Patients with chronic pancreatitis come to medical attention because of abdominal pain and/or maldigestion. The management of patients with maldigestion (steatorrhea) is relatively easy with the use of potent pancreatic enzymes. The management of abdominal pain continues to be a frustration for both the patient and the physician managing that patient. The pathogenesis of the pain associated with chronic pancreatitis is ill understood. Clinicians must appreciate that chronic pancreatitis is not one disease, but that there are subsets of patients labeled with chronic pancreatitis who must be approached based on the patho-physiology present. It is helpful to divide patients with chronic pancreatitis into those with big duct disease and those with small duct disease. The diagnostic and therapeutic approaches to patients with chronic pancreatitis are greatly influenced by the degree of damage to the exocrine pancreas. The cornerstone of medical management for either abdominal pain or maldigestion is the employment of pancreatic enzyme formulations. If severe damage to the pancreas is present, endoscopic or surgical decompression of the main pancreatic duct or suppression of pancreatic secretion with agents such as octreotide may afford pain relief.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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