PANCREATITIS
Disease of the pancreas interferes with the normal production of pancreatic enzymes, and therefore the digestion of fats, protein, and starches is reduced. Undigested fat, starch, and protein are present in the stools in increased amounts.
Fat-soluble vitamins are poorly absorbed. Such losses if not corrected lead to general malnutrition.
Acute pancreatitis is often accompanied by severe pain, distention, nausea, vomiting, and constipation. Nothing is given by mouth initially, but fluids and electrolytes are replaced parenterally. Then the diet is progressed from clear fluids to a soft diet as tolerated.
Chronic pancreatitis is often caused by alcoholism. A disorder of lipid metabolism is also associated with pancreatitis and abdominal pain. The pain is often severe with the ingestion of fat or alcohol. Pancreatic extract may be used to aid digestion. The maintenance diet is very low in fat – 20 to 30 gm per day, and high in protein and carbohydrate to supply calories.
*165/234/5*
GENERAL HEALTH

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