Healthy Habits to Manage Exocrine Pancreatic Insufficiency (2024)

Exocrine pancreatic insufficiency (EPI) is a condition in which the pancreas doesn’t produce enough digestive enzymes. It can cause a number of unpleasant symptoms, including foul-smelling stools, diarrhea, stomach discomfort, bloating, and weight loss.

These symptoms are often greatly reduced, or even eliminated, when you take pancreatic enzyme replacement therapy (PERT) along with meals and make changes to your diet. But even when you take enzymes and follow a prescribed diet, you may still experience some distressing symptoms.

The good news is that certain lifestyle habits can help reduce these symptoms. While their effectiveness may depend on the precise cause of your symptoms, these habits are always beneficial for your overall health.

Healthy Habits to Manage Exocrine Pancreatic Insufficiency (2024)

FAQs

Healthy Habits to Manage Exocrine Pancreatic Insufficiency? ›

Treatments include: Pancreatic enzyme replacement therapy (PERT): This prescription medication is a substitute for the missing digestive enzymes. You take PERT with meals to help your body break down nutrients in food. High-calorie, high-fat diet: It's important to get enough calories and fat with your meals.

How do you manage exocrine pancreatic insufficiency? ›

Treatments include: Pancreatic enzyme replacement therapy (PERT): This prescription medication is a substitute for the missing digestive enzymes. You take PERT with meals to help your body break down nutrients in food. High-calorie, high-fat diet: It's important to get enough calories and fat with your meals.

What is the diet for exocrine pancreatic insufficiency? ›

  • Go for lean proteins, like chicken or turkey breasts, egg whites, or tuna packed in water. This will provide your body with the fuel it needs while keeping your meals low in fat.
  • Avoid too much fiber. ...
  • Be careful with processed foods. ...
  • Eat enough calories.
Oct 12, 2023

How do you keep exocrine glands healthy? ›

How do I care for my exocrine system?
  1. Staying physically active.
  2. Eating a diet that's high in protein, fruits and vegetables, but low in saturated fats and processed foods.
  3. Drinking plenty of water.
  4. Limiting alcohol consumption.
  5. Quitting smoking if you use tobacco.
  6. Seeing your healthcare provider for regular check-ups.

Can you drink coffee if you have EPI? ›

Drinking plenty of fluids is crucial to managing EPI. “Good hydration buffers the pancreas and helps it function more properly,” Dr. Glessing says. Drink plain water and limit sugary drinks, fruit juices, and caffeinated beverages, which can counteract the hydrating effects of water.

How to treat exocrine pancreatic insufficiency naturally? ›

8 Tips on Managing Exocrine Pancreatic Insufficiency
  1. Take digestive enzymes at the beginning of your meal or snack, and the right amount of them. ...
  2. Eat small, frequent meals. ...
  3. Find what foods work for you. ...
  4. Eat your food with minimal fluids. ...
  5. Exercise. ...
  6. Know where the nearest bathrooms are. ...
  7. Get resources.
Mar 28, 2019

Can you reverse exocrine pancreatic insufficiency? ›

EPI is not reversible, but treatment and certain lifestyle changes can help people manage their symptoms. Any disease that can impact the tissue in the pancreas can cause EPI.

What breakfast is good for the pancreas? ›

Eat a variety of vegetables and fruits. These are high in nutrition and low in fat. Eat whole grain cereals, breads, crackers, rice, or pasta.

What not to eat if you have EPI? ›

In general, highly processed foods are harder for your body to digest (with or without EPI); examples include microwaveable meals, meat products, and breakfast cereals. Consult with your doctor or nutritionist for individual dietary recommendations as part of your overall EPI management plan.

What are the two main causes of exocrine pancreatic insufficiency? ›

What causes EPI?
  • chronic and acute pancreatitis.
  • cystic fibrosis link.
  • pancreatic cancer link.
  • surgery of the pancreas or upper gastrointestinal tract.

What is the best vitamin for EPI? ›

Consider the following components in your comprehensive EPI management plan
  • Vitamins A and E are antioxidants and may protect against free radicals. 6-8
  • Vitamin D aids in calcium absorption and subsequent bone growth. ...
  • Vitamin K is necessary for the clotting of blood.

How to improve pancreas function naturally? ›

Eating a healthy diet and limiting your exposure to harmful substances, like tobacco and alcohol, can help keep your pancreas and your entire digestive system working properly.

Are bananas good for EPI? ›

This diet advice is the same for people with EPI as it is for everyone: Skip the cookies and candy to avoid simple sugars and empty calories. A good alternative is fruit salad made with melon, oranges, bananas, apples, and pears.

What is the best drink for your pancreas? ›

Sometimes it is best to rest the pancreas and limit your food intake. If you are experiencing a flare, your doctor may even recommend no food for a day or two. A diet of clear liquids can be followed when pain is severe. Clear liquids include apple, cranberry and white grape juice, gelatin and broth.

Are eggs good for EPI? ›

EPI's Advantage: Egg whites give protein, while veggies provide fibre and vital vitamins and minerals for EPI. Add more low-fat cheese to boost the protein and calcium content.

Is cheese good for EPI? ›

If you have exocrine pancreatic insufficiency (EPI) there are lots of reasonably healthy, high-calorie foods you can eat, like cheese and full fat milk, hamburger with cheese, meat coated in breadcrumbs, nuts, ice cream and full fat yogurts. The calorie content of food is usually printed on the packaging.

Can you live a long life with pancreatic insufficiency? ›

It is possible to treat exocrine pancreatic insufficiency (EPI), and those with the condition can have a good quality of life. However, without treatment, EPI can cause serious complications and even death. Some people with EPI may have other underlying conditions that may shorten life expectancy.

How serious is exocrine pancreatic insufficiency? ›

If EPI is left untreated, malnutrition-related morbidity, poor quality of life, and potentially serious complications, including death, might occur.

What treats exocrine pancreatic insufficiency? ›

Pancreatic enzyme products (PEPs) are a combination of porcine-derived amylases, lipases and proteases and are used to treat exocrine pancreatic insufficiency (EPI). They mimic digestive enzymes secreted by the pancreas and act in the duodenum and proximal small intestine.

What medication is used for pancreatic exocrine insufficiency? ›

Drug treatment
PreparationProtease unitsLipase units
Creon® 10 000 capsule, e/c granules60010 000
Creon® Micro e/c granules (per 100 mg)2005000
Pancrex V® capsule, powder4308000
Pancrex V '125'® capsule, powder1602950
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