Biliary dyskinesia

Causes, diagnosis and treatment of biliary dyskinesia

Bile is a special liquid that helps to enhance the movement of food through the gut and simultaneously promotes the breakdown of fats. The liver produces it throughout life. Through the bile duct the bile flows into the intestine, getting initially in the hepatic ducts and then into the common bile duct, which linked the cystic duct with the gall bladder. At the point of junction of the duodenum bile duct is of Vater papilla.

The ingress of bile into the intestine is dispensed through a special muscle, called sphincter of Oddi. If the function of gallbladder, its ducts and sphincter of Oddi is broken, then there are problems with delchevalerie formed biliary dyskinesia. According to statistics, women are most susceptible to this disease.

The causes of biliary dyskinesia

Biliary dyskinesia may develop for different reasons:

· Due to disorders of the organs of the gastrointestinal tract;

· Due to irrational food menu (with excessive consumption of fatty, fried or spicy foods, too much between meals);

· Stress and nervous feelings;

· When violations of hormonal background;

· Food allergies;

· If worms.

In medical practice there are two main forms of the disease. One of them is hyperkinetic form characterized by increased tone of the gallbladder due to the excessively strong and fast it cuts. The sphincters (called "lean gates") are opened partially. As a result, the patient may experience right upper quadrant pain cutting. Seizures are usually transient and only in a few cases, continue longer than sixty minutes.

Often they do not occur as a result of nervous overloads, strong excitement, negative emotions. Because the tone of the gall bladder during menstruation is usually increased, in women, the aggravation of the disease may be associated with the menstrual cycle. Dyskinesia in hyperkinetic form, there is often at a young age. Hypokinetic form of the disease are more prone to people of Mature age. Her reason is not intense enough to reduce the gallbladder.

This symptom can also be pain in the right hypochondrium. The pain in most cases is long, but notstrong, has a dull or bursting character. Possible and individual manifestations of the disease. Based solely on the complaints of the patient, even an experienced doctor only with great difficulty be able to put the correct diagnosis. Biliary dyskinesia may consist of a succession of improvements and relapses. After a certain time in the gallbladder and ducts likely the formation of gallstones or inflammatory process.

Disruption of the biliary tract can occur and a feeling of bitter taste in the mouth, loss of strength or systematically bad mood. If after eating spicy salads or after a nervous tension a person feels pain in the right upper quadrant (sharp cramping or dull aching) that, as soon as possible should consult a gastroenterologist. Signs that should alert: loss of appetite and poor sleep, diarrhea or constipation, menstrual irregularities and decrease in libido.

Diagnosis of biliary dyskinesia

For proper diagnosis of the disease, the doctor may refer the patient for additional tests:

1. An x-ray.

2. Biochemical analysis of blood. In marked aggravation in the analysis of blood revealed elevated liver enzymes.

3. Ultrasound.

4. Duodenal intubation – the collection of bile in the analysis by means of a gastric probe.

5. Tests using special preparations. Enter a set of drugs that contribute to the enhanced development of bile. In the presence of the disease the gall to stand out in the intestines not in time and stored in the gall bladder and ducts. Ducts dilate, and the bubble volume increases, is recorded using ultrasound.

It is extremely important not to confuse the biliary dyskinesia with other dangerous diseases with similar symptoms. Also in the survey it is important to establish a form of dyskinesia – the choice of treatment will depend on this.

Treatment of biliary dyskinesia

One of the necessary conditions of treatment of this disease is diet. When the hyperkinetic form it involves a fractional power, the minimum amount causing reduction in bubble products. The preference for boiled and grated dishes, berries and fruits in any form.

When hypokinetic form in the diet must include foods that have choleretic effect: vegetables, cream, black bread, oil and butter, sour cream. In addition to diet also need to follow prescribed course of treatment.