Chronic pancreatitis hurts like a back, and enzymes come in microgranules and tablets. These are different things.
Generally a sad story. Because chronic pancreatitis can hurt for some reason, and because people do not understand the meaning of this pain.
I am explaining for the umpteenth time.
Anti-inflammatory drugs
They act differently on the pancreas than on the stomach.
It seems that the pancreas lies under the stomach and hurts in about the same place, but in fact the pancreas is not even in the abdominal cavity. Rather, it lies in your back. Therefore, anti-inflammatory drugs, like back pain, sometimes help with pain in the pancreas. There is an incomprehensible inflammation and from non-steroidal it can get better. But in the stomach from non-steroidal anti-inflammatory drugs, there will be an ulcer. Feel the difference?
Enzymes
In chronic pancreatitis, digestive enzyme preparations act on two problems.
Enteric Microbeads
If part of the pancreas has already melted and turned into a scar, then there will not be enough enzymes to digest food, and fatty diarrhea will begin. Such diarrhea is dealt with by enzymes in microgranules, which do not dissolve in the acidic contents of the stomach, but dissolve in the alkaline contents of the intestines. In the intestines, they help the digestion of fats and other nutrients.
If there is little acid in the stomach, then these microgranules will decide that they have already entered the intestines, they will dissolve, and the unfortunate enzymes will be killed by the gastric juice. Sad story. Therefore, microgranules are obliged meet the acid in the stomach. She masks them and restrains them from premature dissolution.
Enzyme tablets
Sometimes a patient with chronic pancreatitis takes enzymes in conventional tablets. These tablets dissolve in the stomach and immediately create a high concentration of enzymes at the exit from the stomach. They are not very good at helping to digest food, but due to their high concentration at the exit from the stomach, they are able to suppress the production of certain hormones that stimulate the pancreas. Therefore, it hurts less.
The problem is that all enzymes cannot tolerate stomach acid. But we need the enzymes from the pill to be activated in the stomach. Therefore, the enzymes in the tablets have to be protected against this stomach acid by decreasing the concentration of this stomach acid. Got it?
Diet
People swear that sugar reduces their pancreatic pain. No, brothers, no food can relieve pancreatic pain. It's just that if you don't eat fat, the pancreas won't turn on to digest food and won't hurt.
That is, in this sense sugar has no analgesic effect like in the story about babies. It just doesn't have pain-triggering fat. Is this point clear?
Read my other articles about the pancreas:
