Emergency assistance with liver and bile colic. Symptoms, causes, diagnosis and treatment of liver and bile colic

If the cause of abdominal pain is liver colic, you need to know how to help yourself and recover.

The pain that suddenly arose in the abdomen always scares a person. Its possible cause, hepatic colic, indicates a pathological process in the body that immediately needs treatment.

Causes of bile and hepatic colic

Bile or hepatic colic is attacks of severe antispasmic pain in the hypochondrium on the right side. Pain can be given to epigastric, the right shoulder blade, in the back and even in the neck.

Important: the state of biliary or liver colic has such a name, since the gall bladder, the direct culprit of such a painful state, is located in a special bed in the right lobe of the liver.

1. The gall bladder consists of fibers located longitudinally and circular
2. With the help of special muscle sphincters, the bile is promoted along the bile conductive ducts.
3. Sometimes bile colic occurs due to sphincter spasm. This condition occurs as a result of a reduction in the smooth muscles of the gall bladder and biliary ducts, when the sand or stones formed in the organ move along the biliary tract, clogging the ducts.

It can also be the cause of acute pain in bile (liver) colic: I can:

• increased pressure in the organ due to overstretched by a stone.
• discinesia (insufficient or excessive) reduction of the gallbladder.
• inflammatory processes in the pancreas, cholangitis (inflammation of the bile ducts).

The reasons that cause functional changes in the functioning of the gallbladder and biliary tract that provokes bile (liver) colic is called:

• diet disorders
• psycho -emotional loads
• alcohol abuse and smoking

Bile and liver colic, symptoms and treatment

In addition to acute, prolonged cramping pain, other symptoms of bile (liver) colic are: are:

• nausea and vomiting
• constipation or vice versa, frequent chair
• flatulence
• in some cases, mechanical jaundice and fever

Treatment of gall (liver) colic is prescribed with the diagnosis.

Important: to establish a diagnosis helps an ultrasound on which the sand is determined, calculi in the gall bladder, their number and values.

Sometimes cholecystography is carried out - the introduction of an X -ray contrast is orally, intravenously and intravenous. With the help of cholecystography, the gall bladder and its anomalies are examined.

The first emergency care for bile and liver colic

The patient himself and his relatives, if renal colic occur, should call an ambulance.

1. Ambulance is needed to clarify the diagnosis and make the patient the necessary injections that facilitate his condition.
2. Ambulance is extremely necessary if the patient has a yellowness of the skin, he has a fever (fever and heat), if he has blood pressure reduced and confused consciousness. This is an emergency situation for the hospitalization of such a patient.

If the liver (bile) colic in the patient does not occur for the first time, then he will have a technique:

• antispasmodic drugs
• painkillers such as ketorolac or tramadol
• combined drugs with antispasmodic and analgesic effect (spazgan, took)

Important: you can give the suffering patient nitroglycerin under the tongue, which will also affect the removal of spasm of the smooth muscles of the gallbladder.

How to relieve bile and liver colic at home?

At home, it is recommended to always have antispasmodic drugs and take them immediately if bile colic occurs.

Also, the doctor can show, and the patient to master the pressing technique on special muscles in order to relax the muscles of the gallbladder. Such a massage is performed by pressing on the muscles during the weakening of pain spasm.

VIDEO: Massage with arthrosis, liver colic

Diagnosis and prevention of bile and liver colic

To establish a diagnosis of gall or liver colic allows:

• symptoms
• examination and palpation by the patient of the patient
• blood test that reveals inflammation (increased amount of white blood cells, accelerated) ESR
• Ultrasound
• radiography
• choleretic breakfast (two raw yolks on an empty stomach) to determine the dischenies of the biliary tract

Prevention:

1. Diet is the first and most necessary condition for the prevention of bile or liver colic. With cholelithiasis and disorders of the liver, table No. 5 is prescribed read more.
2. Morning gymnastics or other feasible physical activity to disperse bile.
3. In the absence of inflammation and colic for preventive purposes, choleretic drugs are taken - medicinal herbs or medications. There are also special choleretic grass fees in pharmacies. To cleanse the gall bladder and improve the outflow of bile, preventive choleretic products are desirable to drink on an empty stomach. It is also advisable to lie down for some time on the right side after receiving funds, applying a warm heating pad.

Important: the choleretic drugs must be taken by consulting a doctor in the absence of calcified calculi in a patient, which during the outflow of bile can clog the biles.

Treatment of biliary and liver colic

1. Litholytic therapy - (for the dissolution of stones in the gall bladder)
2. Injections of pancreatic and cholecystokinin (with non -channel bile colic to improve the outflow of bile). Calm bile colic is inflammation of the wall of the gallbladder.
3. Surgical (removal of the gallbladder due to the calculi that filled it).

Drugs for bile and liver colic

To help the patient stop an attack of bile (hepatic) colic, he needs spasm.
Such antispasmodics are effective:

• no-shpa (Drotaverin)
• papaverine
• atropine
• duspatalin (furniturer)

Video: gall bladder