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Cause and treatment of obstructive jaundice - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   hi
Doctor :   hi
Doctor :   How can I help you?
User :   Doctor i would like to know something about obstructive jaundice .
Doctor :   ok

Doctor :   Can i confirm your details
Doctor :   as we may have to get back to you in case of any
Doctor :   internet problems?
User :   ofcourse
Doctor :   Email : YYYY@YYYY
User :   correct
Doctor :   Mobile : 0000
User :   It is 0000
Doctor :   ok
Doctor :   Pls be patient because the internet is quite slow
Doctor :   pls go ahead with the questions
User :   Actually my father-in-law is suffering from this obstructive jaundice .
Doctor :   ok.
Doctor :   Has the cause for the jaundice been identifed?
User :   Yes
Doctor :   does he have any other health problems?
User :   Nothing
Doctor :   what is the cause of the obstruction?
Doctor :   how old is he?
User :   Doctor i am not aware about the medical terms. i will explain you in simple.
Doctor :   ok
Doctor :   pls go ahead
User :   He is 50 years old.
Doctor :   Is there anything specific I can explain to you/
Doctor :   or anything that you want to know?
User :   yes
User :   What exactly i want to know is like.
Doctor :   yes....
User :   His doctor told me that there is some blockage in his lower part of the liver
Doctor :   pls go on
Doctor :   ok

User :   because of which bile is not passing
Doctor :   yes
User :   for which they put 1 stunt before 15 days
Doctor :   the cause is actually the blocking of a tube called the bile duct
User :   exactly
Doctor :   and the stent will just bypass the blockage
Doctor :   HAve they identified what is causing the block?
User :   and they told me like once the the jaundice will come down we have to go for a surgery
Doctor :   ok

Doctor :   the commonest cause for obstructive jaundice is gall stones
User :   in which they will remove the block and make it byepass
Doctor :   Have they told you what is causing the block- there must be a reason

Doctor :   why the duct is blocked in the first place
Doctor :   what information can i help you with?

Doctor :   r u thr?
User :   yes am there
Doctor :   ..
User :   they said like when they will remove the blockage after that they will send that part for some test.
Doctor :   ok

Doctor :   So they are suspecting a growth has blocked the bile duct
Doctor :   But it is not yet clear what the growth is..

User :   and they also told me like that during this age most probably it is cancer.
Doctor :   ok.....
Doctor :   , how long has your father-in law had the jaundice?
User :   past 1 and half month
Doctor :   ok

Doctor :   has he lost weight?
User :   yes
Doctor :   ok
Doctor :   Treatment for this kind of problems has improved greatly now-a-days
Doctor :   the important thing for you to do is have faith in the
Doctor :   treatment and make sure your father-in-law has strong faith too
Doctor :   Like your treating doctor has said- it is a probability
Doctor :   has the treating specialist spoken to your father-in law?
User :   NO
Doctor :   about the surgery- not the cause
User :   yes about the surgery he knows but not about the cause. Infact no one knows in my family except me.
Doctor :   ok
User :   his doctor told me like if it is a cancer than he can live for another 3 years after surgery is that true ?
Doctor :   It depends on the stage and whether the cancer has spread- if it is cancer

Doctor :   How well has the jaundice reduced after the stenting?
User :   LFT test says it is 8 know, earlier it went upto 29
Doctor :   It will be inappropriate for me to comment or give you a specific answer without going through all the reports

Doctor :   But yes your doctor has given you an outlook
Doctor :   If you could- [that is if you don't mind] you can mail me your father in laws reports
Doctor :   I will discuss it with our panel gastroenterolgist
Doctor :   and get back to you by mail/ phone
Doctor :   with specific answers to your queries
User :   What all you required.
Doctor :   Do you have the ERCP report, the LFT and routine blood test- ESR and total WBC count in particular
User :   yes i do have.
Doctor :   the ERCP would be the one during which the stenting was done
User :   ok
Doctor :   you can forward it to YYYY@YYYY
Doctor :   and i will get back to you as soon as possible
Doctor :   once I see and discuss the reports
User :   should i mention any particular doctors name.
Doctor :   thats me
User :   great
Doctor :   Is there anything else I can help you with?

User :   thank you doctor
Doctor :   you are welcome
User :   one more thing
Doctor :   , don't be scared or lose faith
Doctor :   Ok...

User :   Is there any other hospital
Doctor :   what is the name of the doctor treating him
Doctor :   but we'll discuss that after I see/discuss the reports
Doctor :   Ok
Doctor even though he may not remember me- he
Doctor :   is always busy
Doctor :   He is a very good doctor
Doctor :   So i will get back to you

Doctor :   as soon as you amil me the reports
User :   Thank you doctor.
User :   Thanks so much
Doctor :   you are welocme
Doctor :   Bye for now
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