Abnormal changes in the structure of the gallbladder, such as the S-shaped bend, can be congenital or occur during life under the influence of provoking conditions. Regardless of the reasons that gave rise to the pathology, the revealed curvature of this organ requires immediate treatment. Otherwise, you run the risk of serious health problems.
What it is
In about a quarter of all cases, an S-shaped gallbladder appears in childhood. Knowing how to properly treat this ailment, you can achieve an excellent result and prevent the development of all sorts of complications. Often, such a diagnosis is made in an already conscious, adult age. In this case, we are usually talking about a complication of another chronic disease.
In fact, the S-shaped gallbladder is a pathological change in the structure of the organ, which causes a delay in the outflow of bile, systemic disorders in the digestive process and acute attacks. A patient with this diagnosis has stagnation, which are considered favorable for the formation of sand, stones.
Features of the course in babies
Deformation of the gallbladder in children is most often congenital. In other words, this pathology develops even in the period of intrauterine formation. Such anomalies of the gallbladder in a child appear due to social and environmental factors or represent complications of the parents' chronic diseases.
In the first years of the baby’s life, the disease does not manifest itself. Usually, deformation of the gallbladder in a child becomes apparent at the age of 4-6 years, when the first acute attacks occur. At these moments, severe pain occurs in which he can even be hospitalized. Other symptoms of pathology in childhood include:
- elevated temperature;
- sensation of aches in the joints;
- vomiting with an admixture of bile;
- dysphoria, deterioration of health;
- nausea and lack of good appetite.
Causes of the S-shaped gallbladder
Acquired pathology, subject to a timely reaction, is successfully treatable. If a congenital disease is detected, the main task is to provide the patient with a long period of remission and to prevent the occurrence of pain. In order for the positive dynamics not to be too short-lived, the causes of the bladder deformation should be determined, and then eliminated and the appropriate treatment regimen selected.
Acquired Form
Most often, the S-shaped bend of the gallbladder is formed against the background of age-related changes in the body, in which the internal organs lower, changing their location and shape. Thus, they have a negative effect on neighboring structures. All this is clearly visible on ultrasound. Some patients learn that the gallbladder is S-shaped, completely random, for example, at a routine examination.
The causes of the acquired anomaly are:
- The alternation of systematic fasting and overeating.
- Chronic inflammation of the bile ducts.
- Improper nutrition.
- Regular overload of the abdominal muscles.
- Chronic pathology of the digestive tract.
- Benign and malignant neoplasms.
- Commissures.
- The stones.
- Dyskinesia of the ducts.
- An increase in the size of the organ.
- Weakened diaphragm.
- Chronic form of pericholecystitis.
Congenital type
With this form of pathology, a person will have to live his whole life. At first, the anomaly may not manifest itself at all, but over time, it becomes the cause of digestive tract dysfunction. A patient with a diagnosis of "S-shaped inflection in the body of the gallbladder" will have to constantly follow a special diet and periodically undergo drug therapy to avoid exacerbations.
Such factors can provoke a congenital pathology:
- Genetic predisposition.
- Chronic diseases of the female reproductive system.
- The harmful habits of a woman carrying a baby.
- Pregnancy and childbirth with complications.
- Too much physical activity during the period of bearing a child.
Symptoms
Signs of pathology depend on the rate of development of the abnormal process. Since bile controls food processing, the first symptoms of the disease are a feeling of heaviness in the abdomen, bitterness in the mouth, heartburn, and pain in the right hypochondrium. This process can be normalized only with the help of special medicines. Therefore, if these symptoms occur, you should immediately consult a doctor who will prescribe the appropriate treatment.
Symptoms of kink of the gallbladder:
- Nausea and vomiting.
- Burping.
- Regular bloating after each meal.
- Obvious signs of dyspepsia, digestive disorders.
- Acute pain in the right hypochondrium, which can give to the spine, collarbone and scapula.
It is very important to differentiate pathology correctly. This is due to the fact that the anomaly can be characterized by echo signs of other diseases:
- gallstone disease;
- inflammation
- various tumors;
- complications of hepatitis;
- abnormalities in the digestive tract.
Features
If the S-shaped gallbladder is a congenital pathology, then, as mentioned above, a person will have to follow a diet all his life. In addition, he will need to adhere to a certain lifestyle. Most often, exacerbations of the pathology are caused by obesity, prolonged physical exertion, emotional instability, cholecystitis.
If the disease is acquired in nature, it is usually associated with abnormal placement of internal organs and chronic diseases. The S-shaped gallbladder is very dangerous when localized in the bottom zone.
Likely Consequences
Complications usually appear when the patient is unaware of a disease for a long time and learns about it only during a routine examination. In such cases, the patient does not have any pronounced symptoms.
Treatment of gallbladder inflection is very important to start earlier, otherwise the development of complications is likely:
- inflammation
- the formation of stones;
- blood flow disorders in the organs of the biliary system;
- penetration of bile into the abdominal cavity;
- pronounced signs of homeostasis;
- symptoms of intoxication;
- peritonitis;
- rapidly progressing esophagitis;
- weakened immunity;
- fatal outcome.
Diagnostics
The abnormal deformation of the gallbladder is in many ways similar to the manifestations of cholecystitis. However, other symptoms are not peculiar to her, for example, fever. In addition, a general blood test does not reveal an increased white blood cell count and a change in ESR.
To detect the S-shaped inflection of the gallbladder and the causes of this abnormality, the doctor uses several methods.
- History taking. In the process of communicating with the patient, the specialist can learn a lot of important information, because often the problem arises after a stressful situation or a strict diet. In addition, the doctor at this stage should clarify exactly which symptoms torment the patient.
- Ultrasound After collecting an anamnesis, the attending doctor always sends the patient for an ultrasound examination. It is it that shows the boundaries of the gallbladder and allows you to visually examine the entire clinical picture. In addition, ultrasound makes it possible to determine the consistency of bile and the features of the emptying process.
- General blood and urine tests. They reveal the presence of inflammation in the body.
What to do when bending the gallbladder
To suppress the clinical manifestations of pathology, an integrated approach to solving the problem is needed. To eliminate the symptoms of deformation during dehydration, detoxification therapy is required with the mandatory observance of a special diet, folk recipes, herbal medicine and antibacterial treatment.
The introduction of any additional medicines into the therapeutic regimen should be discussed with a specialist. Otherwise, treatment of the S-shaped gallbladder may be ineffective, which is fraught with serious consequences. Consider what food restrictions await people with this problem.
Diet
All patients diagnosed with an "S-shaped gallbladder" are shown a special menu and drinking regimen. Diet with this pathology limits consumption:
- fried and fatty foods;
- smoked meats;
- spicy and spicy sauces;
- rich broths;
- pickles;
- baking;
- sour cream;
- coffee;
- whole milk.
It is because of such dishes that patients have bile congestion, and the disease progresses faster. To maintain normal health, you need to eat fractionally, but often.
In this case, the diet should be full, rich in useful trace elements and vitamins. In addition, it is very important to drink more. It is advisable to make a menu based on such dishes:
- Porridge boiled on the water.
- Fish and seafood.
- Boiled or baked vegetables in the form of mashed potatoes.
- Green teas.
- Meat and vegetable broths.
- Boiled and steamed meat of low-fat varieties.
- Sour stewed fruit.
- Decoctions of herbs and berries.
- Fruits and vegetables (with the exception of garlic and onions).
Drug therapy
In the case of the S-shaped gallbladder, diet alone is not enough for a full treatment. To achieve recovery, drug therapy is needed, which is aimed at the normal maintenance of the body's activity without surgical intervention. Conservative treatment implies the use of special drugs for excess gallbladder in adult patients and children. Most commonly used:
- Antibiotics - Amoxiclav, Augmentin, Ampioks, Flemoksin Solutab.
- Analgesics - Atrophine Sulfate, and in some cases Tramadol.
- Cholagogue - Tsikvalon, Gepabene, Flamin.
- Cephalosporin antibiotics - "Cefixime", "Ceftriaxone".
- Antispasmodics - Drotaverin, No-shpa.
- Substances for strengthening the immune system - multivitamin complexes with B vitamins.
- Enzyme preparations and hepatoprotectors - Essential Forte.
Of the funds offered by traditional medicine, doctors sometimes recommend decoctions of buckthorn, celandine, St. John's wort and chamomile.
As for physiotherapeutic procedures, experts advise patients to undergo exercise therapy, ultrasound and electrophoresis using novocaine.
When it comes to the severe clinical picture, conservative antibiotic treatment is combined with antifungal therapy.
Folk recipes
The use of alternative agents allows you to speed up the healing process, but you should make sure in advance that there is no allergy to one or another herbal ingredient. Folk recipes are considered a good way to establish impaired digestive tract activity. Several simple tools are recognized as effective:
- Take a tablespoon of olive oil on an empty stomach. Such a tool helps to reduce the acidity of the stomach, contributing to the easy passage of products.
- Brewing a tablespoon of dry St. John's wort with a glass of hot water, insisting during the day and taking before meals throughout the day.
- Reception of tea made from grated strawberries.
Sometimes, special herbal preparations are used to treat the S-shaped gallbladder. They contain peppermint leaves, immortelle and yarrow. Such funds help to improve overall well-being, reduce the intensity of the pain syndrome, stop the inflammatory process, increase appetite and improve the outflow of bile.
Herbal preparations are considered less effective than special choleretic drugs, but they are safer.
After eliminating the exacerbation, patients are shown compliance with the prescribed diet, as well as respiratory and physical exercises. In some cases, the doctor additionally prescribes physiotherapeutic procedures.
Conclusion
If the first signs of gallbladder inflection are identified, you should immediately consult a doctor to diagnose and receive recommendations. Despite the fact that the disease itself does not threaten a person’s life, it can lead to serious complications.
In order to avoid serious consequences, do not ignore the prescribed therapy. It is very important to follow all the recommendations of doctors, to ensure a balanced and complete diet, and not to overload your body physically.