Dyskinesia of the gallbladder

Dyskinesia of the gallbladder is a violation of the evacuation and motor function of the organ, which is accompanied by a pain symptom.

Causes

Distinguish between primary and secondary dikinesia. The first form occurs when violations of the regulatory functions of the vegetative department of the nervous system. These conditions are called vegetative neuroses. Secondary dyskinesia of the gallbladder develops in patients who have cholecystitis, cholangitis, parasitic liver disease.

The pathogenesis of the disease is a violation of the tone of the muscles of the organ, especially the sphincter of Lutkens, Oddi, Mirizzi. This condition is due to an increase in neurogenic impulses, which leads to a reduction in individual groups of fibers. As a consequence, atony of the gallbladder develops.

Primary dyskinesia is provoked by neuroses, irritability, constant fear of illness, the appearance of hysterical reactions, signs of a hypothalamic syndrome. There may be several variants of the disease. For example, the disease of sphincters, gall bladder, ducts, their combination.

Clinical picture

Pain in the right hypochondrium is the main clinical symptom, which is characterized by dyskinesia of the gallbladder. Symptoms of this disease are often confused with renal colic. They can have an excessively high intensity, so there is a need for surgical intervention. Pain increases with excitement and a sense of fear in patients. A detailed study reveals a spasm of the large intestine, the gatekeeper. Indicators of liver function, urine tests, erythrocyte sedimentation rate remain normal.

In addition, the disease is characterized by a decrease in appetite, intolerance to fried foods, fatigue, weakness, a violation of the general condition.

Diagnostics

Dyskinesia of the gallbladder requires special methods of investigation. For this, cholecystography is used. Also, the data obtained after chronometry, which is carried out using a probe, is used. They allow us to draw a conclusion about the state of the dynamics of biliary excretion. In the most severe forms of the disease, obtaining a portion helps stop the allocation of the contents of the gallbladder. Nitroglycerin and the joint are used to continue the test. In some patients it is separated from the probe by discontinuous portions.

The atonic form of the disease is characterized by the release of a large number of biliary secretions. Hyperkinetic states of the organ lead to a low content development. When carrying out the diagnostic test, it is diluted with fresh secret. Dyskinesia of the gallbladder in children should be performed with a special load (egg yolks, chologon). This helps to get more accurate results.

This disease has a long and persistent course. Complications of dyskinesia are cholelithiasis or cholecystitis. The diagnosis is made only after careful examination and exclusion of the pathology of the stomach, intestines, and cholecystitis.

Bellataminal, papaverine, bellaspon, belloid, cholagogue (flamin, choleretic tea, corn stigmas), tranquilizers (oxylidine, trioxazine), sedatives (pion tincture, motherwort herb, sodium bromide) are used to treat the disease .

Dyskinesia of the gallbladder is a fairly common disease, which is accompanied by unpleasant pain symptoms, in some cases similar to the symptoms of renal colic. Therefore, timely diagnosis of this disease and the appointment of appropriate treatment is important. With all the rules, dyskinesia is easily amenable to therapy and soon the symptoms disappear.