Description

The definition of biliary pain is important in the identification of functional disorders of the biliary system.


Features of biliary pain - all of the following:

(1) located in the epigastrium and/or right upper quadrant

(2) builds up to a steady level

(3) lasts 30 minutes or longer

(4) occurs at different intervals, usually not daily

(5) interrupts daily activities and/or causes the patient to go the Emergency Department

(6) not significantly related to bowel movements

(7) not significantly relieved by postural change or gastric acid suppression

 

Biliary pain may:

(1) be associated with nausea and vomiting

(2) wake the patient from sleep

(3) radiate to the back

(4) radiate to the right infra-scapular area


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