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Unfortunately there are diseases of the pancreas that can cause problems, as well as lead to an enlarged pancreas. Diagnosis is often done with a CT or MRI; with these imaging devices, the doctor can see if there is an enlarged pancreas and a probable case of this disease. Chronic pancreatitis is a problem most often seen with alcoholics or those who continue to go on drinking binges. Additional medical conditions that can cause an enlarged pancreas include an enzyme deficiency and tumors. Like most organs in the body, the pancreas can also develop tumors; in many cases the tumors are benign, but of course they can also be malignant. Sometimes an enlarged pancreas causes no symptoms, but there may be pain in your upper middle abdomen that radiates to the back, as well as nausea and fever. Although an enlarged pancreas can mean nothing, pancreatitis is the most common cause for the pancreas being enlarged; pancreatitis can be caused by food and alcohol or by gallstones. According to the Mayo Clinic, pancreatitis can be treated with antibiotics or pain medicine, and severe pancreatitis may require hospitalization. You can make changes to your lifestyle to help prevent swelling of the pancreas by refraining from drinking, smoking or eating foods high in fat. Pancreas plays a vital role in the digestive system of the body by producing digestive enzymes and hormones necessary for processing foods so the body can absorb all the nutrients from it.
An acute inflamed pancreas attack can be caused by a trauma episode or a gallstone blocking pancreas passages and preventing pancreatic juices from flowing freely. Alcohol abuse and hereditary factors greatly contribute to a chronic form of inflamed pancreas.
Pancreatic cancer is one of the deadliest of all cancers due to difficulty of diagnosing it and rapid cancer progress. 1.Alcohol abuse is the number one cause for inflamed pancreas that disrupts proper work of this important organ with its vital enzymes necessary for proper food digestion. 2.Gallstones can entirely close off a pancreatic duct forcing digestive juices to start digesting pancreas and surrounding tissues.
3.Infectious diseases like mumps in rare cases can affect pancreas and cause its inflammation. 4.Some prescription drugs possess side effects that can impair pancreas’s function and cause inflamed pancreas. 5.High triglycerides levels in blood are major contributors to inflamed pancreas making it work in the overdrive mode to digest high levels of bad fats.
7.Congenital pancreas malformations account for a small percentage of all inflamed pancreas causes.
8.Pancreatic cancer spreads rather quickly and is one of the deadliest underlying causes of inflamed pancreas.
9.Certain autoimmune disorders cause body’s immune system to attack itself and affect major organs and systems in the body, including pancreas and gallbladder resulting in inflamed pancreas condition.
10.Abdominal trauma causes disruptions in production of pancreatic juices leading to inflamed pancreas causes.
Inflamed pancreas diet should be carefully tailored to each patient and include 5-6 small meals per day that will not overwhelm already affected pancreas.
DisclaimerThe information provided herein is intended for a general knowledge only and is not a substitute for medical advice or a treatment for specific medical conditions. Natural and home remedies are very helpful in dealing with the painful symptoms of an inflamed pancreas.
Eating the right foods and following a healthy lifestyle habits are the best things you can do for your inflamed pancreas. Hence, if you are addicted to alcohol, cigarettes and tobacco then you will have to give up all these nasty habits to get relief from inflamed pancreas symptoms.
Pain associated to pancreas problems can be eliminated by taking natural analgesics for pain, which can be purchased from your local health food store. Consuming liquid diet can be very beneficial for reducing the inflammation of your pancreas. A swollen pancreas is commonly caused by gallstones, which could force a patient to have their gallbladder removed.
The primary function of the pancreas is the production of hormones which regulate the blood sugar as well as enzymes which, once released, assist in digestion.
A swollen pancreas is caused by the malfunction of the digestive enzymes produced within the organ. Treatment for a swollen pancreas usually includes relieving immediate symptoms and then addressing the condition’s underlying cause. Treatment of the underlying diseases responsible for enlarged liver can help to heal the condition naturally. To help your enlarged liver to regain its normal size, you should also stay away from caffeine.
Background: To analyse a tertiary care experience with various pancreatic problems in the paediatric age group and clarify the frequency of various pancreatic diseases in the same patient population as well as the role of surgical or conservative management in their treatment.
How to cite this article:Lahoti B K, Aggarwal G, Satsangi B, Sudarania M, Sharma SS, Upadhyaya V D, Mathur R K. How to cite this URL:Lahoti B K, Aggarwal G, Satsangi B, Sudarania M, Sharma SS, Upadhyaya V D, Mathur R K. These diseases include, tumors, diabetes mellitus, as well as acute and chronic pancreatitis. There are several things that can cause this condition, including trauma, gallbladder disease, alcohol, high concentration of fat in the blood, and genetics.
In most cases medication and rest can help the patient recover from pancreatitis, but if gallstones triggered the illness, surgery to remove the gallbladder may be necessary.
With this disease there may be a problem with an enlarged pancreas on a frequent basis and pain medications are necessary to control the discomfort. With an enzyme deficiency, there are no enzymes to breakdown the food and this may cause weight loss, malnutrition, as well as a pancreatitis attack.
Symptoms of this disease usually include a dull pain in the top of the stomach that goes around to the back.
It is located behind the stomach in the upper abdomen and may become enlarged or swollen if there is a problem.
Pancreatic cancer can also cause the pancreas to be enlarged as cancer cells grow inside the pancreas.
Doctors can try to treat pancreatic cancer with radiation or operate to remove tumors, but the disease is often fatal.



The gallstone blockage triggers inflammation of the pancreas and surrounding tissues that can even lead to a formation of a pancreatic pseudocyst. Patients with chronic inflamed pancreas have advanced scarring of the gland and pancreas passages and impaired ability to digest foods. Almost 80% of patients diagnosed with pancreatic cancer are already in advanced state that makes finding treatment difficult. Pancreatitis diet plan will focus on fresh ingredients like whole grains, raw or steamed vegetables, lean sources of protein and low fat dairy products. An inflamed pancreas can cause a lot of sufferings and pain to the patient who may experience symptoms such as pain in the abdomen, which may get worse after consuming meals. Hence, if you or your near and dear one has been afflicted with an inflamed pancreas you can try the natural remedies for an inflamed pancreas that are given below. Alcohol occupies the top most position on the list of factors responsible for causing inflamed pancreas. In case you experience any symptoms of inflamed pancreas you must stop all alcohol consumption immediately. Smoking and tobacco should also be stopped otherwise your chances of developing a pancreas tumor and other pancreas problems will increase. Sometimes, however, these enzymes become active prior to their release, and they attack the pancreatic tissue, causing it to become inflamed and irritated.
Normally, these enzymes do not become active until they have been released from the pancreas.
The two most common underlying causes of a swollen pancreas are gallstones and alcohol abuse. Normal function of the pancreatic enzymes may be affected by infections or by an injury to the pancreas caused by an accident or a surgical error. Relieving the immediate symptoms of pancreatitis often involves a hospital stay during which the patient is fed intravenously, thus relieving digestive discomfort while allowing the pancreas to recover. Just my thoughts about the sickness, and I needed to vent because I'm so scared and worried about him. Enlargement of the liver is not a disease but it is a symptom of some other disease such as hepatitis, liver cancer or congestive heart failure. People suffering from hemochromatosis absorb excess iron from food, storing the extra iron in the liver, pancreas and heart, leading to liver enlargement. Avoiding alcohol and maintaining a healthy lifestyle could prevent occurrence of this condition. Patients and Methods: All patients with clinical suspicion of disease pertaining to the pancreas, substantiated by laboratory investigations or imaging modalities over a period of five years are included in our study.
Clinical experience in 82 patients with pancreas divisum preliminary result of manometric and endoscopic therapy.
Nesidioblastosis of pancreas: Definition of the syndrome and management of severe neonatal hyperinsulinaemic hypoglycemia. Long term treatment with somatostatin analogue SMS 201-995: Alternative to pancreatectomy in persistent hyperinsulinaemic hypoglycaemia of infancy.
Pancreatic transection from blunt abdominal trauma: Early versus delayed diagnosis and surgical management. When the problems were triggered by alcohol, it is imperative that the patient changes their lifestyle habits to avoid a repeat illness. Treatment will usually consist of medications, as well as rest and restricting alcohol consumption. With this disease, the enzymes can be taken in medication form to supplement what is not being produced. If someone experiences this type of pain it is important that they see their healthcare provider as soon as possible to get a diagnosis.
Inflamed pancreas does not tolerate hot, cold or sour foods, alcoholic beverages, citrus foods, processed ingredients or fatty foods. Always consult with your doctor or other professional healthcare provider for a medical advice. And if you don’t do this your condition may get worse and you are likely to develop chronic pancreatitis. Taking adequate rest will help you in healing and you may soon get relief from the symptoms of inflamed pancreas.
Dairy products should altogether be avoided to deal with inflamed pancreas symptoms as they are difficult to digest.
A swollen pancreas, also known as pancreatitis, is most often caused by gallstones or alcohol abuse, but may also result from infection, pancreatic injury, diseases such as cancer and cystic fibrosis, and duct blockages.
In pancreatitis, however, the enzymes become active before leaving the pancreas, and begin attacking the organ, causing it to become swollen.
Generally, pancreatitis caused by gallstones arises suddenly, and is thus classified as acute pancreatitis. Diseases such as cancer and cystic fibrosis can also cause pancreatitis, as can structural deformities of the ducts which normally transport digestive enzymes away from the pancreas. Then, the underlying cause of pancreatitis is addressed to prevent further incidences of swelling. Leukemia or cancer of the white blood cells is one of the factors responsible for enlarged liver. Studies have shown that intake of high doses of vitamin A, D, E and K supplements and herbal supplements can damage your liver. Results: Of the total 228 patients with various pancreatic problems, who presented to us, mostly with acute pancreatitis and pancreatic trauma, 64 needed surgical interventions.
Conversely, pancreatic swelling caused by alcohol abuse tends to escalate over a long period of time, and is thus known as chronic pancreatitis. For instance, if the condition is caused by alcoholism, the sufferer may enter substance abuse treatment. Infection caused by the Epstein-Barr virus, which is known as mononucleosis, causes enlarged liver. Excess fat accumulation in liver of people suffering from fatty liver, causes enlarged liver.
Any child with unexplained recurrent abdominal pain should be investigated for diseases of the pancreas and moreover because of better imaging facility more and more cases are now being detected. As pancreatitis involves an interruption of the digestive enzymes’ normal function, sufferers may also experience digestive problems such as nausea, vomiting, diarrhea, discolored waste, and unplanned weight loss. If the liver function is adversely affected by the enlargement of the liver, jaundice might occur.


Diagnostic imaging thus plays a major role in evaluation of the pancreas in infants and children. When someone does have this health condition, what happens is that glucose builds up in the blood and is released in the urine. Familiarity with the range of normal appearances and the diseases that commonly affect this gland is important for the accurate and timely diagnosis as well as prompt surgical intervention in cases of pancreatic disorders in the paediatric population.
By the time this is happening, it is common for someone to need insulin injections on a regular basis. Ultrasonography (USG) and CT was performed in almost all cases while specific investigations like MRI, Magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP) were performed in difficult diagnostic conditions like pancreatic divisum and pancreatic neoplasms.All pancreatic disorders encountered, were included in our study, viz. Pancreatic anomalies are suspected early in life if an infant presents with high intestinal obstruction, neonatal hyperglycaemia, failure to thrive and maldigestion.Annular pancreas is a rare anomaly, consisting of a band of tissue encircling the second part of duodenum, [1] 50% of them present in paediatric age group of which 85% are neonates. Surgical approach is a bypass operation preferably duodeno-duodenostomy or a duodeno-jejunostomy [Figure 1]. The associated anatomic or functional stenosis, at the minor papilla may account for increased incidence of acute or recurrent pancreatitis in these patients who lack alternate pancreatic outflow. They are diagnosed while investigating a case of unexplained recurrent abdominal pain or pancreatitis. It can be considered whenever a patient has recurrent attacks of abdominal pain associated with elevated serum amylase.
A successful attempt to cannulate the minor papilla demonstrates that duct of santorini is the dominant duct and it extends to the entire length of body and tail of the pancreas. Endoscopic minor papilla sphincterotomy, balloon dilatation and stenting of duct of Santorini have been tried with variable success. Though frequent feeds provide a constant input of glucose, diazoxide is mainstay in medical therapy.
They can be cystic or solid and benign or malignant and may or may not be hormonally active.
Cystic tumours are cystadenoma, cystadenocarcinoma, mucin cystadenoma and carcinoma or teratoma.
USG, CT scan, arteriography and transhepatic portal vein sampling help in localising the tumour.
Patients with pancreatic head adenomas or teratomas usually present with non remitting jaundice, moderate grade fever, clay coloured stools as well as with Raynaud's pentad.
A CT scan, MRCP and an intra-operative cholangiogram form the imaging modalities of choice. A standard pancreatico-duodenectomy (Whipple's procedure) forms the mainstay of surgical therapy in cases of adenomas [Figure 3] whereas an enucleation procedure is mandatory in cases of teratomas with both solid and cystic components [Figure 4]. About a third of cases of pancreatitis are related to disorders of the biliary or pancreatic ducts with choledochal cyst being most common. Anomalous pancreatico-biliary duct junction (ABPDJ), with its long common channel, permits reflux of bile into the pancreatic duct.
In very severe cases child may present with shock, respiratory distress or multi organ failure or unexplained jaundice or ascites. When necrosis, abscess or pseudo cyst develop, the presentation may be with a mass in the epigastrium.Serum amylase is the widely used test in acute pancreatitis. It may be normal in the first 24 hours; peak between 24 and 72 hours and in uncomplicated cases, remain elevated for two to five days. Serum lipase levels are usually elevated in pancreatitis and remain elevated for longer time than amylase. USG is the most useful investigation and may show increased pancreatic size and decreased echogenicity. Contrast enhanced dynamic CT scan is the imaging modality of choice; it shows the size, texture of inflamed pancreas, peripancreatic fluid collection, abscess, pseudo cyst, ductal dilatation, calcification and perfusion defects of the pancreas to differentiate interstitial pancreatitis from necrotising pancreatitis. Treatment of acute pancreatitis is largely supportive in the form of fluid resuscitation and child is deprived of oral intake with nasogastric suction.
Full monitoring of central venous pressure (CVP), intake and output, blood gases, serum electrolytes, creatinine, calcium, glucose and lipid profile were done. Parenteral analgesics using either narcotic or NSAID should be started even in mild pancreatitis because pain can be extreme. Measures to put the pancreas to rest such as H2 blockers, atropine, calcitonin, glucagons and stomatostatin have not shown to change course of disease. Recent studies have shown that some antibiotics like cefuroxime, ciprofloxacin and imipenem cross blood pancreatic barrier and are found in high level in pancreas and within the necrotic pancreatic tissue.
Re feeding can be started when pain and tenderness is reduced, initially with carbohydrates. Complications include respiratory failure, shock, renal failure, disseminated intravascular coagulation, which indicate that the patient has severe pancreatitis.
Sterile or infected pancreatic and peripancreatic necrosis can be distinguished by USG or CT guided fine needle aspiration. Surgery is indicated if diagnosis is in doubt, if patient develops infected necrosis or in sterile necrotising pancreatitis; if patient deteriorates in spite of adequate medical management or if there is pancreatic abscess or the patient develops a pseudo cyst.
Infected pancreatic necrosis needs debridement and multiple drainage of lesser sac.Pancreatic pseudo cysts are a contained collection of fluid, rich in pancreatic enzymes, not lined by epithelium.
The fluid is usually clear with some debris and amylase level is always > 50,000 somogyi units. Most pseudo cysts resolve over a course of six weeks, particularly associated with acute pancreatitis. Pseudo cysts that persist beyond six weeks, those larger than six centimetres and those associated with chronic pancreatitis are less likely to resolve spontaneously and require some degree of surgical intervention. For many years the standard treatment has been laparotomy and internal drainage of the cyst into the gastrointestinal tract.
CT-guided percutaneous aspiration and endoscopic cysto gastrostomies are the newer methods of drainage.Diagnosis of pancreatic trauma can be difficult in a stable blunt trauma patient. Prudent approach is to operate early as there is higher mortality of delayed surgical intervention after unsuccessful conservative management. Debridement, wide drainage and local control of haemorrhage are all needed in unstable patient. Pancreatic head disruptions requiring pancreaticoduodenectomy are extremely rare, probably due to concomitant major vessel disruption causing death.



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