Biliary dyskinesia in therapeutic practice

Abstract

Pain in the right hypochondrium is one of the most frequent complaints in patients with diseases of the gallbladder and biliary tract. In recent years, in developed countries, there has been a tendency to increase the frequency of gallbladder diseases. According to statistics, every tenth person experiences unpleasant sensations in the upper abdomen after eating fatty, fried, salted and smoked food, as well as after drinking alcohol or after psychoemotional and physical exertion. The most common diseases of the gallbladder and biliary tract are biliary dyskinesia. Biliary dyskinesia is a functional disease caused by uncoordinated and untimely contraction of the gallbladder, bile ducts and Oddi sphincter. Pain with dyskinesia is described by the term "biliary pain": localized in the right hypochondrium, lasts about 30 minutes, there are often repeated attacks and even at night, sometimes nausea and vomiting occur, which does not bring relief, there is a feeling of bitterness in the mouth. Traditionally, this pathology of the gallbladder was divided into hypo- and hyperkinetic types, which differed in their manifestations. It should be noted that long-term functional disorders eventually lead to organic lesions. For example, with the hypokinetic type, there is a violation of the properties of bile, its ability to form stones increases, which leads to the development of cholelithiasis. This article is devoted to the etiology, pathogenesis, clinical picture and treatment of JMP, as well as the use of the drug Hilak Forte in intestinal dysbiosis as a result of biliary tract disorders.