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Exocrine pancreatic insufficiency – Causes, signs, and management

Exocrine pancreatic insufficiency (EPI) is a condition characterized by the inability of the pancreas to produce and release enough enzymes into the small intestine to digest food properly. Various health conditions, such as chronic pancreatitis and cystic fibrosis, can cause EPI. Due to the lack of enough pancreatic enzymes to break down foods, one might experience symptoms like diarrhea and abdominal discomfort. Understanding these warning signs is crucial for early diagnosis and management.

Causes
Damage to the pancreas is the most common cause of EPI. Inflammation of the pancreas is a key contributor, which could also trigger swelling. With time, chronic inflammation may damage pancreatic cells that make the digestive enzymes. Other potential causes include Celiac disease, inflammatory bowel disease (IBD), diabetes, pancreatic cancer, and surgery on the digestive tract.

Symptoms
People with EPI may have trouble absorbing fats from foods, resulting in abdominal pain, gas, and bloating. Other symptoms include diarrhea, fatty stools, and unexplained body mass loss. Some people might also feel full even after eating small meals.

Management options

A healthy meal plan
A health expert might recommend a high-calorie, high-fat meal regime to help the body absorb more nutrients. The professional may also suggest eating six small meals daily instead of the traditional three. Bigger meals might not be a good choice if one has digestive trouble caused by EPI.

Essential vitamins
People with EPI may need to intake various vitamins to help the body balance nutrient levels. Along with a healthy meal regime, patients may need to have vitamins A, D, E, and K for better management. It could help those who struggle to absorb fat-soluble nutrients from food.

Regular doctor appointments
While a doctor may recommend various treatment options for EPI, patients should consult the professional regularly to monitor their progress, identify any underlying complications, and get them treated as soon as possible.

Learn more about the condition
To better cope with EPI, try looking for resources online to learn more about it. One may also come across support platforms where other people share their experiences and knowledge about EPI, which could help one manage the condition better.

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