 Li Qiang
Intensive Care Unit
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What causes acute severe pancreatitis?

There are many causes of severe pancreatitis, including the following: The first type is alcoholic pancreatitis, which is caused by heavy drinking leading to pancreatic damage. The second type is pancreatitis due to overeating, where consuming large amounts of food, especially high-fat foods, leads to excessive secretion by the pancreas, resulting in pancreatitis. Another type is biliary pancreatitis, caused by small gallstones from the gallbladder falling into the bile duct. Stones lodged at the opening of the pancreatic and bile ducts cause a secretion disorder in the pancreas, leading to pancreatitis. There is also hyperlipidemic pancreatitis, seen in pregnant women and patients with familial hyperlipidemia. Hyperlipidemia causes blockage of the pancreatic duct, thereby triggering an episode of pancreatitis. Another is traumatic pancreatitis, which is directly caused by external forces leading to compression or contusion injuries of the pancreas. Lastly, there is drug-induced pancreatitis, which occurs when certain medications have a direct toxic effect on the pancreas, causing damage to the pancreatic cells.