Biliary dyskinesia medical therapy: Difference between revisions
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{{CMG}} {{AE}} {{SHA}} | {{CMG}} {{AE}} {{SHA}} | ||
== Overview == | == Overview == | ||
Medical therapy mostly includes of [[symptomatic treatment]] of [[abdominal pain]] and [[Intravenous therapy|IV]] [[Opiate|opiates]] are the drug of choice, although some studies have suggested that [[Opiate|opiates]] cause [[ | Medical therapy mostly includes of [[symptomatic treatment]] of [[abdominal pain]] and [[Intravenous therapy|IV]] [[Opiate|opiates]] are the drug of choice, although some studies have suggested that [[Opiate|opiates]] cause [[sphincter of Oddi]] contraction. | ||
== Medical Therapy == | == Medical Therapy == | ||
* Medical therapy mostly includes of [[symptomatic treatment]] of [[abdominal pain]]: | * Medical therapy mostly includes of [[symptomatic treatment]] of [[abdominal pain]]: | ||
** [[Opiate|Opiates]] ([[Intravenous therapy|intravenous]]) are the drug of choice, although some studies have suggested that [[Opiate|opiates]] cause [[ | **[[Opiate|Opiates]] ([[Intravenous therapy|intravenous]]) are the drug of choice, although some studies have suggested that [[Opiate|opiates]] cause [[sphincter of Oddi]] contraction. | ||
** [[Muscle relaxant|Muscle relaxants]] have been reported to be ineffective. | **[[Muscle relaxant|Muscle relaxants]] have been reported to be ineffective. | ||
** [[Calcium channel blocker|Calcium channel blockers (CCB)]] have been reported to be ineffective. | **[[Calcium channel blocker|Calcium channel blockers (CCB)]] have been reported to be ineffective. | ||
*** However, [[Calcium channel blocker|CCBs]] like [[nifedipine]] have been reported to have potential effect in improving the pain but [[headache]] and [[tachycardia]] are the [[Adverse effect (medicine)|adverse effects]]. | *** However, [[Calcium channel blocker|CCBs]] like [[nifedipine]] have been reported to have potential effect in improving the pain but [[headache]] and [[tachycardia]] are the [[Adverse effect (medicine)|adverse effects]]. | ||
* Alternative treatments that may be effective by a [[cholagogue]] effect (increases [[bile]] discharge from the [[Bile duct|biliary system]]), or a choleretic effect (increases [[bile]] [[secretion]] from the [[liver]]) include: | * Alternative treatments that may be effective by a [[cholagogue]] effect (increases [[bile]] discharge from the [[Bile duct|biliary system]]), or a choleretic effect (increases [[bile]] [[secretion]] from the [[liver]]) include: | ||
** Artichokes | ** Artichokes | ||
** [[Greater celandine|Celandine]] | ** [[Greater celandine|Celandine]] | ||
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** St. John’s Wort | ** St. John’s Wort | ||
* Other reported effective measures in biliary dyskinesia include: | * Other reported effective measures in biliary dyskinesia include: | ||
** [[Smoking cessation]] | **[[Smoking cessation]] | ||
** Avoidance of fatty food | ** Avoidance of fatty food | ||
** Frequent meal consumption | ** Frequent meal consumption | ||
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[[Category:Needs content]] | [[Category:Needs content]] | ||
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Revision as of 14:08, 13 August 2020
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Risk calculators and risk factors for Biliary dyskinesia medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2]
Overview
Medical therapy mostly includes of symptomatic treatment of abdominal pain and IV opiates are the drug of choice, although some studies have suggested that opiates cause sphincter of Oddi contraction.
Medical Therapy
- Medical therapy mostly includes of symptomatic treatment of abdominal pain:
- Opiates (intravenous) are the drug of choice, although some studies have suggested that opiates cause sphincter of Oddi contraction.
- Muscle relaxants have been reported to be ineffective.
- Calcium channel blockers (CCB) have been reported to be ineffective.
- However, CCBs like nifedipine have been reported to have potential effect in improving the pain but headache and tachycardia are the adverse effects.
- Alternative treatments that may be effective by a cholagogue effect (increases bile discharge from the biliary system), or a choleretic effect (increases bile secretion from the liver) include:
- Other reported effective measures in biliary dyskinesia include:
- Smoking cessation
- Avoidance of fatty food
- Frequent meal consumption
- Lying on the right side after meals
- Weight loss
- Increase in physical activity