Abdominal pain with back pain after eating due to chronic congestive pancreatitis should do?

Question
Hello doctor,
I have had abdominal pain for a long time, I went to ultrasound, endoscopic examination, and CT scan of the abdomen, the result was chronic pancreatitis, moderate congestive inflammation, with 2cm pseudocyst. I was treated at the hospital for more than 9 days, doctors gave intravenous fluids and injectable stomach medicine, but my condition still did not improve much, after being discharged from the hospital I still had abdominal pain with back pain, more pain after eating. So the doctor asked me if I had abdominal pain with back pain after eating due to chronic congestive pancreatitis, what should I do? I lost 5-6kg because I couldn't eat. Thank you doctor
Anonymous customer
Reply
Answered by BSCK I Dong Xuan Ha - Department of Medical Examination & Internal Medicine, Vinmec Ha Long International General Hospital.
Hello,
With the question “Stomach pain with back pain after eating due to chronic pancreatitis, what should I do? ", the doctor answered as follows:
Your diagnosis is relatively clear, chronic congestive pancreatitis with pseudocyst complications. With this pathology, pain is the main symptom, followed by absorption disorders and blood sugar intolerance. However, the most common causes are alcohol, stones, hyperlipidemia, autoimmune, .. but also may not Find the cause.
The treatment is relatively difficult and persistent, not completely cured and in addition to drugs, it also depends a lot on diet and living. Treatment goals include:
Pain control. Pancreatic enzyme replacement. Diabetes control. Complications control. First, you must examine carefully to find out the cause of pancreatitis, if there is, then it must be completely resolved first. After that, pain control is the most difficult thing
Drugs: Prescription and control of a specialist is required, sometimes opiate preparations are required which can cause increased dose and dependence . Nerve blockade. Surgery. Periodically check for complications, handle pseudocysts when indicated. Change the diet so as not to add extra burden on the pancreas.
Absolutely no alcohol, tobacco. Limit fatty foods as much as possible. Eat healthy, lots of green vegetables, enough vitamins and minerals. Exercise regularly. Good control of blood sugar. Therefore, your case cannot be self-treated, you need a specialist to guide and supervise the treatment process. Vinmec Hospital system has many good doctors, strict and guaranteed procedures, modern equipment, regular updates of new medical knowledge, optimization of examination and treatment for each patient. In addition to attentive service when visiting and treating at the hospital, your Doctor will monitor and support you throughout the outpatient treatment process.
If you still have questions about abdominal pain and back pain after eating due to chronic congestive pancreatitis, you can go to a medical facility under Vinmec Health System for early examination and treatment. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!