Dyskinesia of biliary tract

Dyskinesia biliary tract (gallbladder dysfunction) - is a functional disorder of motor-evacuation function of the gallbladder and bile ducts without the development of the inflammatory and structural changes.

As a rule, based on the development of dyskinesia is a violation of the innervation of the gallbladder of the autonomic nervous system.

There are 2 types dysmotility:

  • gipermotornaya dyskinesia occurs at elevated vagal tone;
  • gipomotornaya dyskinesia occurs with an increase in tone of the sympathetic nervous system.

development of biliary dyskinesia contribute:

  • neurosis, mental stress and the presence of other psychosomatic diseases (gastric ulcer and duodenal ulcer, hypertension, hormonal disorders, etc.);
  • rare and / or irregular meals;
  • lack of exercise (low levels of physical activity, a long stay in a sitting or a flexed position, etc.);
  • cholecystitis and cholangitis different nature;
  • taking certain medications (eg, muscle relaxants, hypnotics).

main manifestations

Almost all patients feel periodically varying the intensity of pain in the right upper quadrant, associated with the intake of food.Often preceded by nausea, a metallic taste in the mouth, as well as bitterness between meals, sometimes - loss of appetite, bloating, constipation alternating with diarrhea.

On palpation of the abdomen, tenderness in the right upper quadrant, and in dyskinesias gipomotornoy in lean patients can even see a slight bulge under the right costal arch, corresponding to the bottom of the gallbladder overstretched, which disappears after his discharge.

survey with biliary dyskinesia

  • ultrasound of the abdomen with the definition of the contractile function of the gallbladder;
  • cholecystography contrast with choleretic breakfast (now rarely used);
  • duodenal intubation;
  • MRI (to rule out other types of pathology).

Basic principles of prevention and treatment of biliary dyskinesia

recommended strengthening the nervous system, regular and fractional eating, sufficient physical activity (gymnastics, physical labor, daily walks) for prevention.

In the absence of inflammation is recommended to include in the diet of foods that improve the emptying of the gallbladder (meat, vegetable oil, eggs, sour cream).

When hypermotor dyskinesia recommended excluded from the diet extractives, refractory fats, foods with a high content of cholesterol, fatty meats, spicy dishes, etc.

also prescribe antispasmodics, sedatives, tyubazh, herbal medicine, osteopathy, physiotherapy, reflexology, balneotherapy, massage and physical therapy, hypnotherapy.

When gipomotornoy dyskinesia recommended to split meals with the inclusion in the diet of foods with choleretic action (vegetable oil, sour cream, cream cheese, eggs) and plenty of fiber (grains, cereals, fruits and vegetables).

also prescribe cholagogue, prokinetics, phytotherapy, mineral water ( "Essentuki", "Smirnoff"), physiotherapy, reflexology, massage and physical therapy.

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