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Doctor insights on: Biliary Dyskinesia

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What causes biliary dyskinesia ?

What causes biliary dyskinesia
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Biliary dyskinesia: Sphincter of oddi dysfunction, or biliary dyskinesia, is defined by bile duct manometry showing sphincter spasm, increased phasic contraction frequency (tachyoddia), paradoxical contraction response to cck, & abnormal propagation of phasic waves. Response to sphincterotomy is predicted by associated abnornalities in serum liver functions as well as manometry findings.Pain alone may not so respond. ...Read more

Dr. Sewa Legha
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Dyskinesia (Definition)

Dyskinesia refers to a group of involuntary movements which are usually uncoordinated and often spasmodic. These are neurological problems. Examples are tardive dyskinesia and Huntington's Chorea. There are many causes including side effects of some drugs, genetic, or the sequelae of infection or ...Read more


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Can you explain what biliary dyskinesia is?

Can you explain what biliary dyskinesia is?

Biliary dyskinesia: Biliary dyskinesia refers to altered tone of the sphincter of oddi. It causes the coordination of contracture of the biliary ducts or the emptying of the biliary tree. It is often a symptomof of gall stones, acute or chronic pancreatitis, chronic inflammation or other GI disorders. ...Read more

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Dr. J. Roth Dr. Roth
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What is biliary dyskinesia and how is it treated?

Dr. J. Roth Dr. Roth
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What is biliary dyskinesia and how is it treated?

Biliary dyskinesia: This is a condition in which the gallbladder does not function normally. It is diagnosed based upon symptoms of right upper quadrant pain without gallstones or sludge and a hida scan demonstrating a reduced gb ejection fraction. Absent other causes or explanations for the pain, surgery is often recommended. Some patients will continue to suffer from pain following gb removal. ...Read more

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Will having biliary dyskinesia cause any problems with having a hysterectomy?

Will having biliary dyskinesia cause any problems with having a hysterectomy?

Narcotic affect duct: I agree with dr. Heller that your anesthesiologist be infomed to the fullest extent regarding your medical history. Be aware that some narcotics given pre- and post-operatively have been shown to affect biliary function and contractility, and may therefore promote biliary spasm (and in so doing at least temporarily exacerbate your biliary dyskinesia). ...Read more

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What type of pain medication is safe to take for biliary dyskinesia pain and headache?

What type of pain medication is safe to take for biliary dyskinesia pain and headache?

Biliary dyskinesia: carries a significant risk for serious consequences such as acalculous cholecystitis and should be teated under the guidance of your primary care physician in consultation with a surgeon. The pain should be your clue to do something about it. There is no limitation regarding the use of pain meds for headache in the face of BD. Most meds will not help biliary pain . ...Read more

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Was diagnosed with biliary dyskinesia with 7% ejection rate. Now my symptoms have all but disappeared. Is this possible?

Yes, but: It will likely return. It is possible that a small gallstone passed, and you are fine now. But the real problem is in the gallbladder, which will most likely continue to produce stones. ...Read more

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Biliary dyskinesia--diagnosis and treatment?

HIDA scan: Diagnosis is made to confirm non function of the gallbladder.An ultrasound will show no stones and be normal. A hida scan will demonstrate decreased function or decreased ejection fraction and most likely produce pain if cck is used. The treatment is gallbladder removal. ...Read more

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Is it possible for you to have hyperkinetic biliary dyskinesia with a normal hida scan?

Is it possible for you to have hyperkinetic biliary dyskinesia with a normal hida scan?

Possibly: Most physicians in nuclear medicine and gastroenterology believe that increased ejection fraction of gall bladder is probably normal (above 35%). A well known nuclear physician reported small group of patients with hyperkinetic gall bladder getting relief with removal of gb. More studies needed to convince most surgeons. ...Read more

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Diagnosed with biliary dyskinesia.But when the path report came back on my gallbladder after surgery it was negative.How's that work? Is that possible

To be expected: Biliary dyskinesia just means the gallbladder doesn't squeeze properly to expel the bile into the bile duct. Under the microscope, the gallbladder can have only slight inflammation or even look totally normal. ...Read more

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Could gallbladder/biliary dyskinesia cause a lot of fatigue?

Could gallbladder/biliary dyskinesia cause a lot of fatigue?

Possibly: Gallbladder disease can cause a lot of symptoms - pain, nausea, vomiting, jaundice, change in appetite. Fatigue is possible. See you doctor for a full evaluation of the reason for your fatigue. ...Read more

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Please tell me can gallbladder/biliary dyskinesia cause a lot of fatigue?

Please tell me can gallbladder/biliary dyskinesia cause a lot of fatigue?

Not likely.: This condition usually causes post-prandial pain. I would have your doctor look to other causes for your symptom of fatigue. ...Read more

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Can biliary dyskinesia GB recover to normal after stopping meds that cause low ejection fraction? How long would it take to recover b4 new HIDA scan?

Can biliary dyskinesia GB recover to normal after stopping meds that cause low ejection fraction? How long would it take to recover b4 new HIDA scan?

Not likely: You almost certainly have mechanical obstruction of the GB, even though this may be only due to thickened bile, sludge, or gravel, and may be intermittent. Medications or supplements have virtually no influence on this process. Low fat diet can lessen the severity of symptoms by lessening GB contractions. See your doctor. ...Read more

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Hida-very low ejf, biliary dyskinesia. Nausea +/-, minor pain comes & goes, cck w/o symptoms. 2nd hida ordered; if GB bad, should results be similar?

Hida-very low ejf, biliary dyskinesia. Nausea +/-, minor pain comes & goes, cck w/o symptoms.  2nd hida ordered; if GB bad, should results be similar?

HIDA: Hida can sometimes be misleading. There are many reasons for it. You should have an ultrasound and labs to include liver function tests. ...Read more

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Is it safe to take Tylenol (acetaminophen) for biliary dyskinesia pain?

Is it safe to take Tylenol (acetaminophen) for biliary dyskinesia pain?

Tylenol (acetaminophen): yes, because Tylenol (acetaminophen) doesn't slow down the gallbladder. However, in high doses can cause liver failure, so caution is advised ...Read more

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I have biliary dyskinesia and i saw you can get your gallbladder removed or they can somehow fix the sphincter of oddi im confused what do they do?

I have biliary dyskinesia and i saw you can get your gallbladder removed or they can somehow fix the sphincter of oddi im confused what do they do?

Proceed w lap gb: As i've said many times, the gb is not a vital organ. If you're having symptoms from a poorly emptying gb, the best treatment is removal via outpatient laparoscopic surgery. In the meantime, eat a low fat diet. After gb removed, you have no further dietary restrictions. I know of no "fix" for the sphincter of oddi, which is the endpoint of the common bile duct. Good luck. ...Read more

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Dr. J. Roth Dr. Roth
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How can I tell the difference between gastroenteritis and biliary dyskinesia? I have epigastric pressure & bloating occurring at random times.

Dr. J. Roth Dr. Roth
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How can I tell the difference between gastroenteritis and biliary dyskinesia? I have epigastric pressure & bloating occurring at random times.

Biliary dyskinesia: Biliary dyskinesia may have some overlap with gastroenteritis. Biliary dyskinesia is generally not self-limiting as are most viral infections. Most patients with biliary dyskinesia will have right upper quadrant pain with foods (fatty or spicy). Other symptoms such as nausea, vomiting, bloating and diarrhea may occur. Diagnosis is based upon a nuclear scintigraphy study (hida scan). ...Read more

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Alt jumped from low 20's to 69 in about two years. Drink alcohol once a month but could this be from my biliary dyskinesia or sludge in my gallbladder?

Alt jumped from low 20's to 69 in about two years. Drink alcohol once a month but could this be from my biliary dyskinesia or sludge in my gallbladder?

Probably not, man: It's time to check you for hepatitis b and c, hemochromatosis, wilson's, autoimmune hepatitis, and whether your alt returns to normal if you go off the bentyl (dicyclomine). An extreme athlete can have high alt from it, or there's plenty of non-alcoholic fatty liver even in young folks. While you're waiting, think about getting into a hard-core fitness-focused lifestyle. Best wishes. ...Read more

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I was diagnosed with biliary dyskinesia and also have hashimoto's thyroiditis. Is there any connection and what are my treatment options. ?

I was diagnosed with biliary dyskinesia and also have hashimoto's thyroiditis. Is there any connection and what are my treatment options. ?

I know of: No correlation between gallbladder dysfunction and hashimoto's thyroiditis. If your gallbladder is dysfunctional (and believed to be causing symptoms) the treatment is cholecystectomy. ...Read more

Dr. Cornelius O'leary jr
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Biliary (Definition)

Biliary means anything related to the production, storage, secretion, or flow of bile, whether in the liver, bile ducts, gallbladder, ...Read more


Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more