blog General Index
MYTHS IN MEDICINE
(no sick more intractable than just "think" that is)
3 º MYTH: ATTACKS OF LIVER
Who has not had on several occasions a "liver attack?
But when the question refers to a detail, is that only some have been something related to hepatobiliary complex: a biliary colic (in some people, stones form-small solid-concretions within the gallbladder. In a determined time one of these computations is beyond the organ in question, and gets into the "common bile duct, which is the small tube that carries bile to the large digestive tracts. This foreign body within such a small canal, makes its walls to contract, is espasmodicen-producing an almost unbearable pain), colic, we said, but that is not "an attack of liver." What they have suffered a setback is nothing that has given the gallbladder. To say that a biliary colic is a liver attack, is like saying that cystitis is an attack of kidney. The gallbladder, unlike the bladder, is "glued" to the liver, but physiologically are equally distant from two, the bladder serves to store the urine and urination urination, gallbladder to store bile between digestion and digestion.
One, last night, has eaten fried eggs, and this morning has risen to "annoying pain in the liver, nausea, vomiting and headache. Those around diagnoses with the greatest of certainties, "This is a liver attack" (it is very sure that you ever felt or diagnosed, or worse, a doctor made the diagnosis). But they are all wrong.
Here are the causes of error, and perdonémoslos, what do no evil.
Let's talk about basic hepatobiliary physiology.
Bile is a liquid (humor) digestive wonderful, and cholesterol is the fundamental component. All that the small intestines absorb (that's "digestion") must be soluble in water. Fats could not be digested if there were no bile (Come on, that without bile, neither would we). She, containing soap, makes fat soluble in water intake (like the soap we use for the toilet). That makes them absorbable soluble, digestible I mean.
The egg, to continue the example started this speech So, it is "Colagogo" meaning which requires that you provide a lot of gallbladder bile, so it can be assimilated to the maximum. But here comes
culture. It is quite usual that those who do eat fried eggs accompanied by a lot of bread (for sopar in just coagulated yolk-rich are not rich many more things than that-).
And when you eat fats and starches, is demanding the most of your digestive capacity (one might say, without trying to exaggerate the speculation, which is "abusing it.")
Eating too much fat (fried egg has many), the gallbladder does provide a lot of bile, which along with much starch makes a mess. Because the starch never fully digested, so the surplus reaches the large intestine before being eliminated. But it happens that the intestine is full of bacteria (do not panic, they are friends, and to provide us with the essential vitamin K, among other things), full of bacteria, he said, for which the starch is the tastiest of desserts. Then I "eat" as we call it fermentation, and the fermentation (like all fermentation) produces gases. And it also happens that the excess bile reaches the colon, and, remember, the bile has soaps. And you know what happens when we join diluted soapy water and gases. Yes, sir: there is foam, and foam formed by bubbles very small (like beer foam), literally "inflated" the large intestine, which occurs at the first "symptom of morning-after": abdominal distention.
The colon is divided into four sections: the "up" (the first portion, starts a little above the right groin, it is colgadito "Appendix" - and rises to the height of the liver). There is folded into a very acute angle (in homage to its famous neighbor, is called "hepatic flexure), and begins the second leg" of the transverse colon. " This is a lot shorter, and goes more or less horizontally to the left. There, at the height of the spleen, is another angle, this time, due to the proximity of that body, is called "splenic" (Greek splen , in Castilian is translated as "spleen") and almost is never as sharp as the liver. There starts the penultimate section, "the bottom", which ends in the fourth, the "sigmoid", so called because its path is very similar to the Greek S called sigma ("oid" is a suffix that means: like ...).
entire colon is surrounded by nerve ganglia that coordinate perfectly their movements, which are called peristalsis, which have the function of transporting your content from the beginning of the first leg to finish fourth, then have to be evacuated.
But when the colon is filled with a tight foam (as we talked about above), the matter becomes more complicated, because the foam is plastic, then advance when a section of intestine pushes toward the end, but back when that portion is relaxed and all the work starts again. And this constant struggle causes pain, pain that becomes more apparent where more foam to accumulate: in the hepatic flexure (the foam is lighter than water so it meets at that angle, which is the highest part of the colon) And here is the second "sign of the morning-after" THE PAIN TO THE HEIGHT OF THE LIVER, everyone graciously attributes this to the noble viscera (poor liver).
Many people suffer from recurrent headaches (headaches), which usually follows, apart from intolerance to light and noise, nausea and vomiting (which in medicine is called "migraine"), which in the vast majority of those who suffer due to intolerance to ferment starch. So here are presented the third and fourth "symptoms morning after "headache, and nausea and vomiting.
With all this we fully installed "liver attack" , and I hope I convinced that the poor liver HAVE NOT HAD NOTHING TO DO IN THIS MATTER.
(I know the topic is too difficult to explain without drawings through, so I apologize if I have not found a simpler way to do it).
comes in. Then the "remedy for liver attacks" drops or tablets antispasmodic compounds (usually "hyoscine" or "propinox" ...) and analgesics (almost always "dipyrone" "Clonixinate lysine" or "paracetamol" ...).
And you take a composite of these, and soon after symptoms disappear.
The reasoning seems logical to infer, "I had those symptoms, I took a" remedy for the liver "and the symptoms disappeared. Then I had a liver attack from eating fried eggs last night.
And everything returns to be wrong, wrong.
Antispasmodics decrease (and may even stop) the movement of smooth muscles that form the fundamental part of all digestive tracts, so that the bowel ceases to fight, and obviously hurting, and the stomach to cause nausea or vomiting.
Analgesics relieve pain, headache, and pain that may be small in the hepatic flexure of the colon.
But it happens that the liver does not have smooth muscles, because the liver is a gland SOLID.
Abdominal pain can be a very important symptoms, vital. We can not trivializing diagnosed, very loose body - liver is an attack!
My family consists of five members: my three children, now have 35, 32 and 31 years (the last two are married and live in yours) my wife and me. And I swear that in all these years, none of the five said, ever, "my tummy hurts." Moreover, in this house has never entered an analgesic-antispasmodic. No way, no shape or form, never part of our home kit. The reason is simple: do not eat this meal, except on rare occasions, here do not drink milk or yogurt, and orange fruit has never been a usual in our practice (because you know that milk, yogurt and orange fill the gut of a foam like wheat flour and produce the famous and annoying bloating and cramps).
PARADOX: most Sometimes the liver is ill, the patients who consult us almost never suspect that the patient is the liver.
And with that ends the myth of the attacks the liver (Will it end the myth?). Thirty
delivery: "TAKE THAT TIME OR ANTIULCER ANTIGASTRÍTICOS"
0 comments:
Post a Comment