The bend of the gallbladder in the child. Symptoms and treatment, diet

When bending occurs gallbladder bile stasis, can form stones occur pain syndromes child digestion disturbed. The organ has 3 functions: generates, stores, transforms the concentrated mucus in the lumen of the small intestine where digestion occurs. The inflection at an early stage is treated by conservative methods. If time does not diagnose pathology, require surgical intervention.

The gall bladder is normal in children

Organ located in the upper right part of the abdomen, of the liver. Pear-shaped, like a small bag with a muscular outer layer. The liver produces digestive juices, which goes into the gallbladder, where it is deposited, the emulsification of fats, transport of bile into the lumen of the small intestine for complete digestion.

Normally, digestive organ in children should not exceed 3.5 cm in diameter and 7.5 cm in length. Displacement storage bile - 100 ml. babies, up to 200 ml. in older children. The gallbladder is normal when the corresponding age-based indicators, has nothing to do with the ultrasound study of sand, stones, optimal flow of bile.

Causes bending of the gall bladder in a child

The bend of the gallbladder in a child is the result of congenital or acquired factors. The combination of both displays, functional appearance bend. Congenital triggered during pregnancy is associated with a hereditary predisposition.

If the mother was diagnosed at birth inflection body, there is a high proportion of the probability of intrauterine pathology of the fetus. Acquired factor associated with exposure to external or internal environment. Functional bend often has no negative impact, is the norm, individual body structure design.

Congenital deformities

If the newborn in the first US bend diagnose gallbladder, speak of congenital abnormalities. Identify the strain more difficult in the perinatal period. Gastroenterologists, surgeons still do not find the real cause of congenital changes in the body structure.

Indirectly influence the development can:

• occurrence of intrauterine hepatitis;
• abnormal body laying on a 5 week of pregnancy, when the baby is formed biliary system;
• fetal liver disease, kidney, intestines;
• adverse effects on the fetus;
• genetic predisposition;
• propensity to develop stones.

Functional kinks in healthy children

The bend of the gallbladder in the child functional origin is normal in 60% of cases. Anomaly manifests itself in the transition from lactation to eat solid food. Body adapts to a new digestive conditions, changing shape. structural originality fades with time, after adapting to new food.

For physiological reasons the appearance of disease as variant rules include changes gall associated with non-classical structure of other organs of the digestive system.

Under the influence of improper disposition of the liver, pancreas, ducts, bladder changes shape. Impact on development can bend excessive load on the digestive organs in childhood, when the volume of bile is unable to cope with the digestion of food coming.

Acquired bends gallbladder

Abnormal structure due to the influence of external and internal factors.

In the first case gastroenterologists secrete factors that lead to the development of disease:

• improper diet;
• excessive load;
• obesity;
• Prolonged stress;
• sedentary lifestyle, lack of exercise (minimal physical activity);
• weight lifting;
• excessive physical activity.

The internal factors include pathological processes of the body:

• cholecystitis (gallbladder inflammation);
• diseases of the pancreas, liver, ducts, intestines;
• Cholelithiasis (gallstones);
• increase enforcement of the biliary system;
• prolapse of internal organs.

Classification by nature of origin

The pathology occurs in the perinatal period, after the birth. Physicians classify congenital or acquired body bending. In the first case, continuous monitoring of functional and anatomical changes in the bladder. When anomalies are acquiring the necessary therapy.

Congenital

Bends congenital type are relatively safe. In 80% of cases are themselves age. In children, the symptoms of disease are not observed. Diagnose a violation can be at ultrasound during gestation baby after birth.

In the perinatal period due to an infection, a wrong way of life of the mother, difficult environments, development of the fetus undergoes changes during the laying of the biliary system. As a result, the child is born with a bend of the gallbladder, concomitant pathologies of the digestive system.

acquired

The bend of the gallbladder in the child acquired the type of flows expression. Disturbed digestion, organ function. Acquired forms necessarily amenable to therapy, the probability of complications. Gastroenterologists using diagnostics reveal the cause of disease, treat the root cause, which affects the body of the future state.

Gallbladder receives former form, begins to function optimally.

Classification by the position and static strain

The bend of the gallbladder is produced in one part of the body: the bottom of the neck, body. Often found the pathology of the neck which affects the condition of the digestive system. The child appears a sharp pain, food intolerance, jaundice, inflammation of the body. The anomaly is constant or varying clinical signs.

Labile

Congenital or acquired inflection divided into labile and fixed. For the first characteristic change in shape, the displacement body in the abdominal cavity. Proceeds without pronounced symptoms, difficult to diagnose.

Detect abnormalities can be casually in passing ultrasound of the abdomen. Instability is the change in body position, bend transition from one part of the body to another.

Fixed

It characterized by uniformity forms inflection location. In contrast to the labile type does not change with time. If an anomaly is initially formed in the body or the neck of the bladder, where it will be in the future. Deformation is single or multiple, when the inflection affects several parts, there is a twisting of the body, but the position remains fixed.

Signs and specific symptoms

Symptomatology pathology depends on the localization of inflection. Separately treat the symptoms of the disease in children under one year. By virtue of age alone to diagnose the pathology of hard.

Infants with congenital bend of the gallbladder characterized by symptoms:

• increased bloating, gas;
• rejection of the breast;
• lethargy;
• baby suckles inactive;
• frequent regurgitation;
• diarrhea with mucus inclusion;
• jaundice.

The acquired type is characterized by symptoms:

• bitterness in the oral cavity;
• pain, localized in the liver, the blade;
• yellowing of the skin;
• diarrhea;
• constipation;
• vomiting after meals;
• dryness of the oral mucosa.

The bottom of the gallbladder

The widespread localization of the deformation of the neck to the bottom of the bubble. Symptomatology different manifestations diversity depends on the extent and severity of abnormal process.

Signs of inflection bottom:

• excessive sweating;
• poor appetite;
• the appearance of plaque on the tongue;
• presence of bitterness in the mouth;
• pale skin;
• dryness of the oral mucosa;
• Eye staining proteins in a yellow tint;
• vomiting of bile;
• paroxysmal pain in the stomach and sternum.

cervical spine

The bend of the gallbladder at the child in the cervical region is a result of the extension or sagging body. Often arise due to external influence factors: excessive physical activity, displacement of abdominal organs, congenital malformations. Neck strain dangerous peritonitis due to the immobilization of the body and the outpouring of bile into the abdominal cavity.

characterized by:

• flatulence;
• pain under the ribs on the left;
• weakness, fever;
• nausea after ingestion. in the morning on an empty stomach.

Mixed inflection

Deformation localized in different parts of the body due to the sagging of adjacent organs, the development of gallstone disease, accumulation of stones, increase authority.

Mixed rarely diagnosed, it has a small list of symptoms:

• vomiting after a fatty meal;
• common abdominal pain;
• fever;
• nausea after ingestion.

Diagnostics

To study the detailed and correct form of the disease, severity, deformation localization easier to see by ultrasound. Ehopriznaki diagnostirouyut abnormalities at an early stage of development.

The study involves several steps:

1. US held fasting for the purpose of diagnosing deformation. By the time the procedure is less than 15 minutes. The child is asked to lie on your right side, turn to the left, to lie down on his back, to see the dynamics of the body structure from different angles.
2. If ultrasound diagnoses bend of the gallbladder in a child, it is suggested to eat foods that have choleretic property. Toddlers can be an allergic reaction to egg yolk is often used for diagnosis. Fat sour cream substitute product over 20%.
3. After 15 minutes after eating a child again passes ultrasound to determine the type of deformation. It must form the bile secretion. Fixed inflection remains where localization, labile varies slightly, functional disappears.

As a result, gastroenterology has diagnostic of the state of the ducts adjacent organs of the abdominal cavity, the type of pathology, the presence of gallstones, localization and shape bending.

Drug treatment

Used complex therapy aimed at reshaping the gallbladder, an organ functioning. The basis of treatment include mandatory nutritional therapy, the rate of choleretic drugs, exercises to speed up the outflow of concentrated mucus.

Gastroenterologist includes antibiotic therapy with concomitant inflammatory process. Due to the age of the patient should be combined with intake of antibiotic medicines means, reducing the intestinal flora.

The treatment gallbladder bending following drugs are used:

drugs group	names	Effect on the body	testimony
antispasmodics	No-spa, papaverine.	Exert anti-inflammatory, vasoconstrictor, spasmolytic effect. Eliminate pain during attacks.	Applied as needed during attacks of pain, a course at a constant discomfort, severe deformation.
Bile	Herbal teas, Mannitol, Hofitol.	Helping to evacuate the bile into the intestinal lumen, which stimulates an optimal digestion, relieves the body from excessive load, returning the required shape.	Reception choleretic is mandatory. therapy. Showing drugs in any form of bending.
anti antibiotic	Augmentin, Flemoksin Soljutab.	Inflammation of the bladder is removed, the cause of the deformation associated with the infection.	Shown in the accompanying inflammation of the abdomen, heavy flow pathology.
probiotics	Enterol, Bifidumbacterin.	Maintain intestinal microflora.	Shown in antibiotic therapy.
sedatives	Valerian, motherwort, soothing teas, herb collection.	Relieve spasm body, together with antispasmodics facilitate pain syndrome.	Used for severe disease, occurring with severe seizures.

Gastroenterol advised to take in conjunction with the main therapy vitamin complexes. Children up to a year, you can use drugs Multi Tabs Baby, Baby watering.

Since the year are used in the treatment of vitamins:

• Our baby alphabet,
• Pikovit 1+;
• Kinder Biovital;
• Multi Tabs kid.

Physiotherapy

With a mild form of the disease can be managed with the help of special exercises designed for complex treatment.

Physiotherapy can:

• output from surplus enzyme ducts and liver;
• eliminate the severity of abdominal pain syndrome;
• enhance metabolism;
• natural liver to perform massage ZHVP (biliary tract);
• reduce muscle tone;
• improve the condition of the digestive tract.

Exercising is carried out after consultation with a gastroenterologist. Not every complex for a separate step, the degree of pathology.

Children are encouraged to engage in sedentary sports:

• skating;
• walking;
• swimming;
• slow dancing.

Sports activities allows for enhanced blood flow, which is beneficial to the flow of bile. Physical activity should be ongoing in order to achieve a positive result. Kids recommended to perform a professional massage the liver and GVP, a complex exercise therapy at the bend, daily swimming in the bathtub with a circle or an instructor.

A set of exercises for children

Children after a year of treatment include standard exercises scheme. Complex may vary due to comorbidities, complications, degree of inflection.

1. "Bicycle". The child lies on his back, legs bent at the knees, the hands are at your sides. It is necessary to make movements of the lower limbs, mimicking the bike ride. Legs alternately performed a large circle. It is important to breathe correctly: inhale through the nose, exhale through the mouth. Perform 10 laps each leg. Teenagers can be increased up to 15 strides.
2. "Scissors". In the supine position, the child performs cross kick their feet. Raises up the lower limbs, the hands are at your sides or behind your head. Removes feet from each other in the side. It brings together the sign of the cross at the end. Repeat this exercise 10-15 times, depending on the age of the child.
3. "Stool". Exercise is performed standing, feet together, hands on his belt, his head looks straight, back straight. Lower limbs are bent at the knees alternately. You must use the legs to imitate chair, knee and thigh should be at an angle of 90 degrees.

The complex is suitable for children from 3 years old, kids best to do the exercises together with adults. No contraindications, complications.

For proper drainage of bile perform the following set:

1. Walking with high lifting of the knee - 2 min.
2. Torso twists in different directions, hands on the waist, legs slightly apart in breadth. We need to monitor the posture of the child, helping to breathe correctly. Inspiratory turn on exhalation - initial position. Perform 3 min.
3. Roll with the toe to heel with alternate inhalation and exhalation when changing the foot position. Perform 1 min.
4. Squat, back straight, legs off the floor. Hands landing forward in the initial position on the torso. Squat to be shallow. Perform 5 times.

The exercises are suitable for children from 7 years. Any complex, it is desirable to carry out under the supervision of an adult, which monitors breathing child health. If exercise brings pain, it is not necessary to carry out its further.

You can include breathing exercises that stimulate the body to work properly:

1. Inspiratory inflate the abdomen as much as possible, exhale slowly "blow back";
2. lying on his back on a deep breath to lift hands perpendicularly upwards, slowly lower the exhalation;
3. in the sitting position to perform a wide range of inspiratory hands (from each other) for exhalation lowered down.

Each exercise is carried out not more than 5 times. It is necessary to monitor the condition of the child. If flies appear in the eyes, it becomes dark, there is dizziness, complete the exercises.

Perform breathing exercises is not necessary if the child:

• exacerbation of chronic diseases;
• lung pathology;
• heart disease;
• cold.

Dietary food for kids

Diet therapy is included in the treatment of gastrointestinal disorders. Proper nutrition facilitates the work of the body minimizes the load, normalizes the processes of digestion, is the prevention of complications.

The basic principles of clinical nutrition in the pathology include:

• Frequent, fractional eating. Baby should eat every 2-3 hours, serving dishes contain 100-150 g depending on age. In day 5-6 meals.
• Before sleep can not eat a heavy meal. Dinner will take place 2 hours before bedtime.
• The diet contained products from different groups: proteins, carbohydrates, fat (vegetable) fiber. The food is easily digested and corresponds to the age of the child.
• Do not use in the preparation of animal fats: pork, beef, fatty meat broth. Products are heavy food for the child, indigestible.
• Do not give your child cold food that stimulates the contraction of ducts GVP, it leads to a new bout of pain.
• The dishes are steamed in the oven, stewed, boiled. Excluded fried, pickled, smoked food.

Authorized products

Products must have an easy digestibility, not cause heaviness in the stomach, flatulence.

Children with a bend can be given:

• rye bran, stale white bread;
• first courses in vegetable broth (soups);
• galetnoe, dietetic biscuits;
• scrambled eggs, omelettes (1-2 times per week);
• low-fat dairy products;
• porridge in water;
• vegetable and fruit purees;
• ragout of vegetables;
• fruits and vegetables (except radishes, radish, onions), boiled, baked, fresh (less often) a;
• cooked poultry;
• chicken broth brisket.

prohibited products

Completely excluded from power at the time of treatment is worth the following products:

• sweets (chocolate, cakes, cream, cakes);
• milk, mayonnaise with a high content of fat;
• fast food;
• chips;
• vegetable based oils: radish, onion, garlic, radish;
• Fresh wheat bread.

After the restoration of the body a list of products is limited. Gastroenterologists caution, do not include prohibited food into the food after treatment to prevent recurrence.

Sample menu for the week

Variety of food depends on the age of the child. If the child is 2 years old, you can alternately give meat and fish dishes, a variety of breakfast cereals, fruit, if necessary, to replace the juices, fruit drinks.

meal	meals
First breakfast (7.00-8.00)	Cereal gruel water (buckwheat, semolina, oats, millet, oat).
Lunch (10.00-11.00)	Nonfat yogurt, fruit compote.
Lunch (13.00-14.00)	Soup vegetables, buckwheat with baked fish. Morse of non-acidic fruit varieties.
Snack (16.00-17.00)	Oatmeal, fruit compote.
Dinner (19.00-20.00)	Low-fat yogurt and sour, galetnoe cookies.

Effects

The bend of the gallbladder leads to problems in the adjacent organs of the biliary system. The child eventually manifested liver dysfunction, ZHVP due to improper drainage of mucus.

Among the complications of inflection release:

• pancreatitis;
• Cholelithiasis and urolithiasis;
• deterioration of visual acuity;
• retardation of physical development;
• muscular hypertrophy of the bladder.

Forecast

Bending gallbladder eliminated in 80% of cases with prompt diagnosis and therapy. If your child has a serious deformity, surgical methods are used. Close physiological form back at least 3 months of therapy.

Some kids have to go through a long course of treatment from six months to 12 months. Relapses are unlikely, subject to the rules of supply of a healthy lifestyle.

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