Biliary dyskinesia history and symptoms

In order to exclude other disorders, the patient’s history is important in the diagnosis of biliary dyskinesia. Symptoms of biliary dyskinesia are characterized by biliary colic symptoms and include: postprandial pain in the right upper quadrant (RUQ) (that radiate to the flank, back, and right scapula), intolerance to fatty food, pain in the evening or awaking the patient at night, bloating, nausea and vomiting.

In order to exclude other disorders, the patient’s history is important in the diagnosis of biliary dyskinesia and should include the relationship of pain to:^[1]

• Food
• Bowel movements
• Duration
• Time (of the day)
• Previous therapies

• Symptoms of biliary dyskinesia are characterized by biliary colic symptoms and include:^[1]
  • Postprandial pain in the right upper quadrant (RUQ) that radiate to the:
    • Flank
    • Back
    • Right scapula
  • Intolerance to fatty food
  • Pain in the evening
  • Pain awaking the patient at night
  • Bloating
  • Nausea and vomiting

• Within 6 hours, symptoms of a functional biliary disorder improve.

• Symptoms of biliary dyskinesia have been reported to resolve without any invasive procedure in about half of the patients.^[2]