Biliary colic is an emergency

Biliary colic is a manifestation of cholelithiasis . It manifests as painful attacks, which can last from several minutes to several hours. They appear in the right upper quadrant, and then spread throughout the abdomen. If a person has biliary colic, emergency care should be given immediately. Otherwise, there will be pancreatitis, cholecystitis, intestinal obstruction and other complications.

Symptoms of biliary colic

Emergency care should be provided after the appearance of such symptoms of biliary colic:

• repeated vomiting;
• nausea;
• acute pain under the right rib (can give in the back, neck, shoulder, right shoulder blade, and sometimes spreads all over the abdomen).

The pain attack, as a rule, begins at night. It becomes stronger during inspiration and when a person turns to the left side. The pain decreases slightly if lying on the right side (you can bend your legs in the knee joints).

It is also necessary to call the doctors and immediately provide emergency help in case of biliary colic attacks, when the pain is accompanied by fever, pallor or jaundice of the skin. Some patients have bloating. This is another disturbing symptom, even if the pain is less pronounced.

Emergency care for biliary colic

Those who provide emergency care for biliary colic should follow such an algorithm of actions:

1. Calm the patient who is in a state of agitation.
2. Lay it on the right side, putting a warmer under the body (the heat will eliminate the spasms in the smooth muscles).
3. Give him an antispasmodic drug (No-shpu, Atropin, Promedol, Pantopon, etc.).

If the patient repeatedly vomiting, then you should enter a spasmodermal intramuscularly. Good pain relief 0.1% Atropine at a dosage of 0.5-1.0 ml and 2% Pantopone in a dosage of 1 ml. In severe cases, enter 1 ml of a 1% solution of Morphine Hydrochloride with Atropine. In the presence of infection of the biliary tract and in the absence of vomiting, antibiotics of a wide range of action, for example, Nikodin, can be used. From eating, you should abstain even if all the symptoms of such a pathology disappear.

This home emergency care for biliary colic should be completed, then the algorithm of action provides for hospitalization, and sometimes, surgical intervention. If the patient is to be transported for a long time, an infusion of a solution of glucose with a solution of novocaine and antispasmodics is introduced into the ambulance.