Can you drink milk with acute pancreatitis?

Written by Li Chang Yue
General Surgery
Updated on October 23, 2024
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Acute pancreatitis, especially in the early stages of an attack, does not allow for the consumption of milk. During the onset of acute pancreatitis, especially at the beginning, it is crucial to completely refrain from eating and drinking anything, as consuming food can lead to excessive secretion of stomach acid. The stimulation from the food can cause the pancreas to secrete enzymes, potentially worsening symptoms like abdominal pain and bloating associated with acute pancreatitis. For patients with acute pancreatitis, if the condition is stable and intestinal function is restored or in the recovery phase, it is permissible to drink some milk. However, it is important to avoid consuming foods that are overly greasy, spicy or stimulating, especially alcoholic beverages, as these can exacerbate the symptoms of pancreatitis or even lead to a recurrence of the condition. The diet should primarily consist of light, low-salt, low-fat fresh vegetables and fruits.

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Does acute pancreatitis affect the rise in blood sugar?

After the onset of acute pancreatitis, pathological changes occur in the pancreas, affecting both its endocrine and exocrine functions. The endocrine function includes the secretion of insulin, which can lead to insulin resistance, impacting glucose metabolism and causing an increase in blood sugar levels. Therefore, after admission, it is routine to monitor the blood sugar levels of patients with acute pancreatitis and manage insulin resistance. Additionally, due to the increased blood sugar levels, there is a higher risk of infection in these patients. Depending on the cause of the condition, targeted treatment is necessary along with the early use of antibiotics to control the progression of pancreatitis, reduce the rate of infections, and promote recovery of the body.

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What can be eaten during the recovery period of acute pancreatitis?

Patients with acute pancreatitis in the recovery phase should start to eat some sugary liquid diets, beginning with easily digestible sugary foods. Generally, it is recommended to transition from liquid to semi-liquid diets, and then to a normal regular diet. However, patients with acute pancreatitis in the recovery phase should still avoid overeating and consuming too greasy foods. They should also abstain from alcohol and avoid eating overly fatty foods such as meat fried noodles, fried rice with eggs, and braised pork. These foods should be largely avoided, while increasing the intake of protein-rich foods for the patient.

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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.

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What are the causes of acute pancreatitis?

There are many causes of acute pancreatitis. Common primary causes include improper diet: overeating, alcohol consumption, preference for spicy or rich foods, etc. Additionally, hyperlipidemia and cholelithiasis are also reasons, along with surgical trauma such as cholangiography, gastrectomy, etc. Other diseases can also lead to acute pancreatitis, such as hypercalcemia, diabetic coma, hyperparathyroidism, rheumatism, necrotizing vasculitis, etc.; viral infections can also cause pancreatitis, and long-term use of medications can cause acute inflammation, such as tetracycline, corticosteroids, etc. Acute pancreatitis initially presents with severe, acute abdominal pain, commonly in the left, upper middle quadrant, and occasionally radiating to the back. Subsequently, vomiting, fever, and in severe cases, shock may occur. Acute pancreatitis is a type of acute abdomen and can be life-threatening. If symptoms occur, it is crucial to seek immediate hospital treatment.

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Is the recurrence rate of acute pancreatitis high?

After recovering from acute pancreatitis, if patients do not pay careful attention to their diet, there is a significant risk of relapse. For example, they should not drink alcohol excessively, overeat, or consume greasy foods. Also, if the acute pancreatitis is caused by conditions such as gallstones, it is important to have the gallbladder removed promptly. Without gallbladder removal, the recurrence rate of the disease noticeably increases. Patients with acute pancreatitis should initially eat foods that are easy to digest and low in protein and fat, such as carbohydrates that are also easy to swallow. Once the patient's condition significantly improves, they can gradually transition to a diet higher in protein and vitamins, among other nutrients.