Biliary colic is a dull pain in the middle to upper right area of the abdomen.It occurs when a gallstone blocks the bile duct, the tube that normally drains bile from the gallbladder to the small intestine. The pain goes away if the stone passes into the small intestine and unblocks the duct.
Chollelithiasis is a condition where gall stones are formed in the gall bladder. Biliary colic is experienced when the gall stones move along the dusts. When the stones are at rest, there may not be any pain but when they start moving there is agonizing pain. The pain starts in the epigastrium and shoots to the hypochondrium, towards the spine and up towards the right shoulder. These attacks are the times, extremely severe. Symptoms arise depending upon the position of stones in the biliary tree.
Biliary colic happens when the gallbladder contracts and causes a gallstone to temporarily block the duct that drains the gallbladder. Gallstones are hard masses that form in the gallbladder. They can be small and numerous, or large and few. Gallstones form due to chemical imbalances in bile or infrequent or incomplete emptying of the gallbladder.
Increased pressure in the gallbladder causes the pain and discomfort associated with biliary colic.
Bile and digestive enzymes are carried by the bile ducts from the liver, gallbladder, and pancreas to the small intestine. The bile carries away wastes from the liver and helps digest fats. A portion of the bile is stored in the gallbladder. Eating a meal makes the gallbladder contract, or squeeze inward. This empties the gallbladder’s contents into the small intestine.
A person with biliary colic typically feels pain in the middle to right upper abdomen. The pain can feel sharp, crampy, or like a constant dullache. Colic often occurs in the evening, especially after eating a heavy meal. Some people feel it after bedtime.
The worst pain of biliary colic commonly lasts for 30 minutes to an hour, but may continue at a lower intensity for several more hours. The pain stops when the gallstone breaks free of the bile duct and passes into the intestine.
COLOCYNTH : Useful for biliary colic with griping pain in the abdomen causing the patient to double up which may be accompanied by colic in other parts of the body also. There is immediate relief after stools.Given when pain comes in waves and is better by doubling up and hard pressure and is worse by eating or drinking.
DIOSCOREA VILLOSA : Useful for biliary colic with pains that dart about or radiate to distant parts. Very helpful when pain and colic are unbearable, sharp, cutting, twisting, griping and grinding. There are sharp pains from the liver which is shooting upwards to the right nipple.
BACILUS MORGAN : Very useful for biliary colic with congestion feeling in liver with bilious attacks.There is epigastric pain or feeling of discomfort.There is pain in the liver and gall bladder region accompanied with severe headache, relieved by vomiting. There are recurrent bouts of indigestion.
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