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Topic: Biliary colic


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In the News (Fri 5 Sep 08)

  
 THE MERCK MANUAL OF GERIATRICS, Ch. 112, Acute Abdomen and Surgical Gastroenterology
The primary symptom of gallstones is biliary colic.
Disorders of the Gallbladder and Biliary Tree
Cancer of the gallbladder and biliary tree is discussed in Ch.
www.merck.com /mrkshared/mmg/sec13/ch112/ch112k.jsp   (1475 words)

  
 eMedicine - Nephrolithiasis: Acute Renal Colic : Article by Stephen W Leslie, MD, FACS
Colic is a misnomer because renal colic pain tends to remain constant, whereas intestinal or biliary colic is usually somewhat intermittent and often comes in waves.
In current clinical practice, the renal colic noncontrast CT scan with a modern helical or spiral machine is the standard of care in most EDs when a patient is thought to have renal colic or a patient presents with acute flank pain.
In practice, any patient with symptoms of acute renal colic who demonstrates a urine pH lower than 6.0 should be considered at risk for a possible uric acid stone and should have a KUB radiograph performed to help determine radiolucency.
www.emedicine.com /med/topic3437.htm   (1475 words)

  
 eMedicine - Biliary Disease : Article by Paul Yakshe, MD
Although the term biliary colic is used commonly, it is a misnomer because the pattern of pain is constant.
Biliary disease is caused by abnormalities in bile composition, biliary anatomy, and function.
Endoscopic management of biliary stones: Because choledocholithiasis frequently causes abdominal pain, pancreatitis, cholangitis, and secondary biliary cirrhosis, treatment is recommended once stones are identified.
www.emedicine.com /med/topic225.htm   (1475 words)

  
 eMedicine - Nephrolithiasis: Acute Renal Colic : Article by Stephen W Leslie, MD, FACS
Colic is a misnomer because renal colic pain tends to remain constant, whereas intestinal or biliary colic is usually somewhat intermittent and often comes in waves.
The pain generated by renal colic is primarily caused by the dilation, stretching, and spasm caused by the acute ureteral obstruction.
The classic presentation for a patient with acute renal colic is the sudden onset of severe pain originating in the flank and radiating inferiorly and anteriorly.
www.emedicine.com /med/topic3437.htm   (14072 words)

  
 Gallbladder and Biliary Tract Disease
Some patients experience biliary colic, an intermittent and often severe pain in the epigastrium or right upper quadrant and at times between the scapula caused by temporary obstruction of the cystic duct with a gallstone.
Once biliary dilatation or the presence of a common duct stone is noted on an imaging study, or biliary obstruction is strongly suspected on clinical grounds despite negative imaging studies, endoscopic retrograde cholangiopancreatography (ERC) is recommended.
Mirizzi's syndrome is caused by an impacted cystic duct stone leading to gallbladder distention and subsequent compression of the extrahepatic biliary tree.
www.clevelandclinicmeded.com /diseasemanagement/gastro/gallbladder/gallbladder.htm   (2701 words)

  
 MUSC DDC - Diseases: Pancreas & Biliary Tree
Similar pains can be caused by cancer of the pancreas (although this is not usually intermittent), stones in the gallbladder and bile duct (biliary colic), or severe types of gastric or duodenal ulcer.
Pancreatitis is a disease in which the pancreas becomes swollen and inflamed, and does not work properly.
As with all types of inflammation, the number of white cells in the blood stream may be increased.
www.ddc.musc.edu /ddc_pub/digestiveProbs/diseases/pancBiliary/pancreatitis.htm   (2293 words)

  
 abdomen2.html
Biliary colic (pain caused by pressure or passing of gall stones)
www.csuchico.edu /phed/atc/classes/abdomen2.html   (2293 words)

  
 eMedicine - Choledochal Cysts : Article by Michael AJ Sawyer, MD
Therefore, it should be extremely rare for patients with choledochal cysts to present with numerous repeated bouts of biliary colic, jaundice, or cholangitis before a definitive diagnosis is made.
Adults in whom subclinical ductal inflammation and biliary stasis may have been present for years may present with one or more severe complications such as hepatic abscesses, cirrhosis, portal hypertension, recurrent pancreatitis, and cholelithiasis.
These cystic dilatations of the biliary tree can involve the extrahepatic biliary radicles, the intrahepatic biliary radicles, or both.
www.emedicine.com /med/topic349.htm   (3202 words)

  
 eMedicine - Cholecystitis : Article by Andre Hebra, MD
In chronic cholecystitis, the patient usually complains of tenderness to palpation in the right upper quadrant; however, the differentiation may be trivial given the high likelihood of chronic cholecystitis in the presence of recurring biliary colic.
Biliary colic versus chronic cholecystitis: Performing a physical examination may be the only way to distinguish biliary colic from chronic cholecystitis.
Patients with chronic cholecystitis usually present similarly to patients with biliary colic, with an intermittent and indolent history of pain.
www.emedicine.com /ped/topic380.htm   (8427 words)

  
 Holistic Health Encyclopedia - L
This is helpful in controlling conditions such as colitis, spastic bladder, diverticulitis, infant colic, renal and biliary colic, peptic ulcer, irritable bowel syndrome, splenic flexure syndrome, and pancreatitis.
L-hyoscyamine produces many effects in the body, including relief from spasms of the gastrointestinal tract (stomach and intestines), the bladder, and the biliary tract.
As a food vegetable in days of old, leeks were traded for gold to feed the builders of pyramids.
www.myholistic.com /glossary/L.php3   (8427 words)

  
 Holistic Health Encyclopedia - L
This is helpful in controlling conditions such as colitis, spastic bladder, diverticulitis, infant colic, renal and biliary colic, peptic ulcer, irritable bowel syndrome, splenic flexure syndrome, and pancreatitis.
L-hyoscyamine produces many effects in the body, including relief from spasms of the gastrointestinal tract (stomach and intestines), the bladder, and the biliary tract.
L-hyoscyamine also reduces the secretions of many organs, thereby helping to control conditions such as excessive stomach acid production, excessive secretion from the pancreas, and excessive sweating and drooling associated with diseases like Parkinson's disease.
www.myholistic.com /glossary/L.php3   (8427 words)

  
 Cholinergic Urticaria Your Directory Allergy-Network.com
Buscolysin is indicated In gastrointestinal diseases - stomach and duodenal ulcer; esophageal and cardia spasms; pylor spasm; vomiting; biliary colic; biliary dyskinesia; cholecystitis. Diseases of the urogenital system - renal colic; urinary bladder tenesmus; spasm in urolithiasis.
Illness Conditions - The results of your search - University Health Care System of Augusta, Georgia
Categories @ Canada Drugs - the Canadian pharmacy of choice for purchasing your discount prescription drugs and medication. Order prescription drugs and medication from Canada Drugs at discount prices!
www.allergy-network.com /cholinergicurticaria   (8427 words)

  
 Papaverine Hydrochloride Advanced Consumer Drug Information
These include use as a smooth muscle relaxant in the treatment of cerebral and peripheral ischemia associated with arterial spasm and myocardial ischemia complicated by arrhythmias; and for visceral spasm as in ureteral colic, biliary colic, or gastrointestinal colic.
Treatment of acute poisoning consists of: Removal or delay of absorption of papaverine by administration of tap water, milk, or activated charcoal, and removal of stomach contents by gastric lavage or emesis, followed by catharsis; appropriate measures for treatment of coma or respiratory depression and maintenance of blood pressure; hemodialysis may be useful.
Although papaverine has previously been classed as a “grandfather drug” and exempted from FDA's DESI classification, the Peripheral and Central Nervous System Drugs Advisory Committee of the FDA has concluded after studies and hearings that, in spite of its proven vasodilating effects, the medication has not been shown to be effective for its claimed indications.
www.drugs.com /MMX/Papaverine_Hydrochloride.html   (1282 words)

  
 qanda.doc
A patient with acute gallstone disease or biliary colic presents with colicky abdominal pain in the right upper quadrant and epigastrium which radiates around the right hand side to the back right shoulder blade.
In contrast with patients with peritonitis, patients who have colic tend to roll around restlessly and change position during an attack in an attempt to find relief whereas patients with peritonitis will lie perfectly still and will report that the pain is exacerbated by moving.
The reason for this is that the duodenum is part of the fore gut and the pain from the duodenum is referred to the epigastrium whereas pain from the lower small bowel is mid gut pain and is referred to the umbilicus.
www.emed-induction.ie /qanda.doc   (1282 words)

  
 EHS: WOW-Pancreatic Pain and Demerol
The authors concluded that pentazocine was the drug of choice for relief of biliary colic.
For example, one study compared the equianalgesic doses of fentanyl (1.25 mcg/kg), morphine (0.125 mg/kg), meperidine (1.0 mg/kg), and pentazocine (0.5 mg/kg) on common bile duct pressure to determine which drug had the least effect on SO and was best suited for use in biliary tract surgery (Radnay, et al, 1980).
In an excellent review of meperidine that is supported by 203 references, Latta, Ginsberg, and Berkin ( 2002) conclude: "Clinically, the preferential use of meperidine over any other opioids cannot be supported using scientific findings.
www3.us.elsevierhealth.com /WOW/pu081.html   (1282 words)

  
 Holistic Health Encyclopedia - L
This is helpful in controlling conditions such as colitis, spastic bladder, diverticulitis, infant colic, renal and biliary colic, peptic ulcer, irritable bowel syndrome, splenic flexure syndrome, and pancreatitis.
The most common ones are the reticular, that is presented as a white striae bilaterally on the buccal mucosae, and the erosive, presented as ulceration bilaterally both on the buccal mucosae and the lateral sides of the dorsum of the tongue.
In the light (or is it darkness?) of the substantial amounts of toxic substances in the food we eat, the city water we drink, the air we breathe, the outgassing of formaldehyde and other toxins by many building materials, new carpeting, furniture, clothing, etc., the liver in most people needs a lot of help.
www.thehealthguardian.com /glossary/L.html   (1282 words)

  
 American Society for Gastrointestinal Endoscopy :: Member Site
Individuals with choledocholithiasis (common bile duct stones or CDL) can present with biliary colic, nonspecific abdominal pain, obstructive jaundice, cholangitis, or acute biliary pancreatitis.
Choledocholithiasis cannot reliably be diagnosed on the basis of the patient's history and physical examination alone.
Choledocholithiasis in patients with normal serum liver enzymes.
www.asge.org /nspages/practice/patientcare/choledo.cfm   (1282 words)

  
 Cholecystitis
Pain or biliary colic is the most frequent symptom associated with cholecystitis.
The most common cause of acute cholecystitis (inflamed gallbladder) is obstruction of the cystic duct by gallstones or biliary sludge (Farrar, 2001).
Risk factors for developing cholecystitis include increased age, obesity, female gender, pregnancy, genetics as evidenced by its prevalence in Pima and Chippewa Native Americans, rapid weight loss, TPN without oral intake for more than 1 month, infection, high trigylerides, and low levels of HDL cholesterol (Black, 1999, Trotto, 1999).
learn.sdstate.edu /craigg/Ahrens.html   (2378 words)

  
 Holistic Health Encyclopedia - L
This is helpful in controlling conditions such as colitis, spastic bladder, diverticulitis, infant colic, renal and biliary colic, peptic ulcer, irritable bowel syndrome, splenic flexure syndrome, and pancreatitis.
In addition, L-hyoscyamine is used before surgery to reduce secretions of the nose, lungs, salivary glands, and stomach, and it is even used to help dry up excessive mucus production associated with diseases, colds, and infections.
L-hyoscyamine also reduces the secretions of many organs, thereby helping to control conditions such as excessive stomach acid production, excessive secretion from the pancreas, and excessive sweating and drooling associated with diseases like Parkinson's disease.
www.myholistic.com /glossary/L.php3   (6915 words)

  
 eMedicine - Ultrasonography, Abdominal : Article by Verena T Valley, MD
Emergency abdominal ultrasonography is indicated for the evaluation of aortic aneurysm, appendicitis, and biliary and renal colic, as well as blunt or penetrating abdominal trauma.
Ultrasonography may be indicated for the evaluation of AAA, the biliary tract, acute cholecystitis, the kidneys and urinary tract, hydronephrosis, blunt or penetrating trauma, or appendicitis.
Ooms HW, Koumans RK, Ho Kang You PJ, Puylaert JB: Ultrasonography in the diagnosis of acute appendicitis.
www.emedicine.com /emerg/topic621.htm   (1870 words)

  
 Evolution of cholecystectomy: A tribute to Carl August Langenbuch De Utpal - Indian J Surg
The description of attacks of biliary colic thronged the medical literature with numerous physicians and surgeons including Francis Glisson in 1658, [3] reporting similar cases.
The first interaction of gallstones and surgery dates back to 1687 when Stal Pert Von Der Wiel, while operating a patient with purulent peritonitis accidentally found gallstones.
www.indianjsurg.com /article.asp?issn=0972-2068;year=2004;volume=66;issue=2;spage=97;epage=100;aulast=De   (1870 words)

  
 Delayed cholecystectomy for gallstone pancreatitis... FindYourHope.com
Re-admissions were due to pancreatitis (4 cases), cholecystitis (3 cases), biliary colic (4 cases) and pseudocyst (1 case).
In all, 49 patients had pre-operative cholangiography and 13 had pre-operative endoscopic extraction of stones from the common bile duct.CONCLUSIONS: Delay of LC for greater than 4 weeks after gallstone pancreatitis is associated with a high, unplanned re-admission rate, even with liberal use of pre-operative cholangiography.
Cameron DR, Goodman AJ OBJECTIVE: Timing of cholecystectomy after gallstone pancreatitis and use of pre-operative cholangiography varies considerably between surgeons.
www.findyourhope.com /Article/19645/Page_Article.aspx   (1870 words)

  
 MedForumsLive.comGallstones
It is the distention of the ducts or gallbladder that causes biliary colic.
The second is that particles passing through the bile ducts can "irritate" the ducts, causing spasm of the muscle within the walls of the ducts (which obstructs the flow of bile) or inflammation of the duct that causes the wall of the duct to swell (and also obstructs the duct).
A camera that senses radioactivity (like a Geiger counter) is then placed over the patient's abdomen and a "picture" of the liver, bile ducts, and gallbladder is obtained which corresponds to where the radioactive chemical has traveled within, or outside of the bile-filled bile ducts, and gallbladder.
www.medforumslive.com /terms/gallstones.html   (1870 words)

  
 Fortnightly review: Gallbladder disease -- Bateson 318 (7200): 1745 -- BMJ
Gallbladder surgery cures biliary colic unless some duct stones are retained, and it largely prevents attacks of acute pancreatitis.
When gallbladder stones are proved to be the cause of severe symptoms, cholecystectomy is the best treatment for most patients.
Gallbladder stones rarely kill patients, but stones in the bile duct are much more serious and do carry a high morbidity and
bmj.bmjjournals.com /cgi/content/full/318/7200/1745   (2457 words)

  
 eMedicine - Porcelain Gallbladder : Article by Ali Nawaz Khan, MBBS, FRCP, FRCR
The incidence of porcelain gallbladder was 0.14% (15 patients) in the series; 10 patients had symptoms suggestive of biliary colic or cholecystitis, and the diagnosis was incidental in 5.
Porcelain gallbladder is uncommon, and recognizing the clinical and imaging characteristics of the disease is important because of the high frequency (22%) of adenocarcinoma in porcelain gallbladder.
Berk RN, Armbuster TG, Saltzstein SL: Carcinoma in the porcelain gallbladder.
www.emedicine.com /radio/topic569.htm   (3407 words)

  
 Cholecystitis: Gallbladder Disorders: Merck Manual Home Edition
Acute cholecystitis is the sudden onset of inflammation of the gallbladder, resulting in severe, steady upper abdominal pain (biliary colic), which may occur repeatedly.
A gallbladder attack accompanied by jaundice (see Clinical Manifestations of Liver Disease: Jaundice) and other evidence of a backup of bile into the liver (cholestasis), such as passing light-colored stools, indicates that the common bile duct is obstructed (usually partially) by a stone.
In chronic cholecystitis, the gallbladder is damaged by repeated attacks of acute inflammation, usually from gallstones, and may become thick-walled, scarred, and small.
www.merck.com /mmhe/sec10/ch140/ch140c.html   (977 words)

  
 American Family Physician: Management of Gallstones and Their Complications
First, biliary colic is a misnomer, because the pain is steady, not colicky.
Second, the pain site is primarily in the epigastrium, and it is incorrect to interpret pain located in the epigastrium as nonbiliary.
The pain of acute cholecystitis typically lasts longer than three hours and, after three hours, shifts from the epigastrium to the right upper quadrant.
www.findarticles.com /p/articles/mi_m3225/is_6_61/ai_61432836   (977 words)

  
 symptom: Excessive Burping and Belching - find medical diseases by symptoms
Possible medical conditions of Excessive Burping and Belching :- Gastric Ulcer - Gastroesophageal Reflux Disease - Gastritis - Dyspepsia - Hiatal Hernia - Biliary Colic - Gallstones - Esophageal Stricture - Esophageal Web - Esophagitis- Esophageal Cancer - Colon Cancer.
Your use of this site is subject to certain terms and conditions.
You may find that you do not have all the symptoms listed.
www.myelectronicmd.com /symptom.php?ID=171&typ=2   (230 words)

  
 Archaic Medical Terms English List B
An epithet given to certain constitutions and diseases, which are believed to be the effect of superabundance of the biliary secretion; as bilious fever, but often used, without any definite idea, as regards the bile, being attached to it.
A term very generally made use of, to express diseases which arise from too copious a secretion of bile: thus bilious colic, bilious diarrhea, bilious fever, etc. [Hooper1829].
Gastric distress caused by a disorder of the liver or gall bladder.
www.antiquusmorbus.com /English/EnglishB.htm   (1634 words)

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