Acute pancreatitis is a terrible bloating stomach, what s going on?

Acute pancreatitis is a terrible bloating stomach, what's going on?

Acute pancreatitis is a common pancreatic disease whose symptoms include severe abdominal pain, nausea, vomiting, etc. Among them, a very swollen stomach is a symptom that many patients experience. So, why does acute pancreatitis cause tummy bloating?

First of all, we need to understand the basic pathological process of acute pancreatitis. In the event of acute pancreatitis, the pancreatic enzymes of the pancreas are abnormally activated to dissolve and digest the pancreas' own tissues, triggering a cascade of systemic and local inflammatory responses. During this process, the pancreatic tissue becomes edema, hyperemia, and even necrosis, causing the pancreas to increase in size. The enlarged pancreas compresses the surrounding tissues and organs, especially the gastrointestinal tract, and even edema of the mesentery, causing intestinal paralysis, which causes symptoms of stomach distention.

Second, acute pancreatitis may also cause decreased bowel motility. Both the irritation of inflammation and the enlargement of the pancreas can have an effect on the intestines, slowing down their peristalsis, edema of the gastrointestinal tract, paralysis, which in turn affects digestion and gas. This can also worsen the feeling of bloating.

In addition, patients with acute pancreatitis usually need to fast or restrict their diet, or even use somatostatin, to reduce the burden on the pancreas. This dietary modification may cause gastrointestinal motility to slow down, further worsening the symptoms of bloating.

To sum up, the cause of severe abdominal distension in acute pancreatitis is mainly the result of pancreatic enlargement and compression of surrounding tissues, intestinal edema, weakened peristalsis, intestinal paralysis and other factors. In the process of acute pancreatitis, timely measures should be taken to relieve the symptoms of abdominal distension and reduce the patient's discomfort.

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