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Bend of the gallbladder: symptoms and treatment, causes of impairment

Often patients turn to the gastroenterologist with complaints of persistent nausea, a feeling of heaviness in the side and other symptoms of digestive disturbances, during the examination it turns out that the reason for this is the bend of the gallbladder.

Content

Bend of the gallbladder - What is it?

Normally, the gallbladder has the shape of an oblong sac and is a reservoir for storing bile.

The inflection of the gallbladder is an abnormal condition, during which the constriction appears in the organ, as a result of which the bubble acquires the form of an hourglass, a hook or the letter "G".

When the bend occurs simultaneously in several places, the gallbladder resembles the shape of the Latin letter "c", such a pathology is most often found in pediatric practice.

Causes of bend of the gallbladder

Bend of the gallbladder

General view of the gallbladder, structure, photo

There are congenital and acquired inflection of the bladder. The congenital arises even at the stage of embryogenesis, at about 5-6 weeks of gestation, when the liver and gall bladder of the embryo are formed. Various factors of the internal and external environment can provoke the development of this pathology:

  1. Reception of pregnant medicines up to 12 weeks;
  2. Drinking alcohol and smoking;
  3. Postponed viral and infectious diseases;
  4. Chronic diseases in the mother;
  5. Unfavorable ecological environment, in which the pregnant woman is.

The inflection of an innate character is also called persistent or fixed gallbladder disease, but since the organ cavity is lined with muscle fibers that have the property of contracting, the pathological process can periodically change its place of localization. In this case, the patient is diagnosed with a labile bend of the gallbladder.

liver-and-gall-bladder

Acquired bend of the gallbladder is a consequence of these reasons:

  • Dysfunction of diet, predominance in the diet of fatty, spicy, smoked food;
  • Exhausting diets;
  • Obesity;
  • Metabolic disease;
  • Postponed food poisoning;
  • Lifting weights;
  • Sedentary lifestyle;
  • Cholecystitis;
  • Cholelithiasis;
  • Postoperative operations on the gallbladder or liver;
  • Pregnancy;
  • Prolonged and uncontrolled use of certain medications;
  • Concomitant diseases of the duodenum, liver, pancreas .

The gallbladder has a body, a bottom and a neck. Depending on the place of localization of the pathological process, the excesses of the upper or lower third of the organ, neck or body are distinguished. The inflection in the body of the gallbladder is the most dangerous condition and entails serious complications.

Signs and symptoms of bend of the gallbladder

types and symptoms of bend of the gallbladder

The characteristic clinical symptoms of bile duct rupture are:

  1. Constant bitterness in the mouth;
  2. Nausea;
  3. The appearance of bad breath from the mouth;
  4. Gray or yellowish coating on the tongue;
  5. Belching;
  6. Bloating and increased gas formation;
  7. Heartburn;
  8. Feeling of heaviness in the stomach, especially after eating;
  9. Vomiting when eating fatty, roasted, smoked;
  10. Violations of the stool (diarrhea, followed by prolonged constipation).

symptoms of an inflection of the gallbladder

When forming stones in the ducts of the bladder against the background of constant stagnation of the bile, the patient sometimes has yellowing of the skin and visible mucous membranes.

Periodically, the body itself and the bile ducts become inflamed, as a result of which the patient develops cholangitis or cholecystitis, the symptoms of which are:

  • Pain in the right hypochondrium ;
  • Nausea and vomiting;
  • Diarrhea;
  • Raise body temperature to 38-39 degrees;
  • Refusal to eat;
  • Jaundice of the skin and mucous membranes;
  • Attacks of biliary colic.

Inflammation of the gallbladder in an infant before the introduction of complementary foods may not manifest itself clinically, but after inclusion in the diet of adult food, constant regurgitation and stool disorders are possible. S-shaped bend of this organ in a young child is in most cases the main cause of the common pathology - dyskinesia bile duct.

Diagnostics

The main method of diagnosing gallbladder pathologies is ultrasound. This method has no contraindications and age restrictions, so it is prescribed even to the smallest patients with suspicion of bending.

With the help of ultrasound can accurately determine the functional capacity of the organ, the presence of an inflection, as well as the location of the pathological process.

In order to find out whether the bend is congenital or acquired, adult patients perform stimulation of the secretory abilities of the organ by taking raw egg yolks or butter.

With congenital bending, the deformity of the bladder remains unchanged after increasing bile production. To determine the likely cause of the anomaly, the gastroenterologist collects a thorough anamnesis of the patient's life. Depending on the cause of the bend of the gallbladder, the doctor prescribes appropriate treatment.

Treatment of bend of the gallbladder

With the congenital form of pathology, treatment is to reduce the symptoms of bending the gallbladder by adhering to a special diet and performing simple physical exercises that stimulate a normal outflow of bile.

Improve the work of the body and prevent stagnant phenomena are helped by herbal teas and herbal medicinal herbs - corn stigmas, mint, yarrow, flowers of the immortelle.

Medication Therapy

allochol-at-treatment-inflection In order to prevent stagnant processes and stone formation in the bile of the bile, cholagogue preparations are prescribed, for example, Allochol, Gepabene.

These drugs can be taken only with the permission of the doctor and in the event that there are no stones in the bladder and ducts. Otherwise, therapy with cholagogue means leads to obstruction of the ducts by concrements and development of an acute inflammatory process or dangerous conditions requiring surgical intervention.

When diagnosing stagnant phenomena and concrements in a bladder no larger than 5 mm in diameter, Ursohol or Ursofalk are prescribed, which alter the viscosity and composition of the bile, normalize its outflow, and destroy small stones. With pain and spasms in the right hypochondrium appoint No-shpu, Papaverin or analgesics.

With inflammation of the ducts or gall bladder, a course of anti-inflammatory drugs or antibiotics is indicated.

Diet in the bend of the gallbladder

In order to improve the general condition of the patient and reduce the severity of clinical symptoms of inflection of the bladder, the observance of therapeutic nutrition (table number 5a) is shown. From the diet are completely excluded:

  • Baking;
  • Confectionery products - cakes, chocolate, sweets, cakes, tubes, pastry from puff pastry;
  • Fatty grades of meat and fish - pork, lamb, mackerel, salmon, salmon;
  • Fat;
  • By-products;
  • Spices, vinegar, spices, spicy dishes;
  • Mushrooms;
  • Sausages;
  • Pasta;
  • Beans;
  • Sour cream, hard cheese;
  • Strong broths;
  • Red caviar.

Limit butter and yolks of chicken eggs.

The basis of the ration consists of boiled porridges (boiled on water with the addition of milk at will), low-fat cottage cheese, lean meat, kefir, yogurt, yesterday's bread, vegetables, fruits, greens, fish of low-fat varieties (pike perch, hake, pollock). Dishes are prepared by steaming or by boiling, the food should be frequent and small portions.

Treatment of inflection in the home

Treatment of bend of the gallbladder at home

In the absence of stones in the gallbladder and ducts, the patient can be tanned or so-called blind probing at home once a month.

The essence of the procedure is the preliminary admission of a solution of magnesia or sorbitol by the patient, after which a warm water bottle is placed on the right hypochondrium for 30 minutes. Under the influence of heat and a concentrated solution of sorbitol or magnesia, the Oddi sphincter (located in the gallbladder) opens, the contractile capacity of the bladder increases and the accumulated bile is released into the intestinal lumen.

Bile has irritating effect on the mucous membranes of the intestine, as a result of which the patient is observed several times diluted stool of green or yellow color - this is normal.

After such a procedure, patients notice a significant improvement in the state of health, the disappearance of a feeling of heaviness, nausea and bloating.

Strict contraindication to carrying out the tjubazh is the presence of any diameter in the gallbladder or ducts of stones, obstruction of the ducts or the presence of any neoplasms in the organ that prevent the outflow of bile.

Complications

When the bubble is bent, bile accumulates in the body and changes its viscosity, resulting in gradual formation of stones. A dangerous complication of this condition is the displacement of the stone in the lumen of the bile ducts, against which the path of bile outflow is blocked (plugging of the duct).

Such a complication is a threat to the health and life of the patient, therefore, in such situations, immediate surgical intervention is often required.

Interesting
Ilona Che
2017-05-22 16:02:44
Thank you for the article!

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