What is Exocrine Pancreatic Insufficiency??

Exocrine pancreatic insufficiency (EPI) is a condition affecting the pancreas, an organ located in the abdomen that plays an essential role in converting the food we eat into fuel for the body’s cells. The pancreas has two main functions: it helps with digestion, and it regulates blood sugar.

The pancreas produces enzymes that break down food and keep digestion moving properly. For those with EPI, the pancreas does not make enough of these enzymes, which prevents the absorption of nutrients and disrupts digestion.

There are numerous gastro-intestinal symptoms of EPI, ranging from mild to extreme including:

  • Gas
  • Bloating
  • Diarrhea
  • Abdominal pain
  • Greasy, oily stools
  • Foul-smelling stools
  • Unexplained weight loss

Other symptoms can include fatigue, dizziness, dry skin, brittle nails, hair loss, depression, irritability, and problems with memory and concentration. These can occur when the body does not absorb the necessary fats and nutrients from food.

EPI is often the result of a variety of conditions, such as

  • Pancreatitis
  • Cystic fibrosis
  • Pancreatic cancer
  • Celiac disease
  • Crohn’s disease
  • Ulcerative colitis
  • Diabetes

There are diagnostic tests your doctor can perform if he or she suspects you have EPI. Once EPI is confirmed, the most common form of treatment is pancreatic enzyme replacement therapy (PERT). PERT supplements are capsules that contain a mixture of digestive enzymes that those with EPI cannot produce to help them break down fat and assist with digestion.

It is also recommended that people with EPI eat a healthy diet rich in fruits, vegetables, whole grains, and healthy proteins. It is also important not to avoid foods with fats, as these are essential to maintaining a healthy weight. However, it is best to stick with healthy fats, like salmon, avocado, and nuts rather than unhealthy trans or saturated fats found in red meats, dairy products, and fried foods.

To schedule an appointment with a gastroenterologist at Flushing Hospital’s Ambulatory Care Center, please call 718-670-5486.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Understanding Exocrine pancreatic insufficiency (EPI)

Exocrine pancreatic insufficiency (EPI) is a condition that affects digestion due to an inability to break down food properly. This occurs when the pancreas doesn’t make enough of the enzymes needed to break down and absorb nutrients.

Enzymes speed up chemical reactions in your body. The enzymes made by your pancreas move into your small intestine, where they help break down the food you eat. When you have EPI, you don’t get the nutrition you need because your body can’t absorb fats and and minerals from foods.

Some of the causes of EPI can include:

  • Chronic pancreatitis – A condition marked by frequent inflammation of the pancreas
  • Previous surgery of your pancreas, stomach, or intestines.
  • Existence of other conditions such as Crohn’s Disease, celiac disease, Cystic fibrosis or Shwachman-Diamond syndrome

Symptoms of EPI can include:

  • Pain or tenderness in the belly
  • Bad-smelling bowel movements
  • Diarrhea
  • Gas
  • Feeling full
  • Weight loss
  • Pain in your bones

Several tests can help diagnose EPI, including: blood tests to determine if you are getting enough vitamins in your diet, fecal tests to check for the amount of fat in your bowel movements and imaging tests to see if your pancreas is inflamed.

The right diet is very important for managing EPI. A dietitian can help you choose the foods that keep your energy level up and give you the nutrition you need.  Some other tips include eating up to six small meals per day, avoiding alcohol, and taking vitamin supplements.

Apart from a healthy diet, the main treatment for EPI is pancreatic enzyme replacement therapy (PERT). You take prescription pills that replace the enzymes your pancreas isn’t making. These enzymes break down your food so you can more easily digest and absorb it. You may also need to take an antacid to keep your stomach from breaking down pancreatic enzymes before they can start to work.

If you are experiencing symptms of EPI and would like to speak with a doctor at Flushing Hospital, please call our Ambulatory Care Center at 718-670-5486

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What to Expect After Your Celiac Disease Diagnosis

gluten-free-476393521If you have received a diagnosis from your doctor that confirms you have celiac disease; it is natural to wonder what comes next.  Many doctors will offer guidelines which may include tips to live gluten-free. While these guidelines are essential, it is also very important that you truly understand your medical condition.

According to the Celiac Disease Foundation, celiac disease is defined as, “a genetic autoimmune disorder where the ingestion of gluten leads to damage in the small intestine.” It is estimated that the disease affects one in every one hundred people worldwide.  If left untreated, celiac disease can cause long-term health conditions such as gall bladder malfunction, infertility or miscarriage, pancreatic insufficiency, early onset osteoporosis or osteopenia as well as vitamin and mineral deficiencies.

In addition to having a better understanding of celiac disease, educating yourself about the changes to expect in your lifestyle, will prove helpful. Some of the changes include:

  • Discarding of any food that contains gluten. This means sticking to a strict diet that excludes wheat, barley, farina, oats, rye and other items that are known to have gluten.
  • Excluding certain items from your diet may deprive you of some nutrients; it is recommended that you speak to your doctor about which vitamins and dietary supplements you should take.
  • Evaluating the ingredients in medications; some may have small amounts of gluten.
  • Taking care of your body by exercising and implementing more fruits and fresh vegetables into your diet.
  • Following up with your physician or dietitian as recommended. This is important as it will help them to monitor your nutritional intake and check for deficiencies.

Finding resources that can help you transition or stick to new your lifestyle, such as your doctor, support groups, organizations such as the Celiac Disease Foundation or a local hospital can help make life after your celiac diagnosis a little easier.

Flushing Hospital Medical Center supports National Celiac Awareness Day. This observance falls on September 13 of each year and was created to help people learn more about celiac disease and how it impacts lives.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.