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Pancreatic Exocrine Insufficiency
PEI can be caused by conditions that affect your pancreas. These include conditions like:
Your doctor will talk to you about the underlying cause of your PEI and how it will affect your treatment.
If you have pancreatic exocrine insufficiency (PEI), figuring out what to eat can be tricky. You need to make sure you’re getting enough nutrients and vitamins, but you also need to avoid foods that irritate your digestive tract. On top of this, some conditions associated with PEI, like cystic fibrosis, Crohn’s disease, Celiac disease, and diabetes, have additional special dietary requirements.
Fortunately, a balanced diet combined with enzyme replacement therapy can help ease your symptoms and improve your quality of life. Ask your doctor what kinds of foods you should avoid.
If you have PEI, you may need to take vitamins to replace the ones your body is struggling to absorb. Ask your doctor what kinds of symptoms to expect if you’re malnourished, and what you can do to make sure you’re getting enough vitamins in your diet.
Since the symptoms of PEI overlap with many other digestive conditions, your diagnosis may seem confusing. To determine if you may have PEI, your doctor will assess your symptoms, rule-out other conditions that cause similar symptoms (such as celiac disease or irritable bowel syndrome), and may look for signs of malnutrition. Finally, you doctor may consider a trial of PERT to assess how your respond to therapy.
Your doctor will recommend how much enzyme replacement you should start taking. You’ll take less with snacks than at meals. You may need to take more enzyme replacement if you’re eating a high-fat meal.
There’s no scientific agreement on how successful PEI treatment with pancreatic enzyme replacement therapy should be defined. The main measure of treatment success is improvement in symptoms, weight gain and improved nutrition. Also, you may have less abdominal pain and flatulence and you may not have to go to the bathroom as often.
Following your doctor’s and pharmacist’s recommendations and taking enzymes with every meal will improve your chances of success. Ask your doctor about how to ensure you’re getting the maximum benefit from your treatment.
In the past, doctors recommended a low-fat diet for people with PEI. That has changed with the recognition that a low-fat diet may worsen your malnutrition and that you need fat in your diet to help absorb certain vitamins. Still, some fats are better for you than others. If you’re not sure how to maintain a balanced, healthy diet, talk to your doctor and a nutritionist about planning healthy meals that will help alleviate your symptoms.
If ongoing pancreatitis (Inflammation of the pancreas) is causing your PEI, certain lifestyle choices can make your condition worse. Alcohol and smoking decrease your chances of successful treatment. It’s hard to make lifestyle changes, so ask your doctor for advice on how to form new healthy habits.
If your treatment isn’t working right away, don’t give up. Improvements in symptoms may take one to two weeks. Remember, you must take your PERT with each meal and snack. Your treatment can’t work if you don’t take it.
Speak to your doctor and he or she may adjust your dose of enzyme replacement therapy. Your dose may be too low, or you may need extra medication. Remember that you have options if your symptoms aren’t improving.
It’s important that you and your doctor or gastroenterologist are working as a team and scheduling regular appointments. Regular appointments will ensure that your treatment plan can be monitored and complications of PEI can be caught early.
Enhancing lifelong health
The Canadian Digestive Health Foundation believes our ability to help establish, enrich and protect a healthy gut microbiota is the key to lifelong health