Simply and easily explanation about Exocrine Pancreatic Insufficiency
Exocrine pancreatic insufficiency is when your pancreas cannot send out enough of the pancreatic enzymes into your donut duodenum leading into your intestines and when you take food and you eat it you chew it that is one of the first easiest ways to break down some of the the food in the enzymes in your mouth start to work right away but macronutrients which are
The larger nutrients are more readily absorbed by these by your body using the enzymes specifically fats is malabsorption or just not enough absorption of your fat from your food which in turn leads to problems where you can’t absorb the vitamins that that’s like the vitamins which are vitamin a vitamin b vitamin e and vitamin k this in turn leads to malnutrition
Where you because you’re not absorbing vitamin d for example you’re not absorbing calcium for your bones but in your process and other major issues and fractures and the maintenance i’m involved in all this is called pancreatic lipase which is responsible for about 90% of the lipid or fat breakdown your body which is the a big source of energy as well there’s two
Other enzymes too involved that are annalisa protease that also help in to break down other items argument weight-loss abdominal pain diarrhea gasps steatorrhea which is excessive fat in a stool which would you see it in the commode or the toilet you actually see that it floats a bit of so much fat in there and even oh jesus main causes that you’re gonna see are
Gonna be either direct causes pancreatic or the non directed and created causes the biggest pancreatic direct causes are going to be cystic fibrosis and then we see chronic pancreatitis and any other obstruction either from a tumor cancerous or anything else that’s gonna block the pancreatic duct itself from the non-direct penn credit classes you’ll see things like
The celiac involved in gluten sensitivities or allergies crohn’s ulcerative colitis and you’ll also see the frequency of how common each of these are listed on them on the screen you’re do not medical treatments involve stopping smoking because the calcification of the pancreas which is essentially the thickening of the pancreas makes it less flexible which you
Can also complete more functions abstaining from alcohol is another because it leads to it’s been found to lead to a decline and dietary restrictions are not really new way of doing things anymore the old days they do a little bit fat but now they’ve seen that this actually leads to malnutrition because of again the vitamins a b e and k that our bodies do need
So instead they recommend normal fat diet with the focus on the ski area which is the fat floating of the toilet and even more newer research actually suggests that a higher of healthier fats should be taken olive oil nuts and cheese for example now it’s important to note that the medical treatments which are the purge drugs do not actually treat and heal the long
Term condition of epi but they do make you feel better and health in a short term they do help the absorption of the vitamins fats like vitamins and there’s two ways to base the medication the weight based the diet based but weight-based dosing is much easier even though the diet based adjusted fat is a lot more accurate but you imagine that trying to measure the
Amount of fat on every single thing that you eat is kind of difficult even though it’s more accurate so we just kind of stupid away based dosing and the important thing is to start with a lower dose or a few days make sure that your prescribers slowly increase in the dose hendrie up slowly because we do want to make sure that we are using those those that we need a
Couple of important things to note is that the perc drugs when they’re given with a higher healthy fat diet actually make the medications work a lot better and another thing is to actually take smaller more frequent meals instead of large high calorie meals which is better for you anyway especially if you’re complaining that steatorrhea now it is important to note
That the sources of these medications are porcine which is pork pigs so you know anything with allergies to these items or any other reasons that you didn’t want to stay away from pig products pork products would also include these medications to be a state away from as well all the medications is except for rel rallies orb are able to be mixed with a slightly
Acidic food to make it easier to swallow like apple sauce and a few few tips to keep in mind is that limiting the amount of fiber can actually make it harder for you to digest what you consume and sipping any type of water hydrating liquids actually help the digestion and the breakdown of the enzymes itself and like we discussed it to try to split with the entire
Alcohol directly as well as smoking of course and as of this recording of february 2020 it’s been released by the manufacturer that pancreas has been granted a three year shelf life now so you know using this time to time this might be something to consider as well so hope you guys enjoyed this look forward making more videos animal because they’re taken that simply explained as well
Transcribed from video
Exocrine Pancreatic Insufficiency (EPI) By Layman’s medical
