During the Qingming Festival, many places have the custom of eating Qingtuan. Mango flavor, matcha flavor, honey oat flavor... a wide variety of green balls make people's appetite soar. However, recently a woman in Zhejiang took herself to the hospital for eating Qingtuan, and the related topic has also become a hot topic. The woman consumed a large amount of green balls, which resulted in abdominal pain. At first, she thought it was stomach disease, but it wasn't until she went to the hospital for examination that she found out she had hypertriglyceridemia induced acute pancreatitis. In people's impression, overeating often leads to gastroenteritis, which can be relieved by taking some digestive pills or gastrointestinal medicine. However, acute pancreatitis is different from gastroenteritis in that it has an acute onset, rapid progression, multiple complications, and higher risk. According to the "Emergency Expert Consensus on Prevention and Blockade of Severe Acute Pancreatitis (2022)", the mortality rate of severe pancreatitis is about 14.3%. Why can delicious green balls induce acute pancreatitis? What are the pathogenesis and symptoms of acute pancreatitis? The reporter of Science and Technology Daily interviewed Tao Yongkang, deputy chief physician of Department of Gastroenterology of China-Japan Friendship Hospital. Tao Yongkang explained that excessive intake of high-fat and high sugar leads to a "life-threatening pancreas". The pancreas is located behind the stomach and is the second digestive organ in the human body after the liver. Its main functions are twofold: first, digestion. The pancreas secretes 1000-2000 milliliters of pancreatic juice every day, which is then discharged into the small intestine and serves as the "main force" for digesting protein, fat, and sugar; The second is to participate in endocrine functions such as blood glucose regulation. Acute pancreatitis is a type of pancreatitis characterized by abnormal activation of pancreatic enzymes secreted by the pancreas, leading to catastrophic self digestion and causing pancreatic edema, bleeding, and even necrosis. Tao Yongkang explained that Qingtuan filling is high-fat and high in sugar. Short term heavy consumption can cause an increase in blood lipids, especially acute elevation of triglycerides, which in turn leads to excessive secretion of pancreatic juice, causing pancreatic microcirculation disorders and triggering acute pancreatitis in women who are trending topics. Tao Yongkang stated that there are three common causes of acute pancreatitis: "biliary pancreatitis" caused by gallstones, "hypertriglyceridemia induced acute pancreatitis" caused by hypertriglyceridemia, and "alcoholic pancreatitis" caused by excessive alcohol consumption. The common symptoms of acute pancreatitis are sudden abdominal distension and upper abdominal pain shortly after eating. This pain is persistent dull pain, cramping, and may be accompanied by nausea, vomiting, and even fever. Tao Yongkang stated that since the early symptoms of acute pancreatitis are very similar to gastroenteritis, the diagnosis of the disease should be comprehensively judged based on specific symptoms, blood biochemistry tests, and imaging findings. For example, during abdominal ultrasound (B-ultrasound) and CT scans, patients with acute pancreatitis often show pancreatic enlargement and inflammatory exudate around the pancreas. In addition, amylase and lipase in the blood are also important indicators for diagnosing acute pancreatitis. If their levels are significantly elevated, it is highly likely that there is a problem with the pancreas. Do not take measures to self medicate painkillers. Tao Yongkang stated that acute pancreatitis can be divided into three categories based on the severity of the condition: mild, moderate to severe, and severe. Mild and moderate to severe acute pancreatitis is mainly characterized by pancreatic edema, which can often be cured after timely treatment. But if not controlled in a timely manner, it will develop into severe illness, that is, an inflammatory storm, leading to a systemic inflammatory response, which may result in kidney failure and even multi organ dysfunction, leading to death. Tao Yongkang emphasized that when there is bloating and abdominal pain, some patients will take painkillers. But painkillers are likely to mask symptoms, affect doctors' diagnosis of the disease, or cause mild pancreatitis to develop into severe pancreatitis. He stated that for gastrointestinal pain, painkillers can reduce gastrointestinal peristalsis to a certain extent, alleviate gastrointestinal spasms, and have a certain effect on relieving abdominal pain. However, for acute pancreatitis, painkillers may exacerbate bloating. Therefore, the use of painkillers should be cautious and it is best to follow medical advice. Once suspected of having acute pancreatitis, patients should first stop eating and drinking to prevent an increase in stomach acid secretion. After the secretion of gastric acid decreases, the stimulation to the pancreas will correspondingly decrease, which can allow the pancreas to play a resting role and reduce its burden Tao Yongkang said that abdominal pain can cause the patient's abdominal muscles to be in a tense state, and arching the body into a "shrimp like" shape can relax the body, reduce pressure on abdominal organs, and alleviate pain to a certain extent. Although taking measures on one's own can alleviate symptoms, seeking medical attention as soon as possible after onset is the correct choice Tao Yongkang said that pancreatitis, as a systemic inflammation, is often accompanied by loss of blood volume in the body. Although the patient's blood pressure and heart rate are still normal, the actual effective blood volume is still insufficient. Therefore, it is necessary to go to the hospital as soon as possible, take professional measures, timely supplement blood volume, dilute inflammatory factors, inhibit pancreatic enzyme secretion and activity, etc., which are the key. (New Society)