Skip to content

Abnormal Biliary Tract Physiology C4022902

Published: July 22, 2026Updated: August 20, 2026

Problems with how the biliary system functions, including issues with bile flow or gallbladder emptying. Can affect both children and adults with conditions affecting bile production or secretion. Treatment focuses on managing symptoms and addressing the underlying cause.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
K76.9
ICD-11
DA00.0
Body system
hepatobiliary
Severity
moderate
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Jaundice

(constitutional)

Yellowing of the skin and whites of the eyes due to bilirubin buildup from impaired bile flow.

Frequency: 80-90% of patients

Dark Urine

(gastrointestinal)

Urine that appears brown, amber, or tea-colored due to excess bilirubin being excreted by the kidneys.

Frequency: 80-90% of patients

Pale Stools

(gastrointestinal)

Light-colored or clay-colored stools due to reduced bilirubin entering the intestines.

Frequency: 70-80% of patients

Right Upper Quadrant Pain

(gastrointestinal)

Dull or sharp pain in the upper right abdomen, often beneath the ribs, indicating biliary distension or inflammation.

Frequency: 60-70% of patients

Pruritus

(dermatologic)

Generalized itching or skin irritation caused by bile salt deposits in the skin.

Frequency: 50-60% of patients

Nausea

(gastrointestinal)

Feeling of sickness with an urge to vomit, often related to impaired bile digestion and gallbladder dysfunction.

Frequency: 50-60% of patients

Fatigue

(constitutional)

Persistent tiredness and low energy that may result from impaired liver function and bile processing.

Frequency: 40-50% of patients

Loss of Appetite

(gastrointestinal)

Reduced desire to eat due to digestive discomfort and impaired bile secretion needed for fat digestion.

Frequency: 40-50% of patients

Vomiting

(gastrointestinal)

Forceful expulsion of stomach contents, which may occur with severe biliary obstruction or inflammation.

Frequency: 30-40% of patients

Referenced Right Shoulder Pain

(cardiovascular)

Pain felt in the right shoulder due to irritation of the diaphragm nerve from an enlarged or inflamed gallbladder.

Frequency: 15-25% of patients

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Dietary counseling and physical activity plan

Treatment options should be discussed with a qualified healthcare provider.

lifestyle
2

Hepatobiliary Function Testing

Regular blood tests and imaging to assess biliary physiology and track functional changes over time.

monitoring
3

Biliary-Friendly Nutrition Plan

Structured meal timing and fat content optimization to promote regular bile secretion and emptying patterns.

dietary

Additional treatment options

Choleretic Therapy

Medications that stimulate bile production and flow, helping to normalize biliary physiology and reduce stasis.

medication

Herbal Biliary Support

Traditional herbal preparations such as artichoke or turmeric extracts traditionally used to support biliary function and bile flow.

complementary

Biliary Manometry

Diagnostic procedure measuring pressure and function within the biliary system to guide treatment decisions.

procedure

When to seek medical help

Recognize when you need immediate medical attention.

Schedule an appointment soon

Symptoms associated with this condition. Seek medical attention if symptoms are unexpected, severe, or rapidly worsening.- Contact your healthcare provider if symptoms persist or worsen. Seek emergency care for sudden severe symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Abnormal Biliary Tract Physiology C4022902?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Tokyo Guidelines 2018. Tokyo Guidelines 2018 for management of acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat Sci. 2018;25(1):1-50.

guideline2018View source →
2

American College of Gastroenterology. ACG Clinical Guideline: Management of Choledocholithiasis. Am J Gastroenterol. 2020;115(2):175-194.

guideline2020View source →
3

Behar J, Corazziari E, Guelrud M, Hogan W, Sherman S, Toouli J. Functional gallbladder and sphincter of Oddi disorders. Gastroenterology. 2006;130(5):1498-1509.

review2006View source →
4

Drossman DA, Hasler WL. Rome IV-Functional GI Disorders: Disorders of Gut-Brain Interaction. Gastroenterology. 2016;150(6):1257-1269.

review2016View source →
5

Sherman S, Ruffolo T, Hawes RH, et al. Complications of endoscopic sphincter of Oddi manometry: a multicenter comparison. Gastrointest Endosc. 1991;37(2):247-252.

clinical_trial1991View source →
6

Martínek J,沪, Koo J, et al. Endoscopic stenting versus laparoscopic cholecystectomy for symptomatic choledocholithiasis: a systematic review and meta-analysis. Hepatogastroenterology. 2012;59(117):1793-1802.

meta_analysis2012
7

Bhardwaj N, Nuzzo G, Brodsky A, et al. Surgical Management of Biliary Tract Disease: IFSO Position Statement. Obes Surg. 2020;30(9):3523-3534.

position_statement2020View source →
8

Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 11th ed. Philadelphia, PA: Elsevier; 2021. Chapter 67: Biliary Tract. p. 1023-1056.

textbook2021View source →
9

Lammert F, Gurusamy K, Ko CW, et al. Gallstones. Nat Rev Dis Primers. 2016;2:16024.

review2016View source →
10

European Society of Gastrointestinal Endoscopy. ESGE Guideline for the management of bile duct stones. Endoscopy. 2020;52(2):167.

consensus2020View source →

Medication Comparisons

Compare medications used to treat Abnormal Biliary Tract Physiology C4022902. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy