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Diet for acute necrotising pancreatitis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   Dear User, You have started the test chat with our doctor. The duration of the test chat is 5 minutes. After the trial period, you will be redirected to the Payment page
User :   hi
User :   sir, i have a problem of acute nicrotising pancratitcs
User :   from 4 month
Doctor :   Hi
Doctor :   Ok
Doctor :   I can help you by giving you more information about it
User :   now days i am unable to take food , and fealing vomit
Doctor :   Ok
User :   doctor priscribe me enzar fort tablet three times in a day
User :   but i am not well and loosing waight
User :   now tell me ur sagestion
Doctor :   Ok
Doctor :   Are you an alcoholic?
User :   before
User :   not now
Doctor :   Ok good
Doctor :   I have to ask you more questions about your problem to give some personalised suggestions
Doctor :   It may take 15 minutes
User :   ok
Doctor :   What is yoru age
User :   27
Doctor :   and when was the last ultrasound done
Doctor :   What iwa sthe imprssion
User :   10 days before
Doctor :   what was the impression on it
Doctor :   Do you have that with you?
User :   let me check
Doctor :   Ok
Doctor :   What was yoru weight earlier and what is it now?
User :   now approx48-50
Doctor :   earlier?

Doctor :   This is a free trail version of chat, You may want to subscribe to the health package as you will need more personalized information. I am giving you a discount code MED374. You can use this code to get 25% discount.
User :   hi
Doctor :   are yu back
User :   yes
User :   impression : Doctor :   shall we proceed
User :   enlarged pancreas with hypoechoic echotexture with indistinct margins with little fluid seen in the lesser sac and anterior para-renal space
Doctor :   ok
User :   and little fluid seen in the peritoneal cavity in the rectovesical space
Doctor :   i will explain yu
Doctor :   hypoechoic areas sugesst its inflammed and damaged areas
Doctor :   which is probably necrosed
User :   ok
Doctor :   the fluids in the space is from the pancreas
User :   tell me the solution
Doctor :   ok
Doctor :   i will help u in this
User :   thx
Doctor :   but i need to know few things
User :   ok
Doctor :   alcoholic since how many days
User :   since one year
User :   but i stop permanantly from 3 month
Doctor :   ok
Doctor :   do yu smoke
User :   no
User :   never before
Doctor :   ok
Doctor :   any other tests done
Doctor :   were yu admitted in the hospital
User :   yes
User :   20 days
User :   they use many antibiotic
User :   like matrogil , tezar
Doctor :   thats correct
User :   travid
Doctor :   we generally use high grade antibiotics
User :   ok
Doctor :   the chances of worsening is more
Doctor :   especially in necrotizing pancreatitis
User :   worsening ?
Doctor :   if its a acute or chronic pancretitis the complication are much less
User :   i have acute
Doctor :   necrotising means it has crossed acute and reached a higer state
User :   ok
Doctor :   then higher course antibiotics is need
Doctor :   now i will advice yu regarding the diet yu should take
User :   ok tell
Doctor :   complete stop of alcohol
User :   ok
Doctor :   not to take fatty foods
User :   ok
Doctor :   and spicy foods
Doctor :   avoid dairy foods
User :   i can take milk or not
Doctor :   milk in a diluted form is ok
Doctor :   but not coffee or tea
User :   ok
Doctor :   try to aviod juices
User :   ok
Doctor :   can take fruits
Doctor :   and fresh steamed vegetables
User :   in fruits likle
Doctor :   any thing it should be taken in small qty
User :   ok
Doctor :   yu can take 4-5 times a day
User :   tell me doctor how much time its will be take to solve this issue
Doctor :   since its an acute attack it will take another 3 weeks for the inflamation to settle
Doctor :   no red meat for 2 months
Doctor :   try to avoid potatoes
Doctor :   overall its should be low fat and high protien
User :   in high protien what i can take
Doctor :   vegetables thats steamed with out spicy
Doctor :   You can eat light chicken soups or vegetable soups frequently.
Doctor :   Green leafy vegetables are also very good for pancretitis.
User :   tomoto
Doctor :   yes yu can haave
Doctor :   even soya bean is good
Doctor :   Green leafy vegetables are also very good for pancretitis.
Doctor :   The pain may become worse when you drink alcohol or eat more
User :   doctore this problem will permanantly solve ?
Doctor :   its will take time
Doctor :   but if yu follow the tips that i have given
Doctor :   the recovery will be soon
User :   thx sir
Doctor :   ok
Doctor :   was Ct scan done
User :   yes
Doctor :   can yu message me teh reports
User :   yes tommrow
User :   i have not now
Doctor :   ok
Doctor :   let me explain why yu have nausea and vominting
User :   ok
Doctor :   Pancreas is a big gland at the back the stomach
Doctor :   secretes digestive enzymes
Doctor :   These enzymes in turn assist the digestion of proteins, fats, and carbohydrates in food
Doctor :   when pancreas is damaged in acute pancreatiits
Doctor :   the enzymes are not secreted or secreted les
Doctor :   so the digestion is improper
Doctor :   hence yu feel vomiting
Doctor :   and nausea
Doctor :   one thing is
User :   ok
Doctor :   have frequent check over your sugar levls
Doctor :   Is there any thing else I can help you with?
Doctor :   Please fill the feedback form say done when done.
User :   i will come later with my all re
User :   port
Doctor :   ok not to worry yu will be well soon
User :   thx sir
Doctor :   ok take care bye bye
User :   hi
Doctor :   hi
Doctor :   proceed
User :   doctor now days i am taking tablet enzar fort
User :   whats ur idea about that
Doctor :   yu can continue it
User :   is it profitable
Doctor :   yes helpful for use
User :   and i am loosing now days my hair too
Doctor :   ok
Doctor :   do yu have dandruff
User :   no
Doctor :   is there any family history of baldness
User :   no sir
Doctor :   do yu have any white scales in the scalp
User :   i have this problem from last few days
Doctor :   but hair fall is not related directly to pancreatitis
Doctor :   due to inadeqate nutrition the fall can be there
Doctor :   i will explain to yu
User :   k
Doctor :   approx how many hairs fall
User :   approx 30-40
Doctor :   fall of 80- 100 is normal
Doctor :   not to worry
User :   everyday
Doctor :   following a hospital admission or any illness
Doctor :   due to stress and tension
User :   i ask doctor they said use oil
Doctor :   the hair falll can be there
Doctor :   and other thing is improper food due to illness
Doctor :   which results in less nutrtion to hair
Doctor :   this condition is called
User :   yesterday i take only one banana and some milk i got vomit after a hour
Doctor :   Telogen effluvium
Doctor :   once the ilness comes down or subsides
Doctor :   the hair fall will be less
User :   ok
Doctor :   and hair growth will improve
Doctor :   wat oil did doc advice
User :   yesterday i take only one banana and some milk i got vomit after a hour
Doctor :   are yu taking any tablets before food
User :   no
Doctor :   ok
Doctor :   was any tablets advised for vomiting and acidity
User :   emset4
Doctor :   yes this will help yu reduce vomiting
Doctor :   take this tab half an hour before food
Doctor :   and then yu can have foods
User :   in the apple is i need to remove upper layer
Doctor :   yu can remove and have its not an issue
User :   ok
Doctor: Is there any thing else I can help you with?
User :   tell me one thing if i want to extain my subscraption
Doctor :   ok
Doctor :   0000 use this discount coupon code yu will get 30% discount on any package
User :   whats a url
Doctor :   WWW.WWWW.WW Doctor :   did yu get it
User :   yes
User :   We're sorry, but we couldn't find the requested page...
Doctor :   ok
Doctor :   go to the home page
User :   ok
Doctor :   today enjoy full 24 hr live chat with doctors
User :   one more question
Doctor :   please proceed
User :   i can take meal bread (rooti)
Doctor :   tomorrow yu can do the payment using the same coupon code
Doctor :   as yu are already paid for today
User :   yes
Doctor :   yes yu can take roti with out oil
User :   ok
User :   thx
Doctor :   is there any thing else i can help u
Doctor :   please fill the feed back form
Doctor :   not to worry yu will get well soon
Doctor :   ok take care
Doctor :   bye bye
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