How can we manage biliary dyskinesia

Biliary dyskinesia is a disease in which the gallbladder does not pinch well and the bile does not remove properly from the gallbladder.

Definition of Biliary dyskinesia

The word dyskinesia is the union of two words dys and kinesia. The dys means abnormal and kinesia means the abnormal movement of gallbladder.

The gallbladder is an organ that is present beneath the liver in the upper right part of the belly at a lower level of the ribcage.

The gallbladder is present under the liver and it is just like small pear shape .The liver is a major organ in the body which synthesize the bile and gallbladder is another organ which store this synthesized bile and pass it to the small intestine through duct.

Bile involve in the digestion of fats particles. When we take a meal then the function of the gallbladder is to release the store bile into the small intestine that help in breakdown of large particle into small particle of food .

Epidemiology of Biliary dyskinesia

Biliary dyskinesia is mostly present in elderly children and adults. But now a day it can be diagnosis in the hospital and it is the most reason for removal of the gallbladder. Biliary dyskinesia is may be chronic or acute and if there is inflammation of the gallbladder than it may be chronic. [1]Epidemiology of Gallbladder Disease: Cholelithiasis and Cancer (nih.gov)

Signs and Symptoms of biliary dyskinesia 

Abdominal pain mostly start in the region of right upper belly portion at the place where gallbladder is present. This type pain usually start after the eating meal specially eaten fatty meals like pizza etc.

The pain can be acute and chronic if pain is sudden then it is acute and if pain is recurrent or frequent for a long period of time then it is chronic.

This is called biliary chronic . But in children nausea or vomiting and not wanting to eat are the symptoms of biliary dyskinesia. The symptoms of biliary dyskinesia are identical to regular symptoms of of any other gallbladder disease which comprise

  • Intestinal gas
  • Swell or bloating
  • Belch or Burping
  • Nausea
  • Fever and cold of body
  • Jaundice
  • Concentrated urine

The pain induced by biliary dyskinesia is always identical to the pain that is felts by the patients that having the gallstones. Majority patients explain it as a extensive pain go through and hindrance under the right ribs cage.

Also this type of pain is usually observed early in the morning during menstruation or after eating heavy meal. Causes Biliary dyskinesia occurs usually due to malfunctioning of muscular coordination in the gallbladder. [2]Symptomatic Cholelithiasis and Functional Disorders of the Biliary Tract (itarget.com.br)

Stress is also main factor. But under stress gallbladder is unable to receive proper information from brain. Other major cause is malfunction in the muscle of gallbladder. 

Diagnosis biliary dyskinesia

Physical examination  is  usually not observable unless the child or adult having symptoms. During painful situation the patient may complain of having pain in the upper right portion of the abdominal affection.

Ultrasound is a process through which you can see the gallstone which can cause the identical symptoms. No stones are present in the biliary dyskinesia. In this test a investigation is applied on the belly directly overlying the gallbladder. The ultrasound is a process which use sound waves to receive an image of the gallbladder that how many it is damaged.

Blood tests are done but in biliary dyskinesia tests are normal. Many tests are taken like check your child or adult white blood cells count or bilirubin levels and also liver function test and pancreatic enzymes functioning.[3]Biliary Dyskinesia – Surgical Clinics (theclinics.com)

Treatment 

Surgery to remove the gallbladder stone is recommended when a child present to have symptoms of the biliary dyskinesia and the discharge fraction is low on the HIDA scan. Laparoscopic cholecystectomy is a technique which is used for the removal of the gallbladder.

This technique is frequently used and is the standard of care today. This surgery is performed very efficiently because it is performed through small take in the abdomen using a small camera and special type of tools .This type of process done very efficiently.

Risks of surgery is very costly and painful. During the open surgery large cut is taken in the abdomen. During it bile duct injury take and bile leaks from it a large amount of blood release from it and then infection take place. If complications are sever than then further surgery made. 

Long term outcomes If there is no guarantee that symptoms that symptoms will resolve even after surgical removal of gallbladder .

This is because the identification is not correct and it may be difficult to tell because the cause of symptoms is from the gallbladder or may be it is due to another problem such acid high concentration in the stomach that is toxic for stomach.[4]https://www.ccjm.org/content/ccjom/69/12/977.full.pdf

How can we manage biliary dyskinesia

Firstly we should maintain a balance weight for healthy life. If your body weight is accidently increase in amount then there are many chances of having gallbladder disease and then a sever pain may arose from it. It is necessary for a body not increase or loose body weight quickly. If you get high body weight then consult your doctor how to loose your weight and then balance it .

Always eat a variety of healthful food. Fruits low fat dairy things like milk or butter etc mutton fish etc. are also consider as healthy food. If this diet is not providing you a beneficial for health then consult your doctor for special diet. 

Then your doctor give you a low fat containing diet plan chart, Omega 3 fats are include in healthy food and are present in many fish types like trout salmon or tuna. Plants also provide a healthy diet like soyabeans and walnuts etc.

At the end we should eat that food that are necessary for healthy life and avoid fatty food that increase the symptoms of biliay dyskinesia or gallbladder. [5]Biliary Dyskinesia – What You Need to Know (drugs.com)

Reviewed by:
Dr. Shafaat Yar Khan  (Ph.D.) 
Medical University of Vienna, Austria    

Present: University of Sargodha, Pakistan

Our reviewers’ details, Click Here

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