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Pancreatitis, A Simple Guide To Condition, Treatment And Related Diseases

Pancreatitis, A Simple Guide To Condition, Treatment And Related Diseases

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Pancreatitis, A Simple Guide To Condition, Treatment And Related Diseases

Longueur:
156 pages
2 heures
Éditeur:
Sortie:
Dec 10, 2014
ISBN:
9781310566271
Format:
Livre

Description

Pancreatitis is an acute or chronic pancreas inflammation
Chronic disease follows attacks of acute pancreas infection
The presence of gallstone is the most common cause of pancreatitis
Small gallstone blocked the bile duct causing pancreatic necrosis

Patients present with epigastric abdominal pain aggravated by eating
There may be also abdominal distension, nausea and vomiting
There may be mild fever, shock and hypotension
There may also abdominal tenderness and distension

Diagnosis is by high blood levels of lipase and amylase
An ultrasound scan may be done to look for pseudocyst in pancreas
Complications are damage to the pancreas or kidney function
There are also shortness of breath and poor food absorption

Treatment is immediate hospital treatment and admission
Pain management, nutritional support and IV hydration
Analgesic or antispasmodic medicine usually by injection
Most pancreatitis patients have complete resolution

-An original poem by Kenneth Kee

Interesting Tips about the Pancreatitis

A Healthy Lifestyle

1. Take a well Balanced Diet

2. Treatment of Acute Pancreatitis:
a. Admission to hospital

b. Gastric suction and fluid replacement

c. Analgesic or antispasmodic medicine usually by injection

d. Antibiotics for infections

e. Treat biliary tract diseases and alcoholism

f. Surgical drainage of pseudocysts after acute episode.

Chronic Pancreatitis:
a. Pancreatic extracts and enzymes together with meals

b. Sodium bicarbonate and cimetidine to prevent enzymes breakdown

c. Analgesic or antispasmodic medicine usually by injection

d. Surgical procedures usually unsuccessful

3. Keep bones and body strong

Bone marrow produces our blood

Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.

Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.

Eat food rich in Vitamins B and C such as green vegetables and fruits

Zinc and other minerals are important to the body

4. Get enough rest and Sleep

Avoid stress and tension

5. Exercise and stay active.

It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 21⁄2 hours a week.

One way to do this is to be active 30 minutes a day at least 5 days a week.

Begin slowly especially if a person has not been active.

6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.

Alcohol use also increases the chance of falling and breaking a bone.

Alcohol can affect the neurons and brain cells.

7. Stop or do not begin smoking.

It also interferes with blood supply and healing.

Chapter 1

Pancreatitis

Pancreatitis is an acute or chronic inflammation of the pancreas.

Pancreatitis is usually caused by the following:

1. Alcoholism and diseases of the biliary tract

2. Bacterial infections from salmonella typhi and streptococcus

3. Viral infection especially mumps, coxsackie virus, cytomegalovirus

4. Trauma

Chronic disease follows attacks of acute infection.

What are the symptoms of Pancreatitis?

Person who has Acute Pancreatitis has the following symptoms:

1. Acute onset of abdominal pain starting from the epigastrium, radiating to the back in 50% of cases.

2. Pain usually very severe occurring after a large meal or drinking bout

3. Pain is worse lying supine therefore patients sit or lean forward

4. Mild fever and body aches

5. Nausea and vomiting

6. Hypotension followed by clinical shock

TABLE OF CONTENT

Introduction

Chapter 1 Pancreatitis

Chapter 2 Digestion Process

Chapter 3 More Facts of Pancreatitis

Chapter 4 Treatment of Pancreatitis

Chapter 5 Malabsorption

Éditeur:
Sortie:
Dec 10, 2014
ISBN:
9781310566271
Format:
Livre

À propos de l'auteur

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 70.However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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Pancreatitis, A Simple Guide To Condition, Treatment And Related Diseases - Kenneth Kee

Pancreatitis

A

Simple

Guide

To

Condition,

Treatment

And

Related Diseases

by

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2014 Smashwords Edition

Published By Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes the disease Pancreatitis and Its Treatments and Related Diseases or in vernacular terms

(What You Need to treat Pancreatitis)

This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

Ode to Pancreatitis

Pancreatitis is an acute or chronic pancreas inflammation

Chronic disease follows attacks of acute pancreas infection

The presence of gallstone is the most common cause of pancreatitis

Small gallstone blocked the bile duct causing pancreatic necrosis

Patients present with epigastric abdominal pain aggravated by eating

There may be also abdominal distension, nausea and vomiting

There may be mild fever, shock and hypotension

There may also abdominal tenderness and distension

Diagnosis is by high blood levels of lipase and amylase

An ultrasound scan may be done to look for pseudocyst in pancreas

Complications are damage to the pancreas or kidney function

There are also shortness of breath and poor food absorption

Treatment is immediate hospital treatment and admission

Pain management, nutritional support and IV hydration

Analgesic or antispasmodic medicine usually by injection

Most pancreatitis patients have complete resolution

-An original poem by Kenneth Kee

Interesting Tips about the Pancreatitis

A Healthy Lifestyle

1. Take a well Balanced Diet

2. Treatment of Acute Pancreatitis:

a. Admission to hospital

b. Gastric suction and fluid replacement

c. Analgesic or antispasmodic medicine usually by injection

d. Antibiotics for infections

e. Treat biliary tract diseases and alcoholism

f. Surgical drainage of pseudocysts after acute episode.

Chronic Pancreatitis:

a. Pancreatic extracts and enzymes together with meals

b. Sodium bicarbonate and cimetidine to prevent enzymes breakdown

c. Analgesic or antispasmodic medicine usually by injection

d. Surgical procedures usually unsuccessful

3. Keep bones and body strong

Bone marrow produces our blood

Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.

Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.

Eat food rich in Vitamins B and C such as green vegetables and fruits

Zinc and other minerals are important to the body

4. Get enough rest and Sleep

Avoid stress and tension

5. Exercise and stay active.

It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 2½ hours a week.

One way to do this is to be active 30 minutes a day at least 5 days a week.

Begin slowly especially if a person has not been active.

6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.

Alcohol use also increases the chance of falling and breaking a bone.

Alcohol can affect the neurons and brain cells.

7. Stop or do not begin smoking.

It also interferes with blood supply and healing.

Chapter 1

Pancreatitis

What is Pancreatitis?

Pancreatitis is an acute or chronic inflammation of the pancreas.

What is the cause of Pancreatitis?

Pancreatitis is usually caused by the following:

1. Alcoholism and diseases of the biliary tract

2. Bacterial infections from salmonella typhi and streptococcus

3. Viral infection especially mumps, coxsackie virus, cytomegalovirus

4. Trauma

Chronic disease follows attacks of acute infection.

What are the symptoms of Pancreatitis?

Person who has Acute Pancreatitis has the following symptoms:

1. Acute onset of abdominal pain starting from the epigastrium, radiating to the back in 50% of cases.

2. Pain usually very severe occurring after a large meal or drinking bout

3. Pain is worse lying supine therefore patients sit or lean forward

4. Mild fever and body aches

5. Nausea and vomiting

6. Hypotension followed by clinical shock

Signs:

1. Tenderness at the epigastrium with muscle spasm

2. Distension and diminished bowel sounds

3. Pleural effusion 10%, abdominal mass 20%, ascites 20%

4. Acute renal failure, respiratory failure following shock.

Chronic Pancreatitis

Symptoms:

1. Repeated attacks of epigastric abdominal pain

2. Pain worse after eating, radiates to the back

3. Weight loss

4. Fever

Signs:

1. Abdominal tenderness

2. Abdominal mass may suggest swelling and pseudocysts

3. Tender subcutaneous masses seen indicating fat necrosis

How is the diagnosis of Pancreatitis made?

Diagnosis can usually be made by:

1. Physical examination with tenderness in the epigastrium

2. Serum and urine amylase very high after 6 hours

3. White blood cell count high

4. Serum lipase high in 50% patients

5. Blood calcium may be low

6. Blood glucose tolerance test for diabetes

7. Ultrasound may show up the presence of pseudocyst in pancreas

8. CAT scan and MRI may show swelling and pseudocysts in pancreas

What are the complications of Pancreatitis?

1. Pseudocysts from damage to pancreatic tissues

2. Hemorrhage - bleeding due to damage to the blood vessels in pancreas

3. Peritonitis from rupture of pseudocysts and bleeding

4. Diabetes mellitus from damage to the glands in the pancreas producing insulin

What is the treatment of Pancreatitis?

Acute Pancreatitis:

1. Admission to hospital

2. Gastric suction and fluid replacement

3. Analgesic or antispasmodic medicine usually by injection

4. Antibiotics for infections

5. Treat biliary tract diseases and alcoholism

6. Surgical drainage of pseudocysts after acute episode.

Chronic Pancreatitis:

1. Pancreatic extracts and enzymes together with meals

2. Sodium bicarbonate and cimetidine to prevent enzymes breakdown

3. Analgesic or antispasmodic medicine usually by injection

4. Surgical procedures usually unsuccessful

What is the prognosis of Pancreatitis?

Prognosis is usually good after treatment of acute pancreatitis with recovery in 5-7 days.

Hemorrhagic Pancreatitis has high mortality of 50-90%

Most trauma cases has complete resolution

Some alcoholic pancreatitis may go on to chronic pancreatitis.

Chronic pancreatitis relapses frequently

Rupture of pseudo cysts may result in death

Chapter 2

Digestion Process

Digestion is the breakdown of food into smaller components that can be more easily absorbed and assimilated by the body.

These smaller substances are absorbed through the small intestine into the blood stream.

Digestion is a form of catabolism that is often divided into two processes based on how food is broken down: mechanical and chemical digestion.

a. Mechanical digestion refers to the physical breakdown of large pieces of food into smaller pieces which can subsequently be accessed by digestive enzymes.

b. Chemical digestion,

Enzymes break down food into the small molecules the body can use.

In the human digestive system, food enters the mouth and mechanical digestion of the food starts by the action of

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