Dyskinesia of bile ducts in a child canoccur for various reasons. There is a pathology (abbreviated as it is called DZHVP) in the malfunctioning of the motility of the organ, in which bile accumulates. The hormones that secrete the duodenal mucosa are designed to regulate the contractions of the gallbladder. When, for some reason, irritation or inflammation occurs in the intestines, the outflow of bile is disrupted. Predisposes to the development of DZHVP such factor as the immaturity of the nervous system, which is characteristic of childhood, so the disorder is most often found just in children.
As a result of violations of the functions of the central nervous system,infections, diseases of internal organs, malnutrition, allergies and intoxication of the body, dyskinesia of bile ducts in a child can develop. Pathology manifests itself in hypotonic form, when due to poor contraction of the gallbladder, bile flows out of it all the time, and hypertonic, when the contracted organ does not distinguish it. Causes of such phenomena include stomach diseases, viral hepatitis, endocrine-hormonal failures, intestinal infections, giardiasis. Violation of excretion into the gallbladder bile is also one of the causes of DZHVP. This can occur because of anomalies in the development of the organ.
There are two types of DZHVP.The first - hypertonic hyperkinetic - is manifested by paroxysmal pains that appear in the hypochondrium on the right side, which can sometimes irradiate under the shoulder blade and shoulder. Typically, soreness occurs after physical activity, malnutrition, emotional stress. At the same time, painful sensations do not differ in duration and are quickly stopped by spasmolytic drugs. During a period of pain that causes dyskinesia of the biliary tract, the child may have anxiety, headache, frequent urination, nausea. The rest of the time the baby feels well. But periodically after eating cold foods or soda can complain about short spastic pain in the area of the right hypochondrium.
In hypokinetic-hypotonic typedyskinesia of bile ducts in a child clinically manifested as a non-intensive, dull, aching, but most often constant pain in the hypochondrium from the right side. Painful sensations can be accompanied by a feeling of bitterness in the mouth, lack of appetite, nausea.
Treatment
Regardless of what causes dyskinesiabiliary tract symptoms, treatment will be based on limiting physical exertion, sparing diet and providing positive emotions. The child is encouraged to fractional five meals with the exception of a diet of fatty, too spicy, fried foods, smoked, canned. In addition to diet, medication is prescribed, aimed at normalizing the functions of the nervous system.
