Biliary dyskinesia history and symptoms: Difference between revisions
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== Overview == | |||
In order to exclude other disorders, the patient's history is important in the [[diagnosis]] of biliary dyskinesia. [[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 [[Flanks|flank]], [[Human back|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: | |||
* Food | |||
* [[Intestine|Bowel]] movements | |||
* Duration | |||
* Time (of the day) | |||
* Previous therapies | |||
== Symptoms == | |||
[[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: | |||
** [[Flanks|Flank]] | |||
** [[Human back|Back]] | |||
** Right [[scapula]] | |||
* Intolerance to fatty food | |||
* Pain in the evening | |||
* Pain awaking a person at night | |||
* [[Bloating]] | |||
* [[Nausea and vomiting]] | |||
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.11 | |||
The following [[Symptom|symptoms]] are not likely due to functional [[Bile duct|biliary]] disorder: | |||
* Positive Murphy’s sign | |||
* Constant [[abdominal pain]] without [[tenderness]] | |||
* [[Jaundice]] | |||
* 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 14:01, 13 August 2020
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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:
- 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
Within 6 hours, symptoms of a functional biliary disorder improve.
Symptoms of biliary dyskinesia have been reported to resolve without any invasive procedure in about half of the patients.11
The following symptoms are not likely due to functional biliary disorder:
- 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)