How is hypotension of the gallbladder manifested and treated? Suitable correction of the disease
Hypotension of the gallbladder refers to conditions arising from the disruption of the motor activity of the biliary tract, which leads to a violation of the separation of bile.
The disease is very common in children, as well as in women. Normally, bile is collected from the bile ducts that are located in the liver, and bile is the product produced in it for the normalization of digestion.
Causes of hypotension of the gallbladder
Hypotension of the gallbladder occurs due to the following reasons:
- Neuroreflex causes - when hypotension develops with the existing disturbance of the nervous regulation of the gallbladder. Usually, such conditions as arterial hypotension, increased reaction to skin contact( pronounced dermographism), as well as a violation of the rhythm of breathing are observed.
- With organic damage to the gallbladder, which happens with cholecystitis and cholelithiasis.
- Psycho-emotional causes - when the hypotension of the gallbladder occurs with nervous overexertion and prolonged stressful situations. Usually such a state happens after sudden conflicts or quarrels.
- Alimentary factors - when a patient abuses fatty, salty, smoked and fried foods.
In addition to hypotension, in some cases, hypertension of the gallbladder may occur, when bile does not enter the 12-colon due to spasm of the walls of the bladder. Unlike hypertension, with hypotension, bile simply flows into the bowel because of the strongly relaxed walls. In turn, hypotension is divided into simple hypotension of the gallbladder and hypotension of the sphincter of Oddi, which is located right at the entrance of the bile duct into the 12-colon.
How to recognize the disease?
The clinical picture of the disease is characterized by the following symptoms:
- Constant aching pain in the right upper abdomen.
- Sore in this area, which is easy to recognize when probed.
- Stool disorder, lack of appetite, sometimes nausea and even vomiting. Bitterness in the mouth, especially in the morning.
The diagnosis is usually made on the basis of examination and collection of anamnesis, as well as on the data of instrumental methods of examination - ultrasound, cholecystography and duodenal sounding. With the disease of hypotension of the gallbladder, the symptoms usually appear immediately after the disturbance of the process of bile secretion.
Separately it is necessary to say about this condition in children. Children complain of sharp pains that occur immediately after a meal, as well as a poor appetite and a feeling of bitterness in the mouth. Pain in the abdomen, as a rule, pass independently 15 minutes after eating.
In some cases, the main symptoms are nausea or vomiting after a heavy meal or after consuming a large amount of fatty or sweet food. After such symptoms, children may experience constipation or upset of the stool.
The causes of this condition in children can be helminthic invasions, food allergies or atopic dermatitis. The development of these diseases is accompanied by symptoms such as increased nervous excitability, fatigue and sleep disturbance. If the child has similar symptoms, then it should immediately be shown to his specialist in this field - the gastroenterologist and to conduct a course of treatment.
Treatment of gallbladder hypotension
The main goal of the treatment course is to return the required tone of the smooth muscles of the gallbladder. With the disease of gallbladder hypotension, the treatment is only conservative and includes a number of measures, including:
- Taking medications( medicinal and plant) that have choleretic action.
- Compliance with a special diet.
- Exercise exercises physical therapy or morning gymnastics.
- Physiotherapeutic procedures and sanatorium treatment.
To begin with, without exception, patients need to adjust the diet, which should be fractional( at least 4-5 times a day) and in small portions. It is necessary to thoroughly chew food to facilitate the process of digestion. Then it is necessary to eliminate the cause of this condition, especially in children who often become infected with parasites.
Treatment should be conducted in a calm environment, without factors irritating the nervous system of patients, and from the diet to remove all products that can trigger an attack of gallbladder hypotension - fried, salty, spicy, spicy food. Children need to limit the intake of sweet fizzy drinks.
Next, it is necessary to establish the separation of bile, for which the diet should be curative decoctions with choleretic action. These include decoctions of dog rose, corn stigmas, St. John's wort and other medicinal plants. From these plants you can prepare salads or add fresh stems of plants in vegetable salads. Such plants include dandelion leaves, peppermint, rhubarb root and others.
Such a common procedure as tjubazh, with hypotension of the bladder is not recommended. In some cases, when medicinal herbs do not help, you can prescribe medications with a choleretic effect, which include allochol, holosas, oxaphenamide, berbirin bisulfate and other drugs. Preparations from the group of antispasmodics with hypotension of the gallbladder are not appointed, since they can cause deterioration.
Physiotherapeutic procedures usually use applications with ozocerite or paraffin, as well as inductothermia, electrophoresis, iontophoresis, which give a good tonic effect. Morning gymnastics or a complex of physiotherapy exercises should be performed daily to relax the smooth muscle of the gallbladder walls.