Biliary dyskinesia history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2]
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 the patient 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:[1]
- Food
- Bowel movements
- Duration
- Time (of the day)
- Previous therapies
Symptoms
- Symptoms of biliary dyskinesia are characterized by biliary colic symptoms and include:[1]
- Postprandial pain in the right upper quadrant (RUQ) that radiate to the:
- Intolerance to fatty food
- Pain in the evening
- Pain awaking the patient at night
- Bloating
- Nausea and vomiting
- Symptoms of biliary dyskinesia have been reported to resolve without any invasive procedure in about half of the patients.[2]
References
- ↑ 1.0 1.1 Clark CJ (2019). "An Update on Biliary Dyskinesia". Surg Clin North Am. 99 (2): 203–214. doi:10.1016/j.suc.2018.11.004. PMID 30846030.
- ↑ Bielefeldt K, Saligram S, Zickmund SL, Dudekula A, Olyaee M, Yadav D (2014). "Cholecystectomy for biliary dyskinesia: how did we get there?". Dig Dis Sci. 59 (12): 2850–63. doi:10.1007/s10620-014-3342-9. PMID 25193389.