Exocrine Pancreatic Insufficiency, or EPI, arises from a dysfunction in the pancreas, a vital organ in the digestive system. The pancreas typically generates enzymes crucial for breaking down food and facilitating absorption. When the pancreas fails to supply these enzymes or they function improperly, the normal processes of digestion and absorption are hindered. This disruption can result in distressing symptoms, potentially leading to malnutrition. Recognizing EPI can be challenging initially, as its symptoms resemble those of other digestive issues. However, upon identification, effective treatment measures can be implemented.

Signs and Symptoms of EPI

Symptoms of EPI can vary in intensity, ranging from mild to severe. The most prevalent symptoms include:

• Gas and bloating

• Abdominal Pain

• Greasy, oily bowel movements

• Diarrhea

• Foul-smelling stools

• Unexplained weight loss

Causes of EPI

EPI frequently arises due to pancreatic damage caused by conditions like the following:

• Chronic Pancreatitis: involves inflammation of the pancreas, with prolonged inflammation leading to irreversible alterations and damage to pancreatic tissue. This disruption impairs the usual functions of the pancreas. Common causes of chronic pancreatitis encompass alcohol abuse and the untreated obstruction of ducts exiting the pancreas.

• Pancreatic Cancer: pancreatic tumors have the potential to harm pancreatic tissue and obstruct pancreatic ducts.

• Gastric Surgery: Altering the configuration of the stomach and/or small intestine through surgery can pose challenges in the release of digestive enzymes. When enzymes are not released at the appropriate time, they may not function as intended.

Additionally, diseases like cystic fibrosis, Crohn’s disease, and celiac disease can also lead to EPI.

Can EPI be Treated?

Managing EPI involves alleviating symptoms through a tailored treatment plan. Following a confirmed diagnosis, you and your healthcare provider can collaborate on a strategy to enhance your well-being. This plan may incorporate the use of enzymes to substitute those no longer produced by the pancreas, facilitating the digestion of food and absorption of nutrients into the body. Additionally, adopting a balanced diet and considering supplements may be recommended for comprehensive care.

Treating EPI in Maryland

If you are struggling with symptoms of EPI, we are here for you. Bowie Internal Medicine is committed to treating any conditions you may have, as well as preventing further health complications through preventative care. For more information about treating polyps, please contact our office to schedule an appointment or ask any questions.