HealthDiseases and Conditions

Dyskinesia of the biliary tract is a functional disease of the digestive system

Dyskinesia of the biliary tract belongs to the group of functional diseases of the digestive system. People with dyskinesia have a different age, women are more likely than men.

Dyskinesia is an uncoordinated, untimely, incomplete or excessively severe reduction in the gallbladder and bile ducts. Depending on the origin, the primary and secondary forms are isolated.

The primary form is associated with impaired neurohumoral regulation of the biliary tract, which is due to the presence of neuroses, neuroendocrine pathology, thyroid diseases, periods of hormonal adjustment, vegetovascular dystonia, diencephalic syndrome, bile duct anomalies.

Secondary dyskinesias are associated with the presence of pathological reflexes and impaired motor function and secretory function of the digestive system.

There are hypertonic-hyperkinetic, hypotonic-hypokinetic and mixed dyskinesia of the biliary tract. Symptoms of these forms of the disease differ from each other.

Hypertonically-hyperkinetic form

Dyskinesia of bile ducts of the hypertonic-hyperkinetic type develops in persons with an increased tone of the parasympathetic nervous system, asthenic structure of the body, excitable. The main manifestation of this disease is pain. It is localized under the right costal arch, extending into the right shoulder, into the thorax on the right. The pain arises suddenly, resembling an attack of hepatic colic. A pain attack can last from a few minutes to several days. It can provoke the use of large amounts of food, fats, fried, emotional loads. During an attack, the patients are irritable, restless, complain of heart palpitations, sweating, general weakness, often headache, sometimes - frequent urination, numbness of the limbs. In the interictal period in the clinic of the disease, neurotic complaints predominate - increased excitability, rapid mood swings, frequent headache, insomnia.

Hypotonic-hypokinetic form

Clinical symptoms of hypotonic-hypokinetic forms of dyskinesia are not very pronounced. This type of dyskinesia is more often observed in people with insufficient physical activity, which have a significant body weight, they are dominated by the tone of the sympathetic nervous system. In the clinic often observed hypotension of the biliary tract with chronic gastroduodenitis with decreased gastric secretion, chronic cholecystitis, cholelithiasis.

In the clinic of the disease in the foreground, a dull, aching pain in the right hypochondrium and dyspeptic syndrome. Violation of the stool is manifested by alternating constipation and diarrhea. Overeating, eating a lot of fatty and fried foods leads to a bitter taste in the mouth, nausea, sometimes vomiting, bloating, dull aching pain in the right upper quadrant without irradiation.

Dyskinesia of the biliary tract Is confirmed by results of carrying out of duodenal sounding, US of a cholic bubble, cholecystography.

Treatment of the disease

If the examination revealed dyskinesia of the biliary tract, treatment should begin with the normalization of nutrition. In hypertensive hyperkinetic form of the disease, it is necessary to exclude from the diet fried, fatty foods, rich soups and broths, alcohol, spicy seasonings.

When the hypotonic-hypokinetic form of dyskinesia is shown to eat food with pronounced choleretic properties: egg yolks, vegetable oils, cream, sour cream, fresh lard. With obesity, it is necessary to reduce the energy value of the diet.

Patients with a hypertonic-hyperkinetic form during an exacerbation are prescribed spasmolytic, choleretic preparations. A good effect is provided by physiotherapy: electrophoresis on the right hypochondrium, electrosleep, paraffin, thermal applications, therapeutic baths. Showing mineral waters with a weak mineralization of 100-200 ml for half an hour before meals.

Dyskinesia of the biliary tract Ways of hypotonic-hypokinetic form requires the appointment of drugs that have a tonic effect - tincture of ginseng, eleutherococcus, pantocrine. Patients are shown therapeutic exercise, active way of life. Suitable mineral water with a high concentration of salts.

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