Dr. Komarovsky on biliary dyskinesia in children
Biliary dyskinesia in children is a fairly common diagnosis. Parents of both boys and girls, parents with any income and attitude towards raising a child can hear him in the clinic. Evgeny Komarovsky, the favorite of millions of mothers, tells about what the disease is and how to deal with it.
About the disease
Biliary dyskinesia is a violation of the activity of the gallbladder, associated with the violation of the outflow of bile, which is extremely necessary for the body primarily for the breakdown of fat. It is produced by the liver, accumulates in the gall bladder, "works" in the duodenum, which gets through a special biliary tract.
Violation of the movement of bile can for various reasons.
The rarest of them is congenital malformations of the gallbladder, its ducts.. It takes only about 5% of all cases of illness.
In all other cases, physicians speak of a secondary disease caused by malnutrition, various stomach problems (gastritis, peptic ulcer, etc.), helminthic invasions, viral hepatitis, hormonal disorders. Sometimes dyskinesia can even begin as a result of severe stress, psychological and emotional turmoil.
The disease manifests itself as an unstable stool - alternating constipation and diarrhea, vomiting by eating fatty foods or sweets, poor appetite. The treatment of the disease is based on the correction of nutrition in combination with drugs, which the doctor prescribes, depending on what type of illness is found in the child. Hypermotor dyskinesia (with an excess of bile) is treated with drugs that relax smooth muscles ("No-shpa, Papaverine, etc.), sedative, mild sedatives. Ailment that proceeds according to hypomotor type (with a lack of bile) - choleretic drugs.
Opinion of Dr. Komarovsky
Yevgeny Komarovsky emphasizes that I have never met such a diagnosis in my practice in children from large families. Not because the parents once thoroughly and thoroughly examine each of their children, but because in large families, children usually do not overfeed.
It is overfeeding that Evgeny O. considers the main cause of biliary dyskinesia.
When a child is the only one in the family and overly loved by all members of the household, quite often the parents make such a mistake. They feed the baby not when he is really hungry and asks for food, but when his mom and dad decided that the time had come and that it was time to eat.
Another extreme - feeding the child of the amount of food that he can fit in the stomach, but can not digest.
Some mothers, but more often grandparents, “sin” by trying to make all the food for a beloved infant as soft as possible, thin, mashed, feed only warm and crushed. Excessive culinary processing of products, emphasizes Dr. Komarovsky, also often causes the appearance of the disease.
Quite often, such a diagnosis is made to children, whose parents love to experiment with different foods, without taking into account the age characteristics of the child’s digestion.
Oddly enough, but in the risk group there are also babies whose parents are supporters of the obligatory sterilization of everything the baby is dealing with. nipple, bottles, pacifiers, rattles, dishes. Such a pathological, according to Evgeny Komarovsky, thirst for sterility does not lead to good, as in addition to dyskinesia, may be an indirect cause of allergic reactions.
Treatment
There is no single approach in the treatment of pediatric dyskinesia of the biliary tract, says Yevgeny Komarovsky. Everything is strictly individual and depends largely on the reasons that led to a violation of the outflow of bile. To treat, says the doctor, you need not dyskinesia itself, but precisely the reasons that led to it.
In the treatment of all types of the disease should follow a strict diet, it should be clarified with your doctor. As a rule, fatty and fried, marinades, canned food, sweets are completely prohibited. When hypermotor dyskinesia (excessive biliary excretion), it is important to eat wheat and buckwheat cereals, greens, vegetables and bread. With such a violation, it is not worth eating ice cream and drinking cold drinks, chicken yolks, as well as products that contribute to gas formation - beans, peas and cabbage.
Medicines require drugs that smooth smooth muscles ("No-shpamagnesium preparations are helpful. In addition, if the child has no pain, the doctor may recommend the intake of medicinal mineral water in strictly defined individual dosages.
From the accompanying procedures such children will benefit from the exercises and electrophoresis with magnesium and novocaine.
Dyskinesia of the hypomotor type (lack of bile) should also be treated with a strict diet. But it should be more fatty foods (sour cream, cream). These children should be given egg yolk and whole-grain bread, which is contraindicated for children with hypermotor-type dyskinesia.
From medicines prescribed vitamins of group B and choleretic funds ("Holenzim", "Magnesia"). Children are made of bullying and prescribed intake of mineral water.
Tips of Dr. Komarovsky
Before starting treatment, make sure that the cause of the disease is established correctly, and the diagnosis itself is not wrong. The most accurate way to diagnose biliary dyskinesia Evgeny Komarovsky considers ultrasound.
During therapy, it is necessary to strictly observe the doctor's prescriptions and diet. Even after the end of the course of treatment, it is not necessary to rush with enthusiasm to stuff the child with everyone. Proper balanced diet without overeating will help avoid recurrence of the disease. The same principles should be considered the best prevention of the disease.
For details, see below in the issue of Dr. Komarovsky.
