What Causes Pancreatitis?
Pancreatitis is caused due to inflammation of the pancreas, which is usually very painful and may need surgery (3). Pancreas, the elongated gland, is present in the visceral cavity and is almost covered by the stomach and duodenum. The main function of the pancreas is to secrete pancreatic enzymes and hormones. It secretes insulin and glucagon, hormones that help regulate blood sugar levels, and digestive enzymes like trypsin, amylase, and lipase that break down and metabolize proteins, carbs, and fats (4). Usually, pancreatic enzymes are secreted in the upper part of the small intestine where the main breakdown of foods and absorption of nutrients occurs (5). But due to gallstones, excess alcohol, smoking, autoimmune disease, or faulty genes, the pancreatic enzymes are secreted in the pancreas itself instead of the small intestine. And this leads to inflammation and inability to digest and absorb food. Pancreatitis is of two types – acute and chronic. Scroll down to find the difference between the two.
What Is The Difference Between Acute And Chronic Pancreatitis?
Here are the main differences between acute and chronic pancreatitis: Acute pancreatitis involves active inflammation of the pancreas, causing sudden bouts of abdominal pain and an increase in the level of blood enzymes. The pain may increase after a meal and occurs in the upper middle or left part of the abdomen. In some cases, it may last for days. Severe cases of acute pancreatitis may need surgery. Chronic pancreatitis is a condition in which the pain is not as severe as acute pancreatitis, but it causes damage to the pancreas by calcification, ductal inflammation, and fibrosis. And that’s bad news. Because it means that the pancreas has stopped working, and you may be prone to diabetes, liver problems, anemia, and malnutrition. Now, let’s check out the symptoms of acute and chronic pancreatitis.
Acute Pancreatitis Symptoms
Around 30 out of 100,000 people suffer from acute pancreatitis (6). And the symptoms are usually as follows:
Upper abdominal pain that may come and go or persist Fever Inability to digest food Nausea Pain right after meals Vomiting Tender abdomen Higher heart rate Back and shoulder pain
Chronic Pancreatitis Symptoms
Around 5-12 out of 100,000 people develop chronic pancreatitis (7). Not being on a pancreatitis diet, even after being diagnosed with acute pancreatitis, leads to it. And here are the symptoms of chronic pancreatitis:
Drastic weight loss Steatorrhea – fatty stool with foul smell Difficulty in breathing Fatigue Dehydration Diarrhea Nausea Vomiting In some cases, the pain may reduce, indicating that the pancreas is ceasing to work.
Remember, you might experience abdominal pain due to various reasons. Do not panic. Call for help, and seek immediate medical attention. To reduce the chances of recurrence of bouts of pancreatitis pain, you must take care of what you eat. Here are a few guidelines for your pancreatitis diet. Take a look.
Pancreatitis Diet Guidelines
Here are a few acute and chronic pancreatitis diet guidelines:
Focus on consuming healthy food, always. Be on a low-fat diet to prevent aggravating the inflammation. Stop drinking alcohol and smoking. Consume MCTs (medium-chain triglycerides) as these do not require pancreatic enzymes to be digested. Consult your doctor and get digestive enzyme supplements. Consult your doctor and take supplements for vitamins A, E, D, K, and B12. Consult your doctor and take minerals like calcium and iron. Have 6 to 7 small meals throughout the day. Do not consume too many high-fiber foods at one go. Consume boiled and mashed veggies to put less strain on your stomach.
Now, let me list out the foods you can consume and the foods you must avoid. Scroll down.
Pancreatitis Diet – Foods To Eat
Here are the foods you can consume if you are suffering from pancreatitis:
Veggies – Spinach, cauliflower, sweet potato, scallions, carrot, beetroot, and cucumber. Fruits – Cherries, blueberries, peeled apple, and pineapple. MCTs – Coconut, coconut oil, yogurt, and milk. Protein – Lentils, beans, and lean meat. Whole grains – Barley, oats, and white rice. Beverages – Water, strained fruit juice, coconut water, and buttermilk. Condiments – Chickpea and green peas hummus.
Note: If you have chronic pancreatitis, you may not be allowed to consume beans and whole grains. Your doctor/dietitian will advise you on your food intake depending on the severity of the condition. Now, let’s take a look at the foods you should avoid.
Pancreatitis Diet – Foods To Avoid
High-sugar foods – These foods increase the triglyceride levels, which can further aggravate acute pancreatitis. Carbonated beverages High-fat foods like butter, avocado, dried coconut, nuts, seeds, nut butter, and lard. High-fiber fruits and fruits with the peel. High-sodium foods like wafers, cheese balls, and processed meat. High-fat meat like beef and pork. Mayonnaise Beverages with added sugar like packaged juices and energy drinks. Full-fat dairy Hamburger, pizza, fries, and fried chicken. Cake, pastries, doughnuts, ice cream, and milkshakes.
It is clear that you must avoid foods that are unhealthy and make your digestive system work extra hard to help digest them. Using the diet guidelines and foods to eat and avoid list, I have created a sample pancreatitis diet. It will give you an idea of timing and portion of foods that you should consume. Make sure you consult your doctor if you decide to follow this diet plan.
Pancreatitis Recovery Diet Chart
When it comes to pancreatitis patients, nutrition is very crucial. To recover and avoid pancreatitis-triggered diseases like gallstones, pancreatic cancer, diabetes, and malnutrition, patients must follow a good diet. Here’s an acute pancreatitis diet chart – take a look. This diet chart may look very grim, but it is going help soothe your digestive system and reduce bouts of pain. 1 medium bowl green sprouts porridge with veggies Apart from following a pancreatitis-friendly diet, you must lead a good lifestyle. Because, most of the times, your lifestyle determines if you are going to lead a disease-free life. So, don’t miss the following points.
Pancreatitis Recommended Lifestyle Changes
Drink 3 liters of water every day. Quit smoking and drinking alcohol. Consume home-cooked food. Eat healthy and avoid foods that can cause inflammation of the pancreas. Practice meditation and yoga. Go on walks. Join a support group to talk it out and get the support of people who understand what you are going through. Do not miss your doctor’s appointments. Reschedule them if you do.
These lifestyle changes are mandatory so that you can prevent the following risks.
Health Complications Of Pancreatitis
Further deterioration of pancreatitis Liver failure Pancreatic cancer Kidney damage Malnutrition Diabetes
Along with diet and lifestyle changes, you must also be aware of other treatments available for pancreatitis. Take a look at the list below.
Other Treatment Options For Pancreatitis
Fasting – Doctors recommend fasting for a few days to give your digestive system a break and help soothe the inflammation. Pain Medications – Acute pancreatitis pain is unbearable, which is why doctors often recommend pain medications. Intravenous Fluids – While recovering from pancreatitis, you may become dehydrated. So, fluid is pushed through your veins to keep you hydrated. Gallbladder Surgery – Since gallstones can also cause pancreatitis, you may have to undergo gallbladder surgery to remove the gallstones. Pancreas Surgery – Pancreas surgery helps remove excess fluid or the diseased part of the pancreas. Bile Duct Obstruction Removal – Pancreatitis can also be caused due to narrowing or obstruction of the bile duct. Therefore, your doctor may carry out procedures to widen the bile duct.
Will I be able to do normal activities? That depends on your condition. If your doctor recommends rest, you must avoid doing strenuous activities. You may do isometric exercises and stretching. Will I be able to consume alcohol after my recovery? No. It is not recommended to consume alcohol. It will only aggravate the condition and make you prone to another flare up. Will smoking impact my disease? Yes, it will. Hence, it is better to quit smoking. Is pasta good for pancreatitis? Yes, eating whole-grain pasta, bread, and cereals is good for pancreatitis as they are rich in fiber. How long does pancreatitis take to heal? Most people with acute pancreatitis improve within a week and leave the hospital within 5-10 days. They usually recover in a month with proper rest. Is broccoli good for pancreatitis? Yes, cruciferous vegetables like broccoli, cauliflower, cabbage, and sprouts are rich in indole-3-carbinol and vitamins C and E, which are great for the pancreas and help in easing abdominal pain (8).