Bending or kinking of the gallbladder in children - symptoms and treatment
The bend of the gallbladder in a child is a frequent childhood disease that causes a lot of experience for parents. The problem is also caused by the small age of the patient, when he cannot explain what is bothering him. The only diagnostic method is ultrasound. Timely detection of the disease allows you to get rid of other problems, so the inflection of the gallbladder in a child should be treated.
What is the bend of the gallbladder?
The normal form of the gallbladder is pear-like or in the form of a funnel with a muscular layer. In a child, it is somewhat different and looks like a spindle, which gradually takes on the appearance of an adult. If the bile drastically changes its shape, then it starts working incorrectly. This state is called kink or bend. Due to the fact that the gallbladder has a body, neck and bottom, changes may occur in any of these parts.
With the transformation of the anatomical form, functional changes are also observed. Bile slowly out of the gallbladder, which leads not only to a violation of the digestion of food, but also to pain. Fluid begins to accumulate in the body, which leads to the formation of sand, polyps, stones and further rupture of the gallbladder.
Types of inflection of the gallbladder
There are bend constant and temporary. If the problem arose spontaneously, experts try to do nothing, because the bend will disappear. Such symptoms of the disease are observed during physical exertion of the child, but if they are stopped, even without treatment, the shape of the gallbladder will become normal. This condition is also called labile bend. That is, it can exist and periodically disappear, change its shape. If there is a fixed kink in a significant area of the organ, the situation requires intervention.
The areas where the child's gallbladder bends are different:
The most common problem occurs in the neck area. The patient is worried about nausea, pain in the stomach and in the gallbladder, and other symptoms indicating an abnormal bending of the organ. If this condition is started and no treatment is given to the child, even tissue necrosis can begin.
There are pathology and the form of the body. Some look like a hook, an arc, in other children the torsion of the gall resembles an hourglass. A more rare form is the S-shaped curved organ. The problem arises when waistings are formed in two places at the same time. If there are more bends, then they have a congenital origin, which is eliminated only on the operating table.
Symptoms that accompany pathology
Depending on where the inflection is located, the symptoms of the disease are different. When finding it on the border of the bottom with the body, the signs of the disease are as follows:
- nausea, vomiting after eating,
- frequent pains on the right
- excessive flow,
- yellow skin, sclera of eyes, painful complexion,
- bitterness and plaque in the mouth.
In the presence of neck bends, pain is localized to the left, and nausea is observed immediately after eating. The patient suffers from flatulence. This is the most dangerous type of kinks that can cause bile to enter the abdominal cavity with the further development of peritonitis. Also particularly complex forms are pathology of the gall, in which the body repeatedly bends. Then the symptoms are rather vague and extensive. But these pathologies are congenital and are observed extremely rarely.
Causes of congenital and acquired inflection
Doctors to the end can not answer why there is an inflection point. Especially unknown causes of congenital forms of the disease, because the pathology appears in the womb. Some believe that there is a genetic predisposition for this.
As for the acquired forms, they can be caused by excessive load on the abdominal cavity, frequent wearing of heavy things, excessive activity of the child, as well as problems with nutrition. Most of these factors can be eliminated so that the disease does not manifest itself.
Treatment methods for gallbladder bending
It is very important to understand that for successful treatment it is necessary to undergo a long course, which will include different therapeutic approaches. It is important to follow all the recommendations of the doctor.
Before you assign a specific treatment, you need as much as possible to collect information about the disease, to conduct a detailed diagnosis. It will help in this ultrasound.
Usually, to eliminate excesses the doctor prescribes a diet. It allows you to ease the burden on the diseased organ, and improve the overall condition. But in order for the patient to recover, it is necessary to take certain medications. This will allow to recover without resorting to surgery. Usually, doctors prescribe the following groups of drugs:
- analgesics - Atropine sulfate,
- antispasmodics - Drotaverine, No-shpa,
- hepatoprotectors - Essentiale Forte,
- choleretic funds - Flamin, Gepabene, Tsikvalon,
- penicillin antibiotics - Augmentin, Amoxiclav, Ampioks, Flemoksin Solutab,
- cephalosporin antibiotics - Cefixime, Ceftriaxone,
- vitamins of group B, etc.
As already mentioned, to achieve successful treatment, you must adhere to certain norms of the diet. It is important not only to eat right, but also to drink plenty of water. As for products, it is necessary to exclude the following dishes:
- fried and fatty foods,
- pickles, smoked meats,
- hot sauces,
- whole milk, sour cream,
- bakery products,
- strong broths.
All these products cause bile stasis, which causes the disease to develop further. In order for the body to function better and not to experience pain, it is recommended to eat often, fractionally, choose foods rich in vitamins, drink plenty of fluids.
During the period of treatment, the child must be provided with an abundant drinking regime; in addition to pure non-carbonated water, teas, teas, and compotes will be beneficial.
It is recommended to include in the diet such products:
- boiled pureed or baked vegetables,
- a fish,
- meat soups on the second broth,
- vegetable soups,
- porridge on the water,
- boiled steamed meat
- fruits and vegetables,
- compotes, decoctions,
- green tea.
In addition to the main treatment, the doctor usually prescribes physiotherapy. They make it possible to enhance the effect of the main therapy, since they increase the blood supply to the gallbladder tissues. This allows the body to recover faster and return to the same rhythm of work.
Thanks to physiotherapy, the bile will not stagnate in the body, leading to a speedy recovery.
In parallel with the basic treatments that the doctor prescribed, you can use folk recipes if it is safe. It is important to ensure that the patient is not allergic to the components of medicinal herbs fees. Below for example are some popular recipes that help in the treatment of the gallbladder bend:
Proper treatment and timely detection of the disease will not entail complications. Surgical intervention with organ removal is possible when the bend completely blocks the outflow. Overflow bile threatens to rupture the walls and its penetration into the abdominal cavity.
Acquired deformity and lack of treatment entail digestive disorders, the development of chronic gastrointestinal diseases, jaundice, impaired liver function and its increase in size.
There are cases of extinction with the age of the bend in children. He takes the "right" position. But if everything remains unchanged, you should not get upset and panic. With such a diagnosis, a full life is possible. You need to be monitored regularly by the doctor, eliminate self-medication and stick to a diet.
What is the gallbladder bend in a child?
In a newborn child, changes in the shape of the organ are not always diagnosed. This is due to the fact that pathology may well not manifest itself in any way until a certain point. Often there are situations when the congenital inflection of the gallbladder in children is not detected either in the diagnosis in the maternity hospital or in the course of growing up. Many diagnose the disease only by chance, conducting an ultrasound examination to identify other possible diseases. But often, due to the irregular shape of the body, people develop certain symptoms, which are confirmed during a gallstone disease and other dangerous diseases.
Gallbladder, deforming reduces the ability to fully accumulate bile. As a result, the stagnation of bile in the ducts can form stones. Stones impede the flow of fluid through the channels and can lead to very serious consequences. One of them, with an extreme degree of development of pathology, can be the complete removal of an organ through surgery. This means that the body will be subjected to great overloads, and throughout life will have to reduce them, adhering to certain recommendations.
What is the inflection of an organ, what consequences can pathology bring and how one has to adapt to life activity in the conditions of complete or partial dysfunction of one of the parts of the body, many people know firsthand. The disease is quite common, and therefore there are also quite a few methods of treatment and prevention.
The inflection of the gallbladder in a child is most often inborn. During pregnancy, for certain reasons, the body does not develop fully. This may be due to an unhealthy lifestyle during gestation or heredity, as a result of which the baby has deviations from the moment it is born.
Why there are excesses, specific factors affecting the formation of an organ, besides heredity, are currently studied quite well by medicine. Tobacco smoking or, for example, medication not taken by a doctor can easily influence the development of this pathology. Pathology can seriously undermine health, especially the inflection in the body area of an organ is especially dangerous. In cases where the deformity appears in this part of the bladder, surgical intervention is often carried out.
Kinds of gallbladder kinks in children
The bends of the gallbladder in children are divided into several types - obtained from the moment of birth and arisen in the course of vital activity. Regardless of the nature of the pathology, the deformity occurs in such departments of the body:
- in the neck,
- in the area of the body
- in the bottom area.
A bent organ in the cervical region is most common.. Such deformation can seriously harm the entire digestive system. The gallbladder of a child may take hooked forms. It is believed that the inflection in the body of the body is the most dangerous. Inversion may well cause breakthrough tissue, which will inevitably lead to acute peritonitis of the abdominal cavity. Such a scenario without urgent medical care can be fatal. The functional inflection of the gallbladder in a child is important to identify as early as possible. The main symptoms are:
- pain under the ribs in the right side of the chest,
- discoloration of the skin,
- sharp weight loss,
- loss of appetite,
The bent body will surely make itself known. Many factors, accumulating, lead to complications, most often serious. One of the consequences may be biliary cirrhosis. If the gallbladder in a child is bent from birth, there is a high probability that there are pathologies in other areas of the organism’s vital activity. The most common are:
- heart disease,
- pathology in the structure of the skull,
- abnormalities in the structure of the spine,
- malfunctions of the musculoskeletal system.
The acquired nature of the disease also provokes a large number of complications. The twisting of the body leads to stagnation of bile and the formation of stones, thereby disrupting the digestive process and develop very many diseases of the intestine, stomach, and liver.
In addition to the already described variants of deformation of the organ, there are also some less common ones. One of them is labile kink. The gallbladder is twisted in such a way that it can rotate. Body wrapping occurs most often as a result of any physical exertion and is only able to temporarily change its shape.
There is also a double inflection of the gallbladder, or S-shaped. It occurs in the neck or body. Deformed in this way, it becomes hook-shaped.
Reasons for the bend
Congenital gallbladder bend in a child develops in the womb at 2-3 months of gestation. The reasons may be the following factors:
- tobacco smoking
- alcohol consumption,
- unsuitable ecology,
- taking medications
- limited physical activity
- infectious diseases.
There is also a possibility that the pathology will be transmitted in an inherited way from the mother.. During pregnancy, an infection may occur that can harm the process of formation of the system of internal organs. During pregnancy, the mother also runs the risk of deformation of the gallbladder. As the body mass increases, the uterus increases, which puts pressure on the internal organs, resulting in a change in their shape. Another reason for the emergence of congenital pathology can be the wrong process of feeding the child. When switching from breast milk to other types of food, there may sometimes be a bend in the stomach. This happens for the reason that the body begins to stretch and by the age of 3-4 years it becomes curved.
The acquired nature of the disease in children most often appears due to improper nutrition.. For example, being with a child for a long time on a walk or on other matters outside the home, there is no possibility to eat on time. Then, on coming home, often the children overeat much. Sometimes to such an extent that they can not even fully breathe. At this time, the following processes may occur in the body:
- with prolonged fasting, there is no outflow of bile due to the lack of need for it,
- after eating a lot of food, the stomach becomes irregularly shaped and presses on the stomach,
- with further food intake, the outflow of bile is disturbed.
The bend of the gallbladder in children may be asymptomatic up to a certain point, but it may also make itself felt by the manifestation of symptoms. Most signs of excess of the gallbladder occur at the age from one to five years. Main symptoms:
- bouts of nausea and vomiting during and after meals,
- sharp pains in the abdomen and in the side,
- sleep disturbance,
- change the usual shade of the skin,
- fluctuation in body temperature.
A fixed bend is sure to make itself felt, to put it most often in the form of the indicated features. If a child has a gallbladder inflection in the area of the bottom, the main symptom will be pain in the left side of the abdomen or in the center. It is necessary to pay attention to how the baby behaves, if the stomach hurts, he will be constantly irritated, it is quite possible that there will be little sleep. Problems with the gallbladder at this age definitely can not have acquired character. Diagnose congenital pathology, based on the symptoms and prescribe treatment can only be a doctor, the trip to which should not be postponed in any case.
What is dangerous gallbladder bend in a child?
The bend of the gallbladder in a child is most dangerous with the development of new pathologies, and is also able to stop the full development of the baby. In children under the age of 3, the body is not yet able to withstand a fully progressive disease, therefore, therapy and medical supervision will be extremely necessary. Complications that provoke an inflection of the gallbladder in a child:
- liver disease,
- digestive disorders, resulting in diseases of this part of the body,
- pathology of skeletal bones.
The doctor prescribes the treatment of the gallbladder bend after the examination and it depends on the degree of development of the pathology and most often individually for each patient. The bend found in the child at an early stage is most often treated in a prophylactic way, watching how the body adapts to the existing conditions. What you need to do in the first place is to change the diet to that recommended by the doctor. This approach will facilitate the work of the liver and gallbladder, which means that the less the load on the deformed organ, the better. The treatment method will be mainly aimed at improving the body tone, its ability to fully function. The specialist will only be able to treat with medicines or surgical intervention in the most serious case.
Diet - the key to rapid recovery
Exclusion from the diet of harmful products for the body and the correct diet can support the work of life and improve the overall condition of the body. What should be discarded in the first place:
- fried and fatty foods
- dishes containing a large amount of spices,
- spicy food,
Satisfy the body with nutrients can be using products such as pumpkin.From it it is possible to prepare a lot of dishes, also use fruit seeds, which are also very useful. Diet implies not only the use of certain foods or the exclusion of harmful, but also the correct diet. You need to eat 5-6 times a day, preferably in small portions.
Tips of Dr. Komarovsky
Famous pediatrician Komarovsky recommends treating the gallbladder fold in a child by acting on the causes of the disease. The causes of cholecystitis lie in the disruption of the biliary tract. The disease can also be a consequence of increased physical exertion, violation of sleep or nutrition. Thus, the treatment will be assigned not only to relieve symptoms, but also to eliminate the reasons why the channels cannot fully fulfill their purpose.
Increased physical activity should be recommended by a doctor, in other cases it should be limited to simple gymnastics. A video where the doctor talks about ways to resist the disease can be easily found on the Internet today.
What to do with a deformed gallbladder in a child.
The excesses of the gallbladder in children according to the nature of occurrence are classified into congenital and acquired. Congenital inflection is formed against the background of pathological processes in the prenatal period, when the digestive tract is laid in the fetus. Acquired inflection is a kind of pathology that is formed after birth due to the negative impact of exogenous and endogenous factors.
Kinks can appear in any part of the gallbladder. From this position, the excesses of the body, neck and bottom are distinguished. But the deformity of the gall shape is more often formed in the neck area - the organ takes the anomalous shape of a hook, the letter S or an hourglass. The bend in the body of the gall most dangerous due to the high risk of rupture of the muscles of the body.
Noteworthy is the classification of the excesses of the gallbladder in children according to the position and static nature of the deformity:
- fixed bend - violation of the form of the body is fixed in one place and does not change,
- Labile inflection is a type of pathology in which the deformity is prone to change of location and shape, or complete disappearance without treatment.
Excesses in a child are single and multiple. Multiple deformities are more dangerous, since they contribute to the long-term stagnation of bile and the formation of inflammatory changes in the organ cavity.
In the process of the formation of a bend (inflection) of an innate nature, the main role is played by genetic breakdowns and failures in the process of embryo development. This often results in the wrong lifestyle of the expectant mother, taking medications prohibited during pregnancy. As a result, genetic changes cause improper formation of the muscle layer of the embryo, the laying of the gallbladder is abnormal.
The reasons leading to the formation of acquired gingival folds in a child are diverse:
- improper eating habits - frequent or forced feeding, long time intervals between meals,
- physical activity not according to age
- stressful situations
- enlarged liver and gall bladder
- hypodynamia, sedentary lifestyle,
- chronic diseases of the digestive tract.
In the presence of inflection of a congenital nature, alarming symptoms are often absent, and pathology is detected randomly during ultrasound. However, both congenital and acquired inflection does not give clinical significance until the process of accumulation and release of bile secretion is disturbed. The main sign of inflection is pain syndrome. Its localization and severity depends on the location of the defect:
- the formation of an inflection between the bottom and the body of the bladder is manifested by pain around the peritoneum radiating to the clavicle and the scapula,
- combined bend in different places - a rare form of pathology, accompanied by acute abdominal pain and fever,
- inflection of the neck of the gallbladder occurs with moderate arching pain in the left hypochondrium, combined with an increase in temperature.
To other signs of inflection in a child include:
- bouts of nausea, vomiting, especially after taking fatty and sugary foods,
- malaise and weakness
- increased gas accumulation in the intestines
- upset stools, constipation,
- formation in the language of dense yellowish bloom,
- the appearance of painful cracks in the corners of the lips,
- an earthy hue of the face is a sign of developing inflammation.
Examination of a child with suspected gallbladder inflection is conducted by a pediatrician and pediatric gastroenterologist. At the initial stage, the child is examined and revealed complaints, palpating the stomach. After physical examination, ultrasound is performed. Echography allows the most reliable detection of the presence of a bend, the shape of the gall, the condition of the ducts of the internal cavity and neck.
Ultrasound diagnosis is carried out in stages. Initial research allows you to establish the natural state of the body. The results are fixed, then the child receives the yolk of the egg to stimulate the production of bile secretion, after which a control echography is organized. In the presence of congenital inflection, visualization will not change. In the case of acquired deformation, a bend of the walls of the bubble and a change in shape are visualized.
Bending the gallbladder in a child is treated conservatively. The main goal of therapy is to combat bile stagnation, normalization of its outflow and secretion - is achieved by organizing a number of activities:
- selection of an individual sparing diet,
- prescription medications
Drug treatment is carried out only on prescription from a doctor with a careful selection of safe drugs and age dosages. Medications are indicated for severe pain syndrome and general negative dynamics.
- Antispasmodics - Drotaverin, Nosh-pa - is prescribed for pain and cramps.
- Antibiotics - Augmentin, Flemoksin Solyutab - shown in case of addition of inflammation of the gallbladder (cholecystitis).
- Choleretic drugs - Hofitol (drops), Holosas - are useful for eliminating stagnation of bile and further accelerate the metabolism in the liver.
- Probiotics - Bifidumbakterin, Enterol - normalize digestion and the condition of the gastrointestinal tract.
Negative symptoms of gall inflection in children in the form of pain and dyspepsia relieves phytotherapy. Pharmacy fitosbori have a complex composition and easy to use. It is well established in the treatment of pathology in childhood Biliary collecting number 3, which included flowers of marigold and tansy, peppermint, chamomile and yarrow. However, before using herbal teas, it is important to ensure that the child does not have allergies.
Comprehensive treatment of galling inflection gives positive results when using physiotherapy. The benefits of physiotherapy are to increase the blood supply to the gallbladder, increase the tone of the muscle structure and, as a result, restore the full functionality of the organ. For this purpose, electrophoresis, magnetic therapy, and UHF courses are prescribed. No less useful is therapeutic gymnastics, which makes it possible to accelerate bladder motility and avoid stagnation of bile.
To treat the excess of the gall in a child is necessary with the obligatory observance of the diet. In the absence of a sparing diet, the effect of drug therapy is reduced to zero. Food in the presence of kinks of the gallbladder fractional, up to 6 meals per day. It is important to adhere to the regime and observe the time interval of 3.5 - 4 hours between breakfast, lunch and dinner.
The diet consists of milk porridges, vegetable soups, pasta, lean meat, white fish, dairy products. Fresh vegetables and non-acidic fruits must be present in the nutrition of the child. It is important to observe the drinking regime - the use of liquid in a large volume does not allow bile to thicken and stagnate.
Food products that create an increased load on the gallbladder and gastrointestinal tract are excluded from the diet:
- fat meat,
- dishes with spices and vinegar
- fast food,
- animal fats and margarine,
- beans and peas,
- carbonated drinks,
- sweets in the form of jam, chocolate.
Prognosis and prevention
Without treatment, the deformity of the gallbladder in children causes serious dysfunctions of the gastrointestinal tract and liver, which is associated with an increase in the concentration of lipids and cholesterol in the blood, a violation of oxidative processes. As a result, complications can develop in a child with galling excesses:
- blurred vision
- urolithiasis disease,
- muscle wasting,
- delayed physical development.
The acquired inflection of the gallbladder in childhood is the background pathology for the development of biliary tract dysfunction and the starting point for the formation of cholelithiasis.
Early detection and adequate therapy in combination with a gentle diet allows you to get rid of the bend of the gallbladder and fully restore the full activity of the organ. In many children, the kinks self-modify with age as they grow and the gallbladder takes on a form that is close to physiological.
Prevention of acquired excesses in a child is reduced to building proper eating behavior from an early age, because the causes of the formation of gall deformities are often associated exclusively with improper nutrition. Timely introduction of complementary foods in infants and the transition to the common table, adherence to the feeding regimen contribute to the adequate functioning of the digestive system, including the gall bladder. An important role in preventing the development of pathology is given to reasonable motor activity in accordance with age.
In a child, the excess of the gallbladder can be congenital or acquired pathology.
With congenital anomalies, the structure of the body is deformed even at the stage of intrauterine development. One of the causes of congenital inflection can be genetic mutations, which lead to disruption of the development of the muscular layer. In most cases, congenital excesses of the gallstones occur without clearly marked symptoms and do not require special treatment. Often a congenital anomaly is detected by chance on examination, for example, on ultrasound. In addition, this pathology with age can be resolved without external intervention.
Acquired gall inflection may develop against the background of excessive activity, emotional or physical overstrain, unhealthy diet, excess weight.
It is worth noting that children are strictly forbidden to lift weights, as this threatens to lower organs and increases the risk of gall deformity.
Treatment of inflection of the gallbladder in a child
In a child, the excess of the gallbladder is treated by a conservative method, but therapy takes a long time and includes medication, physiotherapy, treatment in a sanatorium, and a diet.
When bile deformities are prescribed, antispasmodic and choleretic drugs (flamin, odeston, aristochol, hofitol, tsikvalon), which prevent excessive accumulation of bile and contribute to its entry into the intestine. Reception of such drugs is prescribed by courses, the duration of which is determined by the doctor (from 2 to 4 weeks), as a rule, is prescribed 1-2 tablets before meals three times a day.
A good therapeutic effect is shown by physiotherapeutic procedures, which improve blood flow in the gallbladder and normalize its work.
When the gall is bent, a diet is prescribed, which is considered the basis of treatment, because without proper nutrition, the effect of other methods of treatment is reduced to zero. Patients with gall deformities are advised to completely eliminate dough products, salty, fried, spicy, fatty foods, smoked foods, eat no longer sour fruits, vegetables (especially recommended for this pathology pumpkin boiled or baked).
The child can be given lean meat, pasta, cereals, seafood, dairy products. Cooking is better for a couple, bake or cook.
You also need to make sure that the child drank enough liquid to prevent the bile from thickening.
Treatment of a similar pathology with the help of medicinal herbs is widespread. Children over 12 years old are recommended cholagogue collection No. 3, whose complex effect has an antispasmodic, choleretic, anti-inflammatory effect. The collection includes mint, calendula, chamomile, tansy, yarrow. Take a decoction of medicinal herbs need three times a day for 1/3 cup 30 minutes before meals.
The excess of the gallbladder in a child provokes the development of chronic diseases of the intestines and stomach, as well as an enlarged liver. In identifying pathology, experts give a favorable prognosis, but provided that the recommendations are properly followed. It is worth recalling that the basis for the treatment of such pathology is a diet, without which the condition of the child may deteriorate.
Bending the gallbladder in a child is a serious pathology that can lead to adverse effects. When the state of health worsens, first of all, the diet of the child should be changed and fatty, fried and smoked dishes should be excluded, and a course of choleretic drugs should be given to the doctor as prescribed.
Possible children's complaints
With congenital inflection of the gallbladder in a child, the symptoms are usually absent for a long time. But if you abandon the principles of healthy eating and create conditions for stagnation of bile, the following complaints may appear:
- pain in the right hypochondrium,
- heaviness and nausea after eating,
- stomach discomfort,
- increased gas formation,
- yellow skin tone
- bitter taste in the mouth,
- rare vomiting after overeating, eating too fatty foods,
- loss of appetite.
Pronounced signs of inflection of the gallbladder in a child are characteristic of the acquired anomaly. In this case, children often complain of pain in the right side of the abdomen, which can be given to the scapula, back and stomach. Strengthening pain occurs after physical overload, when the child plays active games, runs and jumps a lot. Also, the characteristic signs of the bend of the gallbladder can appear after a lot of stress, a hearty holiday dinner.
Which doctor to contact
If dull pain appears in the right hypochondrium or if the child gallbladder is bent out by accident, it is necessary to contact a pediatric gastroenterologist or pediatrician. The doctor will conduct an examination and be sure to prescribe a comprehensive examination that will help determine the causes of complaints and prescribe the appropriate treatment.
Medications for the inflection of gall children prescribed only by a doctor. Parents should not use any drugs, especially choleretic drugs. They can be very dangerous and lead to colic and other complications.
Medicines are selected by the doctor on the basis of complaints and diagnostic results. The following groups of funds can be assigned:
- enzymatic agents
- drugs for bloating
- probiotics, synbiotics (with constant flatulence and dysbiosis),
- cholagogue, including in the framework of the tubing under the supervision of a specialist.
If, when the gallbladder is bent in an adult, many allow themselves to administer medication without permission, then this is unacceptable for children. At an early age it is difficult to suspect the development of the disease. Only preventive ultrasound studies allow timely detection of pathologies of the gallbladder and other organs of the digestive tract. Do not refuse regular diagnostics.
Many parents start to panic and don’t know what to do if the child’s gallbladder is bent. For some reason, they are looking for answers to their questions on the forums, although it is possible to perfectly combine the receipt of information on the network and at the reception of a pediatric gastroenterologist.
Our advice : Before you go to the doctor, look at all the information on the topic yourself, write out your questions, which then discuss with the doctor. Do it in order not to miss all the details. Usually at the reception we can get excited, forget about what they wanted to ask the doctor.
The therapeutic diet for the inflection of the gallbladder in a child necessarily enters into a comprehensive treatment and prevention of the onset of complications, including cholelithiasis. Experts recommend to adhere to the principles of healthy nutrition and diet №5. By itself, the bend of the gallbladder creates the prerequisites for the stagnation of bile. If a child rarely eats, consumes excessively fatty and fried foods in large quantities, their state of health will sharply deteriorate and the risk of developing concomitant diseases will increase.
Principles of nutrition in the inflection of the gallbladder in a child:
- refusal from fast food, dry food, carbonated drinks,
- moderate restriction of simple carbohydrates (sweets),
- maintaining intervals between meals for at least 2-3 hours,
- mechanical and chemical sparing, steaming, stewing and boiling food,
- refusal from pork, goose fat, fatty meat, onion, garlic, sauces, marinades and spiciness, which strongly irritate the gastrointestinal mucosa and can provoke inflammatory processes,
- a sufficient amount of liquid - at least 1-1.5 liters (the volume depends on the age, activity level, temperature and air humidity),
- отказ от продуктов, вызывающих вздутие (виноград, кукуруза, горох, свежая выпечка),
- профилактика переедания, особенно на ночь,
- запрет на голодание, даже короткое.
If the child’s condition worsens and there are complaints of dull pain in the right hypochondrium, consult a doctor as soon as possible. Exacerbation should not try to treat at home. No diet will not help if against the background of the inflection of the gall in a child an inflammatory process occurs. In this case, it is necessary to apply complex medical measures that include compliance with dietary recommendations, but are not limited to them.
Milk and dairy-free cereals, fruits and berries (except sour), boiled or stewed meat and fish, steam meatballs, stewed vegetables, cottage cheese and other high-quality products that do not irritate the gastrointestinal tract and do not cause disruptions in the biliary system .
For the prevention of stagnation of bile in children with a bend of the gallbladder, it is recommended to maintain an active lifestyle. But at the same time loads must be moderate, without sudden movements. Positively affect the work of the organs of biliary excretion swimming, gymnastics, ballroom dancing. With the permission of the doctor, you can start doing children's yoga. But before applying physical therapy, it is necessary to know for sure whether the child has gallstone disease, which may be complicated by colic. The complex of therapeutic exercises in the inflection of the gallbladder in a child should be selected by the doctor
Watch a video in which Dr. Komarovsky talks about the inflection of the gallbladder in a child and the causes of deformity.
Nature of the problem
The inflection of the gallbladder in a child is most often a congenital anomaly, which is the result of certain disorders of the physiological process of gestation.
During the period of prenatal development, adverse factors of various etiologies have a deforming effect on the formation of the biliary system, as a result of which a coarse congenital anomaly develops.
The danger of such a condition is the impossibility of diagnosing it before the onset of pathological signs indicating deformity of the gallbladder.
Sometimes it goes unnoticed until the beginning of maturation, but serious complications occurring against the background of pathology in early childhood are no less frequent.
Unnoticed inflection of the gallbladder in a child, in an adult, will certainly lead to the appearance of complications, the development of gallstone disease or cholecystitis.
Due to the stagnation of bile and progressive violations not only in the work of the biliary system, but also naturally following disruptions in the digestive process, it will be impossible to assimilate the necessary nutrients. This will entail diseases of the metabolic and immune system.
Statistics say that the excess of the gallbladder occurs in every fifteenth child who has undergone an ultrasound diagnosis (often for another reason), and that in some cases the child outgrows such a state on his own.
The inflection of a congenital character has very little chance of such self-correction, therefore, doctors recommend to undergo a full examination, and, if necessary, to resort to surgery.
Although medicine has repeatedly observed cases in which the inflection of the gall bladder was diagnosed in an infant, with time it was straightened out with intensive growth and expansion of the abdominal cavity.
The bend of the gallbladder, acquired in the process of life - a phenomenon more common.
It can be of a combined nature - when the hereditary predisposition is supported by external negative factors of influence, or it is considered physiological, when there is no opportunity to prove the predisposition of physicians.
The tactics of treatment of the inflection of the gallbladder depends on many conditions, including the etiological causes that led to the occurrence of pathology.
The degree of risk and the possible development of the scenario
The complications and dangers arising from the bending of the gallbladder of any configuration and stability cannot be ignored.
If doctors are confident that you can get by with conservative treatment, it should be carried out steadily, and not occasionally.
Monitor the child's condition with the help of prescribed studies, use all the recommended methods, from physical activity to the prescribed diet and popular recipes.
Dr. Komarovsky recommends that parents not resist the decision of a medical consultation, if conservative treatment has not brought results and we are talking about surgery.
Each modified configuration is dangerous in its own way, even if it almost does not cause complaints:
- inflection of the neck of the gallbladder occurs in slow development and can form over several years, but in a state of neglect it can result in the appearance of cracks on the body and the flow of bile to the dislocation sites of the abdominal cavity,
- especially dangerous is the excess of the gall in the area of the body, the consequences of which may be muscle breaks in a hollow organ,
- the pathology in the region of the bottom formed in the gallbladder also causes bile stasis, which conceals the risk of gradual development into gallstone disease,
- a labile break in the bile may eventually become fixed in one place under the influence of external factors, and then the development of the process will depend on its location,
- combined inflection is a kind of pathology, when there are two or more cases of deformity - a particularly dangerous condition, accompanied by severe symptoms and usually requiring surgical intervention,
- the severity of congenital underlying pathology is determined by relevant studies and the need for surgery is determined only after studying them.
Congenital excesses resulting from anomalous fetal development or hereditary factors must be corrected without fail.
Persistent disruption of the normal activity of the biliary system, for example, can lead to the development of stagnation of bile, cholecystitis and JCB.
Disable the liver, provoke biliary cirrhosis. Destroy the pancreas, intestines and stomach, whose activity completely depends on the frequency of excretion and the quality of the bile secretion.
Completely destroy the functionality of the digestive system.
Symptoms and signs of the onset of the disease
The outflow of bile from a hollow organ and its permanent inflow occur regularly in the body if the child eats according to the rules - that is, eats little by little, but often fractionally, at the appropriate time, the required number of times.
Fasting leads to stagnation of the resulting bile, and overeating - to its enhanced production. If the amount of fat in food exceeds the permissible age norm, hypertrophied production of bile occurs regularly.
The functionality of the bladder is impaired, spastic contractions appear, the destruction of liver cells by excess lipids leads to the development of inflammatory processes that can affect the entire biliary system.
The inflection may also affect it in the ductal region, but in any pathology variant, characteristic and atypical symptoms will appear.
General - a change in the normal complexion to an unhealthy gray tint, and symptoms similar to indigestion or poisoning (gas, bloating, nausea, retching, stool disorders, yellowing on the tongue, general malaise and weakness).
Atypical manifest in the presence of a certain type of bend:
- pain in the peritoneum with irradiation to the subclavian and scapular region will indicate the inflection of the ZhP in the area of its bottom,
- the presence of fever and an acute painful symptom signal a combined inflection which, although quite rare, occurs,
- if the child complains of pain on the left under the ribs and at the same time has a temperature, it is possible to assume with a certain degree of confidence that the neck is bending.
If a baby reacts negatively to fatty foods, even to the appearance of nausea and vomiting, and has cracks in the corners of the mouth - you can safely get together and take him to a therapist who will tell you further tactics.
Before setting a valid diagnosis, he should not give any pills, and even more so, to apply popular recipes.
This will not only grease the clinical picture, but may cause irreparable harm to the body.
Tactics of the treatment
Surgical treatment is recommended only for children with congenital abnormalities, when the usual conservative methods did not bring the desired result.
In no case should the child be given preparations with a choleretic effect; this will only lead to an aggravation of the process, especially if the bile-flow is disturbed due to the bending of the neck.
In the subclinical picture of an individual organism, there are options when the deformation of an organ does not lead to problems with the outflow of secretory fluid.
In this case, recommend a strict diet with the exception of harmful compounds, physical activity or the exclusion of exorbitant physical exertion.
The appointment of the diet is accompanied by strong recommendations on the frequency and number of required meals.
Violation of the functionality of the gallbladder leads to drug treatment, with the appointment of antispasmodics, choleretic, herbal teas with a certain effect, the need to consume large amounts of fluid.
The excess of the gallbladder in a child can pose a great danger by the development of consequences that extend to the hepatobiliary system and the digestive organs, leading to the development of diseases of the hollow organ itself.
In the untreated state, there are cases when bile stasis due to bending leads to an inflammatory process, the formation of pus and removal operations.