Chronic alcohol abuse combined with poor nutrition is the cause of alcoholic dementia. The key to prevention then is to avoid drinking too much and to eat a balanced diet. Thiamine is found in many foods including grains, bananas, lentils, and potatoes. Heavy drinkers may benefit from taking B1 supplements, but the best solution is to drink within safe limits. Those individuals who struggle to drink sensibly should choose complete abstinence from alcohol. The safe limit for alcohol use is 1 drink per day for women and those over 65 and 2 drinks per day for men. Anyone who stays within the safe limits should never develop alcoholic dementia.
Diagnosing acute pancreatitis can be difficult because the signs and symptoms of pancreatitis are similar to other medical conditions. The diagnosis is usually based upon a medical history, physical examination, and the results of diagnostic tests. Two of the following three are required to make a diagnosis: (1) typical abdominal pain; (2) threefold or more elevation of pancreatic enzyme values in the blood; and (3) inflammation of the gland on computed tomography (CT) scan or magnetic resonance imaging (MRI) scan. The number and type of tests is tailored to the severity of acute pancreatitis and the most likely underlying causes. (See "Clinical manifestations and diagnosis of acute pancreatitis" .)