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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Abdominal Pain, Ultrasound Shows Dialated Common Bile Duct At The Porta Hepatis, High Cholestrol, Ferritin. Suggestions ?

I had an ultrasound on Monday due to abdominal pain on the right side and a high ferritin result from two recent blood draws, (363 and 378). The rest of my liver function elements were in the normal range with the exception of my good cholesteral which is on the high side. My total is 220. I had my gallbladder removed almost 40 years ago due to many small gallstones which mainly consisted of cholesteral. The ultrasound showed a dialated common bile duct at the porta hepatis. I have avoided taking any statin medication for my cholesteral but am wondering if I should start and if the high ferritin and pain may be pain from an overworked liver. I eat well and I am not over weight (140, 5'5"), and I do not drink alcohol. I am 63 years old and in very good shape otherwise. My blood pressure is great and I am not diabetic.
Mon, 8 Jul 2013
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General & Family Physician 's  Response
hi,
good to know that you are not diabetic or hypertensive. your abdominal pain doesn't seem to related either gall bladder, not ferritin levels. dilated porta hepatis may be due to early liver damage. it would be better to know texture of liver in USG

the cholesterol levels which you can be controlled with dietary modifications, but it has to be monitored first, and if not controlled with diet and physical activity then may be resort to statins.

wish you good health
take care
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General & Family Physician Dr. Lohit K's  Response
Hi, Thanks for using HCM.

Your question is whether to start statin.? Since you had gall baldder removed due to gall stones and now have higher cholesterol level, you should reduce your cholesterol level. So consult your doctor for its management if you dont want to take it. Never decide on your own for stoping medication. adhere to your doctor. Raised ferritin may be due to any recent infection. You had pain abdomen also which may be due to infection. So consult your doctor for examination and management.
Hope I answered your question. Feel free to ask me if you have any further queries.
Wish you good health. Take care.

Regards
Dr. Lohit
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Abdominal Pain, Ultrasound Shows Dialated Common Bile Duct At The Porta Hepatis, High Cholestrol, Ferritin. Suggestions ?

hi, good to know that you are not diabetic or hypertensive. your abdominal pain doesn t seem to related either gall bladder, not ferritin levels. dilated porta hepatis may be due to early liver damage. it would be better to know texture of liver in USG the cholesterol levels which you can be controlled with dietary modifications, but it has to be monitored first, and if not controlled with diet and physical activity then may be resort to statins. wish you good health take care