Around noon, Mrs. Janina felt a sharp pain in the right suborbital cavity and in the subcutice well, radiating to the right shoulder blade. After eating dinner there were nausea and vomiting that did not want to end, despite the impression of emptying the whole stomach. She also felt she had a fever.
How did Mrs. Janina recognize the biliary colic?
As an experienced nurse, she knew that the above-mentioned syndrome of symptoms - pain in the right podwbrzu, nausea and vomiting - indicates a biliary colic. She also knew that under the influence of her hand on the right arch of the hypochondrium the pain would increase and it would become unbearable. Because the oppression of this place proved to be very painful - confirmed the self-recognition of biliary colic.
How long does a biliary colic attack last?
Pain in the right suborbital throat and in the subcutaneous well lasts from a few to several hours.
What can be the immediate cause of colic?
Most often the attack of pain is caused by food intake, which causes reflexive contraction of the walls of the gall bladder and an increased flow of bile. These foods include: chocolate, egg yolks, cream, fatty meats, as well as all foods fried and baked on fat. Very often, gallbladder attack occurs several hours after eating a rich meal with alcohol. Ailments usually occur only at night, a few hours after ingesting illicit foods.
Other causes of biliary colic
Attack can also cause excessive physical exertion. In rare cases, during severe stress, you may experience so-called raising bile and pain.
Pathomechanism of pain called colic
The biliary colic attack occurs as a result of the gallbladder moving from the follicle to the alveolar duct or from the common bile duct into the duodenum. Moving very small gallstones usually do not cause symptoms - the problem concerns these stones with a size close to the diameter of the duct. The mechanism of pain initiation is as follows. During peristaltic (vermiform) movements stones slightly smaller than the light of the bile ducts may fall into them and become stuck. Clogging through the stone leads to friction and painful inflammation and pain.
How to cure the biliary colic attack on an ad hoc basis
The basic task is to eliminate pain. Pain complaints of biliary colic seizure usually disappear for a time after the use of strong diastolic and analgesics. In the case of very strong pain, the doctor will therefore save an injection from the appropriate medicine. If you have a fever - use antibiotics or sulfa. The patient is immobilized. After the pain relieves, it is recommended to administer mild anti-spasmolytics for up to 10-14 days.
Proceedings towards the patient
In an acute biliary colic attack It is necessary to refrain from 1 to 2 days from solid food, and limiting yourself to liquid foods such as: fruit juices, infusions of herbs, slightly sweetened tea, etc. Gradually, as the improvement improves, gruel, cereal , boiled vegetables, small amounts of butter, etc. After this, the so-called diet is recommended. hepatitis similar to those with chronic liver disease, i.e.without greasy and fried foods, without irritation of alimentary tracts, alcohol, etc. If colic attacks are often repeated, when the stones are large and hard, the gallbladder is removed operationally or stones are removed using an endoscope or other methods (below).
Treatment of cholelithiasis
ed. eom-ed.
P idziiennnictwo:
1. "Advances in the diagnosis and treatment of biliary diseases" Ewa Nowakowska-Duława, Andrzej Nowak; Gastroenterology Clinic of the Silesian Medical Academy Head of the Clinic: prof. dr hab. Andrzej Nowak; Advances in Medical Sciences (2/2001)
2. Botanicals; Jerzy Lutomski, Jerzy Alkiewicz, PZWL 1993, p 19; and an online article entitled Herbal medicine in internal diseases; Jan Hasik, Jerzy Lutomski,
3. Pathogenetic basis of the treatment of diseases of the gastrointestinal tract; doc. dr hab. med Jan Stasiewicz; Medical Publishers PZWL 1993
4. A vademecum of diagnosis and therapy. Medical Publishers PZWL 1993
5. Pharmindex, manufacturers' data
