What are the symptoms of biliary dyskinesia?

Bile is a thick, yellowish liquid that is produced by the liver. Its main functions are to improve the absorption of fats, as well as to intensify the movement of food through the intestines.

Biliary dyskinesia is a disease in which the outflow of bile into the duodenum is disturbed. There is pain in the right hypochondrium, discomfort, often nausea and vomiting. It means insufficient or excessive flow of bile aimed at fats digesting. In the first case it is hypokinesia, in the second – hyperkinesia.

“Dyskinesia” is understood as a violation of motility. This means that the gallbladder or ducts are not working properly. This is due to stone formation, clogged ducts, anatomical or nervous reasons. Thus, this diagnosis is not so much a disease as a complex of symptoms in various diseases.

Symptoms of this disorder are very similar to the symptoms of diseases affecting the liver and it is very important to correctly determine the disease. The appearance of nausea and epigastric burning, bitter taste while eating, a feeling of fullness and heaviness in the abdomen and in the region of the right hypochondrium, painful sensations of a dull or shooting, arching or cramping type – all these are signs of liver function disorder and biliary dyskinesia.

The main symptoms of this problem are:

  • pain in the right hypochondrium. Pain may vary depending on the course of dyskinesia;
  • cholestatic syndrome (jaundice, light feces, dark urine, enlarged liver, pruritus);
  • dyspeptic manifestations in the form of loss of appetite, nausea, vomiting, abdominal distention, bitterness and dry mouth, bad breath and other symptoms;
  • symptoms of neurosis (fatigue, irritability, hyperhidrosis, recurring headaches);
  • decrease in sexual activity.

Concomitant nervous symptoms – sleep disturbance, excessive sweating, sudden and sharp changes in mood (emotional instability), high fatigue, irritability, short temper or tearfulness.

Insufficient flow of bile is called atonic dyskinesia, or hypokinesia (hypokinetic form). Its characteristic symptoms are aching or dull pains of a permanent nature.

Excessive flow of bile is called hyperkinesia. This is a spastic form, which is manifested by acute painful colic in the right hypochondrium. The pain usually radiates in the right shoulder and scapula.

Published at 10/13/2018