Can you smoke with acute pancreatitis?

Written by Ren Zheng Xin

Gastroenterology

Updated on September 22, 2024

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Acute pancreatitis is an emergency related to the pancreas. Smoking during this time is very harmful to health. Nicotine in tobacco directly affects the blood vessels of the pancreas, causing vasoconstriction and exacerbating pancreatitis.

During acute pancreatitis, it is necessary to abstain from eating, not consuming any food, and timely use of medications is required to control the infection and decompress the gastrointestinal tract, providing parenteral nutrition. If acute pancreatitis is not treated actively, it can turn into acute suppurative pancreatitis, which poses a risk of shock. Therefore, it is best to be hospitalized for treatment of acute pancreatitis.

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Does acute pancreatitis cause abdominal muscle tension?

If a patient with acute pancreatitis shows symptoms of peritonitis, abdominal muscle rigidity may occur. Acute pancreatitis is divided into acute edematous pancreatitis and acute hemorrhagic necrotizing pancreatitis. The main symptoms of acute edematous pancreatitis include abdominal pain, nausea, vomiting, and fever. If it is hemorrhagic necrotizing pancreatitis, it can lead to shock, respiratory distress syndrome, high fever, jaundice, abdominal distension, and the abdominal compartment syndrome in the patient. Severe cases can cause intestinal paralysis and signs of peritoneal irritation, leading to abdominal muscle rigidity and also possibly presenting with shifting dullness, among other symptoms.

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Is acute pancreatitis related to the liver?

Acute pancreatitis is somewhat related to the liver. Normally, the causes of acute pancreatitis are mainly considered to be biliary, alcoholic, hyperlipidemia, and other idiopathic reasons. Whether the liver is related to pancreatitis mainly depends on whether there are intrahepatic bile duct stones. If stones in the intrahepatic bile ducts are expelled into the common bile duct and stimulate the bile duct, it can induce biliary pancreatitis. This has the same symptoms and etiology as biliary pancreatitis caused by gallstones, only differing in the source of the stones. This type of pancreatitis generally requires treatment of the bile duct stones to stop the cause of the disease.

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What to do if acute pancreatitis recurs for the second time?

If acute pancreatitis recurs for the second time, it should still be treated as acute pancreatitis. This means conservative treatment is possible, including gastrointestinal decompression, fasting, rehydration, anti-shock measures, administering pain relievers and antispasmodics, along with certain drugs that inhibit pancreatic secretion. Additionally, provide some nutritional support and symptomatic antibiotic treatment. Some traditional Chinese medicine can also be consumed. If non-surgical conservative treatment is ineffective, surgical treatment options may be considered. Fundamentally, the treatment methods are the same as those used for the first episode of pancreatitis, and specific decisions should be made based on the condition of the disease.

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The causes of nausea and vomiting in acute pancreatitis

The causes of acute pancreatitis are often considered to be gallstones, as well as hyperlipidemia, alcohol-related reasons, and others. After the onset of pancreatitis, it usually causes significant gastrointestinal symptoms, accompanied by nausea and vomiting. Due to the increased intra-abdominal pressure, it can also cause abdominal compartment syndrome, which can exacerbate gastrointestinal symptoms. Therefore, the symptoms of nausea and vomiting may worsen, and after vomiting, symptoms do not ease significantly, which is a clear distinction from other diseases. After the onset of acute pancreatitis, it is necessary to address the root cause of the condition, and to use acid suppression, enzyme inhibition, and suppression of gastrointestinal symptoms to promote the recovery from pancreatitis.

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General Surgery

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How long will the fever last in acute pancreatitis?

Patients with acute pancreatitis may experience different symptoms based on the cause of the pancreatitis and the staging of the patient's condition. A fever in acute pancreatitis indicates a severe infection. If a CT scan shows extensive pancreatic effusion, coupled with hyperglycemia and hypocalcemia, it suggests that the condition is severe and there is a tendency towards severe pancreatitis. This type of fever generally requires treatment, sometimes even surgical intervention, and usually takes about half a month to a month to subside. If the fever is caused solely by biliary pancreatitis due to bile duct obstruction by gallstones, and surgical intervention to remove the obstruction is performed, the fever will typically diminish significantly in the short term.