April 1, 2008

Biliary What What?

Biliary dyskinesia: Spasms of the gallbladder or its ducts that impair filling or emptying and are caused by intrinsic or extrinsic disease. Also defined as a motility disorder that affects the gallbladder and sphincter of Oddi. Once dyskinesia has been diagnosed, there are few treatment options other than cholecystectomy (gallbladder removal), because pharmacotherapy does not provide relief.

In layman's terms? My gallbladder isn't working. At all. It should function (ie. dump bile into the stomach) at more than a 50% rate in order to be considered "efficient". So after eating a meal it will contract and empty at least 50% of its bile content into your stomach to aid in the digestion of the food. Mine functions at 0%. It just sits there and spasms but does not dump any bile.

Some people can modify their diet (usually cutting out fats, dairy and items with pectin) and minimize the attacks.
My problem is that there is no correlation with attacks and diet. I ate lunch yesterday afternoon from Wendy's but the unbuttered, whole grain toast this morning sent me into spasms. The other day I was sick after eating spinach, sick after eating cheese but okay when eating peanut butter. Since there isn't any correlation to diet, my options are leave it in and deal with random attacks or have it removed.

I'm supposed to be at the hospital next week at 8:30am on April 9th. This sucker is coming out. Success rate of symptom elimination is about 90% after surgery.

After conferring with some buddies on a website I frequented when pregnant, it appears that gallbladder disease is extraordinarily high in women who suffer from hyperemesis while pregnant. They're not sure exactly why. It just appears to be another lovely side effect.

I'll just add it to the list of body parts that got beat up when I threw up almost daily for 34.5 weeks.


Kristen said...

Like I said before as crappy as it is to have to add surgery to insanely long list of things to accomplish I am glad they figured out what is wrong. Hopefully this means no more suffering and feeling like garbage. Wish I could be there to hold your hand.

KarenMM said...

I think I posted this before, but I had mine out. I was in the hospital for about 3 or 4 days I think and back to work within a week of having the surgery.

I had the surgery on Friday, got out say Wednesday and was back to work on Monday.

You will feel tons better afterwards. It is nice to have so much freedom from worrying when the attacks will come.

I'll be thinking of you next week!

Andrea said...

Best wishes for a successful surgery!

Flying Monkeys said...

Yeah, I thought about the choice of Wendy's after I left. Glad to know my lunch choice didn't cause and attack.

You'll do fine and we're close so just call. BTDT.