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Symptoms of disease - pain in the gallbladder

Gall bladder - bag the size of a thumb, located on the right side at the bottom of the chest. Oily bile continuously comes from the liver to the gallbladder, which is accumulated and concentrated. After the meal, the gallbladder submit it to the duodenum to improve the digestibility of fat foods.

Pain in the gallbladder may occur for various reasons. The most common of these are the stones, formed from the crystallizing of bile, which is connected with the presence in the bile cholesterol, which was the first to be deposited with the strong concentration and dehydration bile. While the stones lie motionless in the gall bladder, they are harmless. The problems start when they are moved and blockage of bile duct, leading to the small intestine. Pain in the gall bladder, resulting in the advancement of the stone through the channels, and can last up to several hours.

Which diseases there is pain in the gallbladder

The most common diseases of the gall bladder and bile passages diseases, which are accompanied by pain in the gall bladder, include: acute and chronic cholecystitis, cholelithiasis, cancer of the gallbladder and biliary dyskinesia.

1. Chronic cholecystitis is an inflammatory disease of the gallbladder. Often this disease affects women. In the presence of stones in the gall bladder talk about calculous cholecystitis, in their absence - on non-calculous cholecystitis.
Cholecystitis can be caused by bacteria (escherichia coli, streptococcus, staphylococcus, etc.), helminthes, giardia, mushrooms; there are cholecystitis toxic and allergic nature. Microbial flora penetrates into the gall bladder ascending (from the gut), hematogenous (through the blood) or lymphogenous (through the lymph) way.
The immediate impulse to the outbreak of the inflammatory process in the gall bladder are often overeating, especially the use of oily and spicy food, reception of alcoholic drinks, acute inflammatory process in another body (tonsillitis, pneumonia, adnexitis, etc.). Chronic cholecystitis may occur after acute, but often develops independently and gradually, on the background of cholelithiasis, gastritis with secretory insufficiency, chronic pancreatitis and other diseases of the digestive organs, obesity.

For chronic cholecystitis is typical dull, aching (sometimes a sharp pain in the gall bladder in the right hypohondrium of a permanent nature or arising after 1-3 hours after a heavy meal, especially oily and fried. The pain changes up, in the region of the right shoulder and neck, right shoulder blade. Frequent diarrheal phenomenon: a sense of bitterness, and a metallic taste in the mouth, eructation air, nausea, flatulence, violation of defecation (possibly alternating constipation and diarrhea), as well as irritability, and insomnia. Jaundice is not typical.

2. Dyskinesia of biliary tract and gall-bladder - is uncoordinated, excessive or reduced, or delay in the work of the gall bladder and sphincters, which represent the functional diseases.
- Dysfunction of the gallbladder is a violation of the contractile ability of the gall bladder, which are accompanied by pain type of biliary colic and is often combined with a violation of the emptying of the gall bladder.
- The sphincter of Oddi dysfunction - is a violation of its contractile ability of the Sphincter of Oddi, regulates portioned the flow of bile and pancreatic juice into the duodenum.
Sphincter of Oddi dysfunction may be the primary, but more often a secondary disease, may accompany the pit disease, cholecystitis, gallstone disease, postcholecystectomical syndrome and much more.
Dyskinesia of the gall bladder and bile passages diseases related to the violation of hormonal regulation, unstable emotional background, stomach ulcer and gallstone disease, pancreatitis any etiology, the use of preparation, which contribute to the stagnation of bile in a gall bladder and spasm of the sphincter of Oddi.
One of the causes of psoriasis we note a few points, though in fact the list is huge:
- general neurosis;
- endocrine diseases of the thyroid gland, obesity,
- inflammatory diseases of the small pelvis;
- for women - use of hormonal contraceptives;
"the nature of power, mode, unbalanced intake of food: frequent reception of the sharp, fried, greasy, alcohol, inadequate intake of dietary fibers, large intervals between meals;
- allergic reactions, including food:
- dysbacteriosis;
- viral hepatitis:
- organic diseases of the biliary tract, the duodenum, the pancreas.

There are two forms dyskinesia biliary tract - hyperkinetic (spastic) and hypokinetic (atonic).
- Hyperkinetic dysfunction of the gallbladder is characterized by recurrent acute prickly pain in the right hypochondrium, which can give to the right shoulder, arm, or in the left half of the thorax. The pain is sudden, it might repetition during the day, can sometimes be accompanied by nausea, vomiting, a violation of the functions of the intestine, rarely appears headache, sweating, rapid heartbeat. Nevertheless, the symptoms of the inflammatory process in the blood tests usually does not happen.
- hypokinetic dysfunction manifested constant dull pain in the right hypochondrium without a clear localization, sense of bursting open, these symptoms are considerably amplified by the emotional load, sometimes eating. In addition worried about the bitter taste in the mouth, poor appetite, belching, bloating and constipation.

3. Malformations. To malformation of the gall bladder include congenital changes its size, shape and position, leading to sharply expressed violations of the functions of the authority. More often than the other anomaly is detected the location of the gall bladder, at least - the decrease of its size, double, and the absence of a cavity or complete absence of the bladder.
Malformations of the gall bladder may be asymptomatic or accompanied by pain (pain in the gall bladder in the right hypohondrium of varying intensity, duration and frequency).

4. The Damage. Isolated damages gall bladder are rare, because it is located deep, is protected by the rib arch and the liver. Damage of the gall bladder, as damage to the stomach, the share of the open (knife and gunshot) and closed (gaps and samples of the gall bladder).
After the reduction of acute pain, arising at the moment of injury (shock is rare), the victims often feel satisfactory. In the future, usually a few hours later, the pain again appear or increase, located in the gall bladder in the right hypohondrium, where there may be a limited tension of the muscles of the front abdominal wall and sapre the right hypohondrium in breathing.

5. To exchange diseases of the gall-bladder are cholesterosis and cholelithiasis. Cholesterosis often develops in obese women 35-65 years with severe disorders of fat metabolism and high content of cholesterol in the blood. Is characterized by the deposition of cholesterol in the mucosa of the bladder, which is often combined with a stagnant gall bladder, which is clinically manifested constant dull aching pain in the gall bladder in the right hypohondrium, increasing the jolting ride, walking fast, wearing of gravity in the right hand, tilt the hull forward.

6. Parasitic diseases of the gall bladder more frequently occur in childhood. In addition giardiasis, of opisthorchiasis and fascioliasis, parasitic defeat of the bladder is observed in стронгилоидозе, ascariosis, клонорхозе, etc. There are a pain in the gall bladder, diarrhoea disorders, disorders of the functions of the intestine, sometimes fever, chills, weight loss, itching, eozinofilia blood. The diagnosis is made at presence of parasites in дуоденальном content or feces. When parasitic diseases usually, a conservative treatment, but the simultaneous occurrence of inflammation in the walls of the bladder makes resort to cholecystectomy.
Inflammatory and parasitic diseases of the gall bladder lead to various complications - of - cholangitis, holangiolitis, hepatitis, pancreatitis, holetsistopancreatitis, biliary cirrhosis of the liver.

7. The Tumor. 20bet español Distinguish between benign and malignant tumors of the gall bladder. In benign tumor (adenoma, myomas, papillomas, etc.) clinical manifestations are not available or are the characteristic symptoms of chronic cholecystitis. The diagnosis is made on the basis of the results cholecystography, an ultrasound.
Among malignant tumors prevails cancer of the gallbladder, which ranges from 2% to 8% of all malignant tumors of the person and takes the fifth place among malignant tumors of the gastrointestinal tract. This disease is more common in people older than 40 years, the women in 4-5 times more often, than at men. Often, cancer of the gallbladder occurs on the background of gallstone disease.
In the initial stage of cancer of the gallbladder is asymptomatic. In that case, when cancer develops on the background of gallstone disease, the clinical manifestations are usually mask signs of cancer. Intensive constant pain and palpable rough tumor in the right hypochondrium, jaundice, loss of body weight, the increasing weakness, anemia, liver allow to suspect a cancer of the gallbladder, however, as a rule, these acts demonstrate the far coming defeat - germination or compression of the tumor or its metastases located nearby organs and tissues.
Spasmodic pains in the gall bladder, a significant increase in body temperature, chills, heavy sweats occur with the accession of secondary infection and the development of cholangitis or in combination of cancer with acute cholecystitis.

Which doctor should I contact if there is a pain in the gallbladder

• Gastroenterologist
• The Surgeon
• Oncologist

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Do you feel gallbladder hurts? You should be very careful approach to your health in general. People pay not enough attention to the symptoms of the disease and don't realize that these diseases can be critically dangerous. There are many diseases that in the beginning didn't manifest in our body, but in the end it turns out, unfortunately, it have already been treated too late. Every disease has its own specific features typical symptoms - called symptoms of the disease. Definition of symptoms is the first step in the diagnosis of diseases in general. You just need a few times a year to be screened by a doctor, not only to prevent a terrible disease, but also to maintain a healthy spirit in a body and the organism in general.

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Map of the symptoms and the types of pain is intended solely for educational purposes. We strongly recommend do NOT self-medicate; on all matters relating to the definition of the disease and ways of its treatment, contact your doctor. Md-tips is not responsible for the consequences of use information posted on the site.