Biliary dyskinesia history and symptoms: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Biliary dyskinesia}} | {{Biliary dyskinesia}} | ||
{{CMG}} {{AE}} {{SHA}} | |||
== Overview == | == Overview == | ||
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== History == | == History == | ||
In order to exclude other disorders, the patient's history is important in the [[diagnosis]] of biliary dyskinesia and should include the relationship of pain to: | In order to exclude other disorders, the patient's history is important in the [[diagnosis]] of biliary dyskinesia and should include the relationship of pain to:<ref name="pmid30846030">{{cite journal| author=Clark CJ| title=An Update on Biliary Dyskinesia. | journal=Surg Clin North Am | year= 2019 | volume= 99 | issue= 2 | pages= 203-214 | pmid=30846030 | doi=10.1016/j.suc.2018.11.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30846030 }} </ref> | ||
* Food | * Food | ||
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== Symptoms == | == Symptoms == | ||
[[Symptom|Symptoms]] of biliary dyskinesia are characterized by biliary colic symptoms and include: | *[[Symptom|Symptoms]] of biliary dyskinesia are characterized by biliary colic symptoms and include: | ||
* [[Postprandial]] pain in the [[RUQ|right upper quadrant (RUQ)]] that radiate to the: | ** [[Postprandial]] pain in the [[RUQ|right upper quadrant (RUQ)]] that radiate to the: | ||
** [[Flanks|Flank]] | *** [[Flanks|Flank]] | ||
** [[Human back|Back]] | *** [[Human back|Back]] | ||
** Right [[scapula]] | *** Right [[scapula]] | ||
* Intolerance to fatty food | ** Intolerance to fatty food | ||
* Pain in the evening | ** Pain in the evening | ||
* Pain awaking a person at night | ** Pain awaking a person at night | ||
* [[Bloating]] | ** [[Bloating]] | ||
* [[Nausea and vomiting]] | ** [[Nausea and vomiting]] | ||
Within 6 hours, [[Symptom|symptoms]] of a functional [[Bile duct|biliary]] disorder improve. | *Within 6 hours, [[Symptom|symptoms]] of a functional [[Bile duct|biliary]] disorder improve. | ||
[[Symptom|Symptoms]] of biliary dyskinesia have been reported to resolve without any [[Invasive (medical)|invasive]] procedure in about half of the patients. | *[[Symptom|Symptoms]] of biliary dyskinesia have been reported to resolve without any [[Invasive (medical)|invasive]] procedure in about half of the patients.<ref name="pmid25193389">{{cite journal| author=Bielefeldt K, Saligram S, Zickmund SL, Dudekula A, Olyaee M, Yadav D| title=Cholecystectomy for biliary dyskinesia: how did we get there? | journal=Dig Dis Sci | year= 2014 | volume= 59 | issue= 12 | pages= 2850-63 | pmid=25193389 | doi=10.1007/s10620-014-3342-9 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25193389 }} </ref> | ||
The following [[Symptom|symptoms]] are not likely due to functional [[Bile duct|biliary]] disorder: | *The following [[Symptom|symptoms]] are not likely due to functional [[Bile duct|biliary]] disorder:<ref name="pmid30846030">{{cite journal| author=Clark CJ| title=An Update on Biliary Dyskinesia. | journal=Surg Clin North Am | year= 2019 | volume= 99 | issue= 2 | pages= 203-214 | pmid=30846030 | doi=10.1016/j.suc.2018.11.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30846030 }} </ref> | ||
* Positive Murphy’s sign | ** Positive Murphy’s sign | ||
* Constant [[abdominal pain]] without [[tenderness]] | ** Constant [[abdominal pain]] without [[tenderness]] | ||
* [[Jaundice]] | ** [[Jaundice]] | ||
* Intermittent [[abdominal pain]] and [[Cramp|cramps]] with episodes of [[diarrhea]] or [[constipation]] suggest an [[Intestine|intestinal]] cause (such as [[irritable bowel syndrome]]) | ** Intermittent [[abdominal pain]] and [[Cramp|cramps]] with episodes of [[diarrhea]] or [[constipation]] suggest an [[Intestine|intestinal]] cause (such as [[irritable bowel syndrome]]) | ||
==References== | ==References== | ||
Revision as of 14:04, 13 August 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2]
Overview
In order to exclude other disorders, the patient's history is important in the diagnosis of biliary dyskinesia. Symptoms of biliary dyskinesia are characterized by biliary colic symptoms and include: postprandial pain in the right upper quadrant (RUQ) (that radiate to the flank, back, and right scapula), intolerance to fatty food, pain in the evening or awaking a person at night, bloating, nausea and vomiting.
History
In order to exclude other disorders, the patient's history is important in the diagnosis of biliary dyskinesia and should include the relationship of pain to:[1]
- Food
- Bowel movements
- Duration
- Time (of the day)
- Previous therapies
Symptoms
- Symptoms of biliary dyskinesia are characterized by biliary colic symptoms and include:
- Postprandial pain in the right upper quadrant (RUQ) that radiate to the:
- Intolerance to fatty food
- Pain in the evening
- Pain awaking a person at night
- Bloating
- Nausea and vomiting
- Symptoms of biliary dyskinesia have been reported to resolve without any invasive procedure in about half of the patients.[2]
- Positive Murphy’s sign
- Constant abdominal pain without tenderness
- Jaundice
- Intermittent abdominal pain and cramps with episodes of diarrhea or constipation suggest an intestinal cause (such as irritable bowel syndrome)
References
- ↑ 1.0 1.1 Clark CJ (2019). "An Update on Biliary Dyskinesia". Surg Clin North Am. 99 (2): 203–214. doi:10.1016/j.suc.2018.11.004. PMID 30846030.
- ↑ Bielefeldt K, Saligram S, Zickmund SL, Dudekula A, Olyaee M, Yadav D (2014). "Cholecystectomy for biliary dyskinesia: how did we get there?". Dig Dis Sci. 59 (12): 2850–63. doi:10.1007/s10620-014-3342-9. PMID 25193389.