Lithogenic / Thick bile / Billary sludge As bile is produced in liver & has about 90% of water rest is bile acids synthesised from cholesterol. If concentration of water & bile acids level is altered or bleeding into bile canaliculi , will lead thick bile / billary sludge / Lithogenic bile & person can become symptomatic or can develop stones etc.
If we make a diagnosis of biliary sludge / thick bile, patient should be hydrated & fatty meal diet should be given to increase the production of bile so that body should push away the thick bile /billary sludge by increasing muscle moments in billary tract as a natural physiological way. So fatty meal restrictions should be avoided in thick bile / Lithogenic bile / billary sludge / billary tract disease instead it should be promoted to increase the volume of bile alongwith hydration & distal obstruction at sphincter of oddi should be…
