Conventional Treatment of Pancreatitis
Medical management of Pancreatitis involves fluid replacement by administering IV fluids and about five days of no oral feed. Painkillers, including acetaminophen and non-steroidal anti-inflammatory drugs (eg, diclofenac, ibuprofen, naproxen) as first line treatment, followed by non-opioid analgesics, weak opioids (eg, tramadol, codeine) and then strong opioids (eg, morphine, oxycodone, fentanyl) are provided for pain management as per the severity of pain.
Pancreatic enzyme supplements are used to treat enzyme insufficiency. Antibiotics are given if another source of infection is suspected and for treatment of fluid collections and necrosis before drainage. Antioxidant supplements may also be helpful, especially in patients with non-alcoholic Chronic Pancreatitis. Patients with Chronic Pancreatitis may require invasive treatment such as endoscopy or surgery in about 30% cases. In cases where medical therapy fails to provide relief, endoscopy, stent placement, drainage procedures, surgical resection or a combination of these may be used. Surgical procedures include partial resection as in Whipple's procedure and distal pancreatectomy, drainage as in Puestow's procedure and a combination of partial resection and drainage as in Frey's or Beger's procedure. Extracorporeal Shock Wave Lithotripsy (ESWL) may be used to fragment large stones prior to endoscopic removal.
Ayurvedic Treatment of Pancreatitis
Ayurvedic treatment for Pancreatitis is a one year long regime of regulated diet, lifestyle and a combination of Ayurvedic formulations. This includes initial three weeks inhouse treatment under the supervision of the treating physician. Later, the treatment is continued following the prescribed diet and lifestyle along with medicines.
A daily diet comprising of 1800-2400 calories divided into three meals and three snacks is advised. The diet should be rich in protein and dairy products. Consumption of tea, coffee, aerated drinks, refined flour, onion, garlic, tomato, packaged or reheated food items is refrained.
The patients are advised eight hours of undisturbed sleep at night. Physical and mental exertion should be avoided, especially during the initial four months.