Biliary Dyskinesia: Normally the gallbladder is triggered to contract and push bile into the duct of the bile, by many factors, most of the time food. Usually, in between eating, the gallbladder will gradually fill with bile and after eating, contracts in order to empty the contents. If the gallbladder does not work properly and therefore does not empty the bile, pain may develop. This contraction that is abnormal might cause no symptoms but in some individuals it can cause some vague cramping in the area of the upper abdomen. Some individuals might have sharp pains that are episodic under the right rib cage. Normally, food causes the symptoms. This word “Dyskinesia” is used for this diagnosis and has a literal meaning for “abnormal motion”.
The indications of this disorder can be the same symptoms of many illnesses such as gallstones and other stomach problems. So, testing is needed to rule out other disorders as well as help to confirm dyskinesia. A routine ultrasound of the abdominal area is used to rule out gallstones. Often, upper endoscopy of the stomach is also done. Routine blood tests are helpful also. Usually all these tests will be normal. No gallstones, polyps or sludge are seen in the gallbladder on the ultrasound. Then the next test involves nuclear medicine with a test which measures the gallbladder’s bile uptake and the gallbladder’s capacity for contraction as well as to expel bile. Atypical nuclear test in an individual with a substantial history will point to the diagnosis.
A laparoscopic cholecystectomy to remove the gallbladder is the treatment for this disorder. Careful consultation with the surgeon is extremely vital before the surgery as the tests and history to diagnose this condition is not as ironclad as gallstones. Some individuals might not have a resolution of all their symptoms after the removal of the gallbladder.