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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Noticed inflammation of bile ducts due to kidney stones

Hi, I am a 39 year old male and have advanced MS. I usually take oral Medrol for 3 to 4 days every two months to help with MS symptoms. It's time for my next dosing but I have inflammation of the bile ducts. My Primary physician ordered an ultrasound and the results said it was inflamed and also there is a small chance (unclear image) of a small kidney stone. Pain is dull and lessened considerably over past few days, and was clearly coming from bile ducts according to sonogram technician's examination. The lab tests and urine test reveal no blood in urine and everything but cholesterol looks pretty good. I have appointment with my physician in a week.... he won't be able to see me sooner. His staff told me if it gets bad I have to either wait for the appointment or go to the ER. The attending nurse said she wouldn't be able to help me any further unless I went and got a CT. I simply cannot afford that. I don't like to go to the ER for diagnostic purposes either--that's not what they are there for. I am not one to go to ER unless it's life threatening. I've had my gall bladder removed and have had bile duct inflammation before. This feels just like it. Last time prednisone and antibiotics worked miracles. I'm don't want to wait because not only it is very uncomfortable but I stand a chance of getting an infection if the plumbing gets bad in my body. Will taking my dose of Medrol (oral) be beneficial or harmful for the inflammation I am experiencing? My doctor won't prescribe antibiotics unless he sees me and he's just too busy for his office to squeeze me in any sooner. So it's either wait or go to ER... I have MS Contin that I take for nueropathy so I can make myself reasonably comfortable, but I would like to treat the inflammation in any way I can. I already am drinking tremendou amounts of water, pineapple iuice, cranberry juice and eating plenty of veggies. Any thoughts? Thanks for your time, Mitchell
Mon, 20 Apr 2015
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General & Family Physician 's  Response
Hi Sir,

I understand your query and concern.
As per your clinical description of pain,it usually points to renal stone located somewhere in the lower ureter.For this you need to have a CT scan of the abdomen for accurate assessment.Gelusil cannot control this pain.
I advise you to have Tab Tramadol and Tab.Pantop 40 mg,a course of antibiotic taken under medical prescription to control this pain.Further expert management depends on the outcome of the CT scan result.If the size of stone is more than 5 cm then depending on the location of stone Extra corporeal lithotropsy can be done.Meanwhile you need to take soft and less spicy foods.Drink 3-4 litres of water everyday.Fruits,fruit juices,vegetable salads,soups should be taken.
Post your further queries if any.
Thank you.
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