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What is the treatment of pancreatic insufficiency?
What is the treatment of pancreatic insufficiency?
Treatment for pancreatic exocrine insufficiency includes support to stop smoking and alcohol consumption, dietary consultation, enzyme replacement therapy and a structured follow-up of nutritional status and the effect of treatment.
What does EPI poop look like?
People with EPI are not able to absorb all the fat that they eat, so undigested fat is excreted, resulting in stools that look oily or greasy. Not all people experience this symptom.
What foods should be avoided with pancreatic insufficiency?
Avoidfried, creamy, or cheesy foods, such as pastries. You’ll also want to avoid trans fat, a hydrogenated oil and particularly unhealthy type of fat that’s often found in packaged food, says Massey, and steer clear of alcohol. While it may take some planning, it’s possible to eat a healthy, satisfying diet.
Can you reverse pancreatic insufficiency?
There’s no cure for exocrine pancreatic insufficiency (EPI), a chronic condition characterized by an inability to digest certain nutrients, especially fat. But EPI can be managed with a type of medication called pancreatic enzyme replacement therapy (PERT), which consists of enzymes that aid digestion.
How do I know if I have EPI?
The classic symptoms of EPI — weight loss, greasy and foul-smelling stools that float or are tough to flush, stomach cramps, and diarrhea — mimic the telltale signs of many other digestive diseases. You might even have one of those diseases along with EPI, like Crohn’s or celiac disease.
Is there a blood test for pancreatic insufficiency?
If your signs and symptoms continue and a strong suspicion of pancreatic insufficiency remains, your healthcare practitioner may order stool tests for fecal fat and chymotrypsin or blood tests for amylase and lipase to look at other aspects of pancreas and digestive function.
Can you be overweight and have pancreatic insufficiency?
There seems to be a connection between the loss of exocrine function and the increasing body mass index. Pancreas insufficiency, as detected by low FE1 concentrations, is frequent in obese patients.
What type of doctor treats EPI?
Primary care doctors may be able to diagnose EPI and provide treatment options. However, in some cases, they refer people to a specialist—usually a gastroenterologist. If you think you might have EPI, you can help your doctor by providing as much information as possible about what you’re experiencing.
Can pancreatic insufficiency cause back pain?
Pain in the center of the stomach that radiates to the back. Loss of muscle. Muscle cramps. Pain in the bones.
Is Pancreatic Insufficiency painful?
If you have exocrine pancreatic insufficiency, or EPI, you’re probably no stranger to bloating and abdominal cramps. Even if you’re taking pancreatic enzymes and eating a healthy diet, which should at least significantly reduce your symptoms, it’s still possible to experience an occasional bout of stomach pain.
Does EPI show up on CT scan?
An X-ray or computed tomography (CT) scan may help, and a fecal fat test can be effective, although it requires large stool samples. These tests are commonly used to help diagnose EPI: A fecal fat test involves looking at a stool sample under a microscope. The most common test, according to Dr.
What foods are hard on your pancreas?
There are a few things you must completely avoid, such as alcohol and fried/greasy/high fat foods (such as creamy sauces, fast food, full fat meat and dairy, and anything fried). These foods can cause your pancreas to release more enzymes at once than it normally would, leading to an attack.
Can EPI cause weight gain?
Few people with EPI are likely to gain too much weight, even after they find a combination of foods they can tolerate.
Can you eat eggs with EPI?
Go for lean proteins, like chicken or turkey breasts, egg whites, or tuna packed in water. This will provide your body with the fuel it needs while keeping your meals low in fat. Avoid too much fiber. Though it’s usually part of a healthy diet, fiber can keep your pancreatic enzymes from digesting fat as well.
Does EPI shorten your life?
People with EPI have a greater risk for malnutrition, which can affect life expectancy. Malnutrition can result from the poor absorption of nutrients, which can be a part of EPI. Also, sometimes EPI makes it hard to eat enough because of pain or other symptoms.
Is Pancreatic Insufficiency the same as pancreatitis?
Overview. Exocrine pancreatic insufficiency (EPI) and pancreatitis are both serious disorders of the pancreas. Chronic pancreatitis is one of the most common causes of EPI.
What does pancreatic poop look like?
When pancreatic disease messes with the organ’s ability to properly manufacture those enzymes, your stool looks paler and becomes less dense. You may also notice your poop is oily or greasy. “The toilet water will have a film that looks like oil,” Dr.