Biliary tract dyskinesia: symptoms treatment
Diseases of the gastrointestinal tract are detected in both children and adults. This is due to constant stress, poor ecology, unbalanced nutrition and much more. Very often, doctors diagnose such a disease as biliary dyskinesia in children (even the smallest). What is the disease? How does it manifest itself? What are the signs of biliary dyskinesia? Is full recovery from this disease possible? How to treat biliary dyskinesia: using tablets or you can use folk remedies? Let's find out.
But first we find out what kind of illness it is and how it manifests itself.
Briefly about the disease
According to the International Classification of Diseases (ICD), biliary tract dyskinesia refers to the specified diseases of the gallbladder. Under this system, the disease is assigned a code K82.8.0.
Dyskinesia of the gallbladder and biliary tract is most often diagnosed in the female half of humanity.The disease is characterized by pathological processes occurring in the system responsible for the secretion of bile.
Why does this disease develop? Most often it is caused by changes in the mobility of the gallbladder. That is, the organ begins to contract either too slowly, or extremely quickly. In both cases, the flow of bile is disturbed. It can no longer enter the duodenum in the proper quantity, which means that the metabolism and other important processes occurring in the organs of the gastrointestinal tract are disturbed. Because of this, there are frequent and prolonged pain, localized in the right hypochondrium.
However, before discussing in detail the symptoms of biliary dyskinesia, let's find out what are the causes of the disease.
It is very important to find out what causes biliary dyskinesia in children and adults. If you determine the causes of the disease, it is very easy to reduce them to a minimum, thereby preventing the occurrence of the disease in both yourself and your child.
As an independent disease, dyskinesia of the bile-excretory tract manifests itself against the background of long-lasting and, most importantly, systematic violations of proper nutrition.If a person overeats or is undernourished, eats regularly, abuses snacks, fast food, fatty, sweet and spicy foods, alcohol, then it is not surprising that in the near future he will be diagnosed with any abnormalities in the functioning of the liver.
A sedentary lifestyle and congenital or acquired weakness of the muscles and ligaments of the abdominal organs can also trigger the development of undesirable pathologies.
Another provocateur manifestations of symptoms of biliary dyskinesia is the nervous system. If a person lives under constant stress, is often nervous, or suffers from neurosis, then very soon the liver (and the gallbladder as well) will remind of itself through painful sensations and other unpleasant manifestations. Very often biliary dyskinesia develops after removal of the gallbladder.
In most cases, the disease manifests itself as a secondary disease, which is preceded by pathological disorders in the organs of the gastrointestinal tract or other body systems. First of all, the disease can be triggered by acute viral hepatitis, parasitic infections,history of chronic gastrointestinal diseases (gastritis, cholecystitis, ulcers, duodenitis, gallstones, etc.) or various inflammatory processes occurring in the abdominal cavity (appendicitis, pyelonephritis, colitis, and the like).
The reason for the development of pathology can be a violation in the structure of the gallbladder, for example, the bends of the neck of the organ or himself.
And, of course, we must not forget about hormonal disorders, which can also trigger the development of biliary tract dyskinesia syndrome. These pathological changes affecting hormones include menopause, hypothyroidism, menstrual failures, and so on.
How does the disease manifest itself?
It is noteworthy that the type of the disease depends on the symptoms that can disturb the patient and cause him discomfort. So, there are two types of dyskinesia of the biliary tract:
- Hypokinetic. It occurs most often. Characterized by relaxation of the gallbladder, which is poorly reduced, but it is perfectly stretched, which leads to an increase in volume. The consequence of this bile stagnates, changes its usual chemical composition.And this, in turn, leads to the formation of stones.
- Hyperkinetic. This species is characterized by an increased tone of the gallbladder, as a result of which the organ is sharply and often contracting, which leads to the ejection of bile under strong pressure.
It is clear that the symptoms of biliary tract dyskinesia will differ depending on what type of ailment is observed in the patient's history. Below we talk about the features of the manifestation of the disease.
These different symptoms
As mentioned above, the manifestations of the disease depend on its type. For example, in the hypokinetic form of a human disease, constant pains of a nagging character bother, while creating a feeling of the so-called spreading in the area of the right hypochondrium. Due to unpleasant sensations, the patient often experiences nausea and vomiting, appetite disappears. It is noteworthy that the disease may not be accompanied by clear changes in the clinical indicators of blood tests. Body temperature remains familiar to the patient.
If the hyperkinetic form is diagnosed, the pain has a sharp paroxysmal character.That is, it occurs periodically and lasts a fairly short time, but it is characterized by very acute pain that can be given to the shoulder or neck, less often to the jaw. Often, seizures last for thirty minutes and occur while taking fatty foods or a stressful situation. An additional symptom of this form of the disease is bitterness in the mouth, which occurs most often on an empty stomach in the morning.
Despite the variety of illness, there are common symptoms that accompany its development. First of all, it is pain, localized in the right hypochondrium.
You should also be sure to mention abnormal stools (constipation can alternate with diarrhea), painful sensations during organ palpation, belching, and so on. People with dyskinesia often suffer from severe neurosis. They are characterized by a tearful or irritable mood. They quickly get tired, suffer from headaches, heart palpitations and sweating (especially during an attack), often have panic fear.
Against the background of a decrease in physical activity and emotional lethargy, sexual problems increase (impaired potency or failures of the menstrual cycle).
An additional undesirable symptom of dyskinesia is dermatitis, which is manifested in peeling of the skin, dryness of the epidermis, itching of the affected areas. Watery blisters may also form, indicating a disorder of an organ such as the liver. Most often, this condition is observed when the gallbladder is removed.
Biliary dyskinesia affects not only the internal organs, but also the patient's appearance and his emotional and even mental state.
How to diagnose the disease in order to start timely and effective treatment?
How is the disease determined
How is a disease diagnosed? The most important thing is not to make a diagnosis on your own, based on what you read on the Internet or what you heard from your friends. It is necessary to consult a doctor. What will the specialist do?
First of all, the doctor will personally examine the patient. Here, an important way to determine the disease is palpation of the abdomen. If a person suffers from dyskinesia, then with pressure at the moment of inhalation pain in the gallbladder will be extremely strong.
Next, you will need to identify the cause of the disease.To this end, a specialist will send a patient for testing for worms and consulting a neurologist. General urinalysis, blood tests, liver tests, gastroduodenoscopy or probing are also required.
But the most informative method of determining the disease is ultrasound. Ultrasound is performed after eating the so-called choleretic breakfast. The examination can show not only disturbances in the biliary tract, but also in the organ itself, as well as in the liver. That is, the full picture of the disease will be visible.
General principles of treatment
How to treat biliary dyskinesia in children and adults? First of all, you should tune in to long-term therapy, which will include medication, a strict diet, lifestyle changes, and so on.
Physiotherapy and spa treatment may also be prescribed. Let's talk about all this in more detail.
The most important thing is diet
It is clear that no, even the best and most expensive drugs will not help to overcome the disease, if you do not change your diet. What needs to be fixed?
First, it is necessary to eat fractional, that is, often, but in small portions. Secondly, forget what fried food is.Products should be cooked only steamed or baked in the oven in a culinary sleeve or foil. Thirdly, avoid too hot and too cold dishes. Products should be warm and unstable (puree).
And most importantly - forget that once loved fatty and sweet dishes, smoked meats and fast food. It is better not to salt the products, not to use spices, and you should stop even looking at such goods as chips, crackers and soda.
But this does not mean that, following a diet with biliary dyskinesia, you will lose the joy of life. There are many delicious healthy foods that not only do not harm your liver, but also fill the body with vitamins and delight the stomach. Among the allowed dishes it is necessary to mention properly cooked meatballs, yogurt, baked fish, vegetable puree (you can even from potatoes), compotes and even marshmallow or marmalade! As you can see, even the most demanding gourmets will be easy to follow such a balanced healthy diet.
Very often, for the treatment of biliary dyskinesia, patients are referred for sanatorium and resort rehabilitation.What procedures should I pay attention to?
First of all, these are applications of galvanic mud or paraffin, ultrasound or low-pulse current, electrophoresis, UHF or microwave, as well as hydrogen sulfide, pearl, coniferous, carbonic or radon baths.
Dyskinesia of the biliary tract after removal of the gallbladder, or arising on the background of any other reasons, needs careful examination and complex treatment. What medications can be prescribed? It all depends on the type of illness. Below we consider in detail the pharmacological drugs and popular recipes used to treat the disease.
Most often, for the treatment of this type of disease, doctors prescribe cholespasmolytics. This group of drugs include drugs such as:
- “Atropine sulfate”. Typically, the patient is prescribed a 0.1% solution for oral administration, five or even ten drops at a time.
- “Bellalgin”. The drug includes substances such as analgin and anesthesin, as well as an extract of belladonna and sodium carbonate. Your doctor may recommend taking one or half tablets two to three times a day.
- “Besalol”.The drug consists of belladonna extract and phenyl salicylate. It is taken one tablet twice a day.
- “Metacin”. Most often used in the form of a solution for strong colic. The injection is administered subcutaneously or intramuscularly in one milliliter (0.1% solution). The drug is available in the form of tablets. In this case, the doctor may recommend taking one pill twice or thrice a day.
- “Platyfillin”. Tablets are assigned to one pill two or three times a day before meals. the duration of therapy may exceed three months. In the form of a two-percent solution, the drug is used for subcutaneous injections of one milliliter one or even three times a day.
- “Euphyllinum”. The preparation includes theophylline and ethylenediamine. The recommended dose is one tablet once a day.
- “No-Shpa”. The active ingredient is drotaverine hydrochloride. Appointed by a specialist in the form of tablets (for two weeks, 0.04 grams one or three times a day), or in the form of a two-percent solution for intramuscular or intravenous injection (two milliliters once or twice a day).
- "Papaverine".The active ingredient is papaverine hydrochloride, also available in two forms. In the form of tablets can be recommended three times a day to 0.04 or 0.01 grams. Injections of a two-percent solution are administered intramuscularly or intravenously, two milliliters at a time.
Combined cholespasmolytics may also be prescribed. This, above all, “Nikoshpan”. It contains nicotinic acid and drotaverine hydrochloride. The recommended dosage of the drug is twenty milligrams one or two times a day. The combined cholespasmolytic agents include “Papazol”. Its active ingredients are dibazol and papaverine hydrochloride. Your doctor may prescribe medicine one tablet twice or three times a day. This group of drugs has one drawback - the main components have an impact on the entire smooth muscles of the body (including blood vessels and urinary tract). Taking these drugs can also trigger the development of hypokinetic dyskinesia.
Very often, doctors practice the appointment of such a drug as “Duspatalin”.Its active ingredient - mebeverin, belongs to the group of myotropic action antispasmodics, as it blocks the sodium channels that are in the cell membrane of the myocyte. Because of this, the occurrence of muscle spasms is prevented and the development of a pain symptom is blocked. Since the drug does not affect muscarinic receptors, such side effects as dry mouth and tachycardia, weakness, urinary retention and visual impairment do not bother the patient. Since “Duspatalin” refers to prolonged means, it should be taken for a rather long time (from a crescent to a month) by two hundred milligrams once or twice a day. Another myotropic antispasmodic is considered “Ditsetel” (the active ingredient is minavirin bromide), as well as “Spasmalin” (the main component is othylone bromide). Drugs prescribed fifty-one hundred milligrams three times a day. Myotropic antispasmodics not only increase the flow of bile, but also improve digestion, as well as accelerate intestinal motility.
This group of drugs includes and "Odeston". It has a choleretic effect, but does not adversely affect the smooth muscles of the body. Often, experts prescribe medication in one to three weeks.The recommended dosage is one pill three times a day.
Prescriptions for traditional medicine should complement drug treatment and in no case be a separate treatment for the disease. Moreover, to begin their use should only be after consultation with your doctor. The specialist will recommend the optimal dosage and duration of treatment.
Most often, plant components such as arnica flowers, elecampane or valerian roots, herb of St. John's wort or lemon balm, mint leaves or sage, calendula flowers, as well as many others (immortelle, marjoram, plantain, blueberry, tansy, celandine , wormwood, dog rose, dill, rose and so on).
Among the various pharmacological drugs for the treatment of this type of disease, prescribed “Tsisaprid” (five to ten milligrams three times a day), Domperidone (five to ten milligrams two or three times a day) and Metoclopramide (five or ten milligrams per day).
Also, a specialist may be recommended funds based on bile acids:
- “Liobil” (based on bovine blood fractions). Tablets with a dosage of 0.2 grams of the active substance are taken one to two three times a day for one to two months. It is advisable to drink pills after meals.
- “Deholin”. The active ingredient is sodium salt. The drug is a five- or twenty-percent solution for injection, injected five or ten milliliters once a day.
- “Cholecin” (a complex of two fatty acids). It is taken before eating one to two tablets three times a day.
- “Hololog”. Your doctor may recommend one or two tablets once a day. The duration of therapy is no more than three weeks.
As for recipes from the green first-aid kit, you should also be careful not to harm yourself even more. Before using these or other popular recipes, you should definitely consult with your doctor, after which he may recommend the optimal dosage, schedule and course of administration.
The most commonly used decoctions of such plant components as calamus rhizomes, roots and leaves of barberry, buds and leaves of birch, immortelle flowers, coriander fruits, corn stigmas, hop cones, and chicory herb, wormwood, golden thrift, volodushki and so on.
The extracts of these plants used for the preparation of phytopreparations, have a pronounced choleretic effect. The use of components in the form of decoctions and tinctures also helps to relieve pain and improve the work of the gallbladder.
Depending on the reason that contributed to the development of dysfunction of the gallbladder and its ducts, the doctor prescribes additional pharmacological drugs, the impact of which is due to the elimination of provoking factors.
For example, if dyskinesia is a consequence of helminthic invasion, the attending physician may recommend anthelmintic drugs. If the disease was caused by frequent stresses or even neurosis, then the specialist may consider it necessary to appoint sedative, sedative and, in some cases, even psychotropic medications.
In the case when the dysfunctions are caused by the concomitant diseases of the gastrointestinal tract, the doctor will first prescribe medicines to eliminate these diseases. It is possible that after such therapy dyskinesia of the biliary tract will pass by itself.
But what if the disease was provoked by bacteria or microbes that live in the body? In this case, antibiotic therapy may be prescribed.
Most often, the treatment of dyskinesia is carried out in a comprehensive manner, that is, several drugs of different spectrum of action are used at once. It all depends on the cause of the disease, as well as on the disease itself (type of disease, severity and well-being of the patient).
Hardly anyone suffering from dysfunction of the biliary tract, have not heard of this method of treatment of various pathologies of the liver. What is the essence of this method?
To improve the flow of bile through the ducts, the patient should drink on an empty stomach no more than twenty milliliters of a 33% aqueous solution of sulphate of magnesia (the liquid must be heated to fifty degrees Celsius). If you do not have this component, you can freely replace it with two egg yolks, warm olive or corn oil, a ten-percent solution of sorbitol or a glass of freshly squeezed beet juice.
Then you should lie on the right side, placing a warm heating pad underneath (the heating pad must be placed in the liver) and so lie down for several hours. The duration of the procedure should be prescribed by a doctor.How many times should blind sensing be done? The specialist may recommend to perform manipulations during the month twice or three times a week.
It's no secret that a disease is better to prevent than to cure. What preventive measures can be taken to prevent the appearance of the disease?
First of all, you need to monitor proper nutrition. It should be full and balanced, but it is best not to abuse foods such as smoked meats, sweets, spicy seasonings, fatty meats and fish, fast food, and so on.
It is necessary to eat cereals, vegetables and fruits, steamed lean meat dishes. However, proper nutrition is not always the key to success.
Do not forget about the other components of a healthy lifestyle. Hiking, moderate gymnastic exercises, good sleep (you need to sleep at least eight hours at night), calm mood - this is the key to a healthy liver and gall bladder. Do not forget to rest and avoid psycho-emotional stress, and then your body will function as well as possible.
A few words in conclusion
We reviewed the symptoms and treatment of biliary dyskinesia. As you can see, this is quite a serious disease, which is a consequence of dysfunction of the gallbladder and its ducts. Most often the disease develops against the background of the already established pathologies of the gastrointestinal tract.
Symptoms and treatment of this, however, like any disease, are interrelated. There are many drugs that can permanently eliminate the disease, or at least minimize its manifestation. Therefore, be sure to contact the specialist who will individually assign you the best treatment.