biliary colic
Introduction
Introduction Biliary colic is a bile duct emergency that occurs when the gallstone causes a temporary obstruction of the cystic duct or common bile duct. Usually, patients with biliary colic suddenly develop symptoms, and there is pain in the upper right abdomen or pain in the upper abdomen. The severity is different. The severe pain is unbearable, the pain is rolling, the sputum is not only, the paleness is accompanied by sweating, and most of them are intermittent cramps. For persistent pain, pain can be radiated to the right shoulder or right upper back, often with nausea and vomiting. It is often suggested that the stones in the gallbladder or bile duct move, causing temporary obstruction of the cystic duct or common bile duct. Static or incarcerated gallstones do not cause typical biliary colic.
Cause
Cause
The movement of stones in the gallbladder or bile duct causes temporary obstruction of the cystic duct or common bile duct. Static or incarcerated gallstones do not cause typical biliary colic. Biliary colic often occurs after a greasy meal. When biliary colic, it often manifests as pain in the upper abdomen or middle abdomen, and then the pain sharpens to a peak and continues uninterrupted until it is treated or sometimes naturally relieved. At intervals of paroxysmal pain, the patient can feel that the recurrent pain in the right upper abdomen continues.
Examine
an examination
Related inspection
Hepatobiliary imaging liver, gallbladder, spleen CT examination
Laboratory examinations must be summarized and analyzed based on objective data learned from medical history and physical examination, from which several diagnostic possibilities may be proposed, and further consideration should be given to those examinations to confirm the diagnosis. Therefore, patients with biliary colic need abdominal physical examination according to symptoms, and blood routine, liver function, bilirubin, hepatobiliary ultrasound, CT examination, etc. Should pay attention to the blood, liver and kidney function, to see if there is a problem with diarrhea and stomach.
Diagnosis
Differential diagnosis
Differential diagnosis of biliary colic:
Biliary colic needs to be differentiated from colic and renal colic.
The difference between colic, renal colic and biliary colic:
1, 3 kinds of diseased parts are different.
2, the radiation of different parts of the pain, intestinal colic generally do not emit radiation, biliary colic generally radiate to the right back, renal colic radiation to the perineum.
3, with different symptoms, intestinal colic may have diarrhea, biliary colic may have fever and chills, renal colic may have abnormal urine.
4, can rely on laboratory tests, such as: urine, blood routine, B-ultrasound, peritoneal and so on.
5, in addition to biliary colic need to identify with stomach cramps:
Both stomach cramps and biliary colic are acute abdominal pain, but occur in two different organs and are caused by different diseases. There are many reasons for this. Both organs belong to the hollow organ smooth muscle contraction, which occurs, causing an increase in intraluminal pressure. Usually people are used to saying that the pain of the former is "gastric fistula" and the pain of the latter is "biliary colic". "Stomach cramps" occur mostly in acute inflammation and perforation. Gastritis caused by bacteria and bacterial toxins, called "infectious gastritis." Gastritis caused by different chemicals such as strong acid and alkali, called "corrosive gastritis". In both cases, in addition to pain in the upper abdomen, often accompanied by vomiting and diarrhea. Without treatment, it is generally not relieved, and it is even more unlikely that the pain will be abruptly terminated. When the stomach is perforated, the pain is severe, vomiting, and bowel sounds disappear. Although the transient pain at the time of perforation is relieved, it will not suddenly alleviate. Moreover, after a few hours, the abdominal pain will be intensified again. As the stomach contents flow into the abdominal cavity and the peritonitis is complicated, the abdominal pain is aggravated.
