Hepatic colic: symptoms, causes, remedies

Hepatic colic is one of the most common symptoms of liver disease, the gallbladder. In most cases, the cholelithiasis manifests itself so .

Hepatic colic: causes

Often, stones in the gallbladder are not clinically manifested, especially in cases that are located on its bottom or in the area of the body. When the stones move to the neck or bile ducts, a pronounced pain syndrome develops - an attack of hepatic colic.

This violation can be provoked by nervous and emotional factors, as well as excessive physical exertion and jolting while riding. Overeating, eating fatty spicy foods, a large number of spices also should be attributed to provoking conditions.

It should be noted that a violation of the outflow of bile of any etiology leads to the occurrence of hepatic colic. Symptoms of this disorder in this case depend on the degree of spasm and obturation of the biliary tract. Regardless of the causes of this pathology requires immediate therapy.

How is hepatic colic manifested?

Symptoms of an attack occur in the evening, at night or in the afternoon, often after a violation of the diet. The pain does not have a clear localization, although, as a rule, it is felt in the zone of the right hypochondrium, radiates into the back, the right shoulder, the scapula. It concentrates below the costal arch, increases during inspiration and in a supine position on the left side.

Such unpleasant phenomena are characterized by hepatic colic. Symptoms of bile outflow may also include bloating, the appearance of nausea and persistent vomiting, which does not bring relief. In some cases, a temperature increase of up to 38 ° C can be observed. Patients have dermal skin. There may be yellowing, which indicates a mechanical obstruction to the outflow of bile. But nevertheless the main manifestation of the disease is hepatic colic. Symptoms of biliary tract obstruction also include fecal discoloration and the appearance of dark urine.

The duration of the attack is 2-5 hours, although these boundaries are arbitrary and can fluctuate in a fairly wide range. Thus, pathological manifestations can persist even for several days, exhausting the patient.

How to eliminate hepatic colic

If an attack occurs, you should immediately call a doctor. By his arrival, the patient must be reassured, put on his right side, placing a heating pad on the right hypochondrium, which allows to remove the spasm. It should be noted that this can be done only in the case when the presence of pathologies is completely excluded, which can become aggravated by the application of heat.

To reduce pain, you can take antispasmodic. If vomiting is observed, it is better to use injectable forms of drugs. The most commonly prescribed medications are No-shpa, Atropin, Promedol, and Pantopon. To eliminate the spasm of the bile ducts, the drug "Nitroglycerin" can be used.

Further therapeutic tactics are determined by the doctor. Outpatient pharmacological treatment is carried out, folk methods can be used. If necessary, patients periodically undergo ultrasound of the abdominal cavity. In severe cases, surgical treatment is indicated, especially for calculous cholecystitis.