DZHVP, symptoms of the disease, depending on the type

Changes in the tone and contractility of the biliary tract and gallbladder are integrated into the concept of dyskinesia of bile ducts (DZHVP). Symptoms of this disease are experienced for their lives by every third person.

There are two types of DZHVP, the symptoms of which are radically different from each other. There are hyper - and hypomotor types of the disease.

Signs of DZHVP, symptoms, depending on the type of dyskinesia

For hypermotor disorders are characterized by frequent and intense pain in the area of the gallbladder, which are similar to colic. However, their severity is somewhat less than with the pain associated with stones. There is a clear dependence of the occurrence of pain on food intake. They are provoked by aggressive fatty or too sharp food, which causes the release of bile.

The hypomotor type is manifested by blunt, prolonged, often constant painful sensations in the region of the liver. The bladder is flaccid, overgrown due to the accumulation of bile in it. The patient with a diagnosis of "hypomotor DZHVP," describes the symptoms of the disease as a constant feeling of heaviness in the liver.
Both varieties of the disease are accompanied by dyspepsia, nausea, there may be bitterness in the mouth, which occurs as a result of throwing bile into the stomach and esophagus. Almost always there is a violation of the stool, a tendency to constipation.

Diagnosis of DZHVP is exposed on the basis of characteristic complaints, diagnostic examination and analysis results.

Objectively, during the study, painful sensations are noted during palpation, especially at the projection point of the bladder. When the disease with a diagnostic purpose, multi-stage duodenal sounding is performed . Hypokinetic form is characterized by the absence of the second phase of secretion, when the sphincter of Oddi is constantly relaxed, the fourth phase is lengthened. Often, the release of bile from the bladder can be achieved only by a very strong stimulus (cholecystokinin).

The hyperkinetic form is characterized by an extension of the second phase, the sphincter of Oddi is closed, and the fourth phase is shortened. When X-ray examination, you can also explore the type of dyskinesia. When hyperkinesis for the introduction of egg yolks, there is an increased contraction of the bladder. This is clearly seen in a series of radiographs. Hypokinesis can sometimes be seen on a radiograph with contrasting. Then there is a leakage of contrast through the relaxed sphincter in the duodenum.

An easier, quicker and more effective method is the endoscopic examination of the duodenum with the sampling of its contents in certain phases of secretion. The endoscope can be inserted directly into the holedoch and take a bile sample directly from the bladder.

The course of DZHVP in most cases, a long, periods of exacerbation are replaced by calm. Aggravation provokes stress, negative emotions, overeating, a violation of diet. With reduced motor pathways, the gallbladder can develop an inflammatory process, stagnant bile leads to stone formation.

DZHVP therapy

A warning moment in the development of an exacerbation is proper nutrition, exclusion of provoking food, hygiene of work and rest. It is important to avoid stressful situations, normalize sleep. Hyperkinetic dyskinesia shows magnesium diet, antispasmodics, cholinolytics, physiotherapy, drinking mineral waters. In the hypokinetic type diet № 15, № 3, appoint psychomotor stimulants, tjubazhi with magnesium, mineral water or any oil, mineral water courses, physiotherapy treatment. Mineral water is consumed in a cold or cool form before meals. If dyskinesia is reflex, the main disease is treated.

Prevention of DZHVP is proper nutrition and life regimen, treatment of neurological diseases, elimination of stressful situations.