Ascending cholangitis

Questions and answers on "Ascending cholangitis"

Hi, I have primary sclerosing cholangitis and mild Thrombocytopenia. I have had two DVT,s and signs of previous thrombosis in the portal and splenic veins and abdominal area showing on MRI scan. I am taking urso, propranolol. Also taking tinzaparin. Have been on these drugs for 6 mths. I had a 6 monthly check on my varices that were previously grade 2 varices x4. But now are showing signs for bleeding. They banded one varices with 7 bands yesterday and have to go back another twice for the remainder. I would appreciate you giving me some indication on how my lifestyle will be affected, ie, sports,hiking etc and a rough prognosis. Kind regards, XXXXXXX
PS, and any other info and advice you can give me that might be some help!

doctor1 MD

Hi and thanks for the query
Primary sclerosing Cholangitis (PSC) is an autoimmune disorder affecting the bile ducts. It can be associated with other autoimmune disorders like thyroiditis, ulcerative colitis, scleritis and arthritis. Over years PSC can progress to cirrhosis. Thrombocytopenia and...

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Query on Gall Bladder Stones.
Does eating garlic clear the stones ina natural way. Also does half a lemon with a teaspoon of olive oil and garlic once a day help in flushing gall stones.

doctor1 MD

Hi and thanks for contacting XXXXXXX
Gallstones are formed because of -
1) A supersaturated bile secretion from the liver. This could be transient secondary to some drugs or conditions like pregnancy or permanent where it is genitically driven
2) A supersaturated bile is allowed to stand for...

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I asked my doctor if my vomiting, and pain rt side of abdomen could be liver stones. She said there is no such thing? So my question is if there are liver stones, how to detect it and treat?

doctor1 MD

Hi,

Thanks for the query.

The symptoms that you have are not complete to say them as liver stones.

Normally the stones that we see in hepatobiliary system are the gallbladder stones technically known as cholelithiasis. Rarely stones are also found in the ducts within the liver and are known as...

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I have been in and out of hospital several times in the last 3 months on all scans no gall bladder can be found ,I have a blocked bile duct and I have had 2 e.r.c.p. And I have to have more could this be cancer of the bile duct

doctor1 MD

Hello,

I am sorry that you are unwell.

Bile is a liquid that is released from the liver. It contains bile salts, cholesterol and waste products such as bilirubin, the bile salts help your body to breakdown fats.

The possible cause of a blocked bile duct includes:
(1) Cysts of common bile duct...

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My 6 year old woke up Saturday a violently threw up yellow bile & felt fine after, no fever or I'll symptoms. He did it again this morning, with no other symptoms, worried, any insight?

doctor1 MD

Hello and welcome to Health Care Magic,

Vomiting of bile indicates an obstruction in the gastrointestinal tract beyond the opening of bile duct i.e. second part of the duodenum.

Since, this problem is not present since birth, this obstruction is acquired and can be due to an obstructing agent...

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I have been diagnosed with gastritis in august 2012. I did not have much pain until recently and had to go to ER. CT scan showed nothing except radiologist detected two stents that looked like they were coming out. These were put in in December 2010 after a month in hospital with pancreatitis. Still waiting to find out if the stents have any thing to do with gastritis attacks. Meantime, what can help with this pain...mostly in upper abdomen under ribs. Clothing feels tight, like it's cutting into my gut but it's not. I have on very loose lounge pants. I have taken only Tylenol and mallox so far today but pain seems worse. Help!!

doctor1 MD

Dear XXXXX,

Thanks for contacting Healthcare Magic.

Most likely stents were placed in CBD (common bile duct) for stones in CBD at the time of pancreatitis. It is possible that one of the stents may be in pancreatic duct(PD). After gall bladder removal these stents should have been removed.

Your...

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Today was the second time that I have expierence what I would call a stomach attack. The first incident happened 3-4 months ago and seems that nothing is bringing it on. It starts as a dull heavy pain right under my breasts in the middle of my upper abdomin kind of in the bottom of my ribcage. It almost feels like a balloon filling with air and within only a minute or two the pain becomes severe and radiates down throughout my abdomin. The pain is constant and along with the pain comes dizzyness, sweating, and the feeling of passing out. Because it's so painful I have to breathe very short and fast breaths. No position feels comfortable and the pain just makes me squarm. It has only lasted about 20 mins both times and leaves my body the same way the pain comes on. For aprox. 10-15 min after my lower ribcage feels almost sore.
The only thing I can compare it to is it is very simular to the pain of my gallbladder attacks, as the pain comes slowly, then becomes severve pain, but then vanishes. I would also compare it to the pain I felt when I was in labor with my son. Its extremely painful and scary, and I know its not normal. Please help.

doctor1 MD

Hello,

Thanks for posting your query.

The symptoms you described are likely to be caused by gall stones. I understand you have had your gall bladder removed four years back, yet the common bile duct (cbd) can also harbour gall stones either with or without the gall bladder.
Research has suggested...

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Hello Sir, My name is XXXXXX, my age is 25. I had choledocal cyst which was removed in my last open surgery on May 2008, Microscopic report of the cyst “cyst wall shows chronic non specific inflammation “. After 2 years I face again problems like jaundice, fever, vomiting etc, but no problem between these 2 years. When I asked doctor about this he suggest for MRCP scan to find out the exact problem and found stricter is there and ask to admit for reoperation to make the bile flow normal. Operation was held on Dec2010, till today I have no problem. Below is my current LFT report as on Feb 2012: Total Bilurubin 2.08 Direct 1.48 Indirect .60 AST 22 ALT 18 Alkaline phosphatise 157 What I would like to know, 1. How many days I could live without gallbladder (as I know Gallbladder and CBD was removed in my 1st operation) and what are the complications in future? 2. As I am single, if I would like to marry, Could I enjoy a happy married life if yes Could I be pregnant and born a healthy baby? 3. Over time problems would be more as compare to present. 4. Any food restrictions ? Doctors please please be honest with your answers. As a brave girl I face any truth you have…

doctor1 MD

Hello,
Thanks for posting your query .
I understand your concern as a vigilant health conscious individual and appreciate your efforts and courage to face your health problems .
Please do not worry at all .The prognosis after excision of a choledochal cyst is usually excellent however long term...

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Hello,

I'm seeking assistance on behalf of a friend. He has become very sick recently, and we have had little to no progress with the local hospitals. He is 6ft 3in in height, and was a strong fit man, 30 years of age. In the last 2 months, he has lost 15-20kg and is now fitting into his jeans that he wore when he was 19, his appearance is gaudy and feint and he rapidly loses energy while doing the most trivial of tasks such as getting off a chair, or walking to the end of a corridor.

He explained his symptoms as follows:

If he eats some food, he feels & hears a popping sound beneath his left rib, so this is perhaps the Transverse colon or pancreas, or somewhere in this region. Then within his chest he is overcome with a strange feeling, his heart starts to palpitate rapidly, and he becomes rapidly exhausted. He is suffering headaches a lot now too.. Sometimes these symptoms happen even when he has not eaten.

I'm unsure if he is losing weight indirectly because he is eating less, or if this problem is causing him to lose weight directly.

So, he has been to the hospitals. They have confirmed his blood is clean. An MRI indicated no problems either. They can find no traces of cancer, though he does look like an advanced cancer / leukemia patient due to his loss of colour and weight. Previously the doctors said there was a shadow on his pancreas, but have since said there is no shadow. so, we need to find out more about why they believed there was one initially. He was diagnosed last week with having Barretts disease, but the doctors have said this is incorrect also. The hospital then discharged him, and requested he keep a mobile heart monitor on for the next few days. He did so, and returned it to the hospital. We await their reply.

I hope you can help assist in diagnosing what the problem could be. If we have a few solid suggestions, we can work with this and seek local professionals who deal explicitly with these symptoms.

best regards,
XXXXXXX

doctor1 MD

Hi,

Thanks for posting your query.

I appreciate your concern for your friend.

Any loss of >10% of body weight in the last 6months or >5% of body weight in 3 months would constitute a significant weight loss. Such a loss if it is involuntary it is usually due to -
1) Immunodefeciency diseases-...

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My mom is in her seventies, has gastritis and has had her gall bladder removed decades ago. A few months ago due to intense upper right quadrant pain, she had a sonogram and MRI that reported her common duct is dilated. She has also had bright yellow urine for a few months, and pale stool. She could not have the ERCP recommended bc she had blood pressure issues. The pain is all but gone, but the discoloration continues. Is this discoloration related to the duct? What should the next step be?

doctor1 MD

Dear XXXXXX,

Thanks for your health concerns.

The color of the stools is given by bile; pale stools are usually a reflection that not enough bile is reaching the gut, and the usual cause is obstruction. For this purpose, direct visualization of the pancreatoduodenal with an ERCP is the best next...

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Recent questions on  Ascending cholangitis

doctor1 MD

Hi Doctor

I have been diagnosed with proctosigmoidities ulcerative colitis and i have heard that there is a strong relation between it and sclerosing cholangitis . My question is if i decide to do j-pouch operation which i think will end this disease , Does it also reduce the chance of getting sclerosing cholangitis or nothing is changed and Is it true that by doing j-pouch operation then there will be no longer auto-immune disease as the diseased organ has been removed and therefore no other anti-bodies will exist to destroy intestine or even liver ? thanks alot Dr.

doctor1 MD

I just had an ercp and an mri done. My gallstones thats blocking the common bile duct was successfully taken. Mri shows that i have no more gallstones in the duct.. And my liver is free of abscess,lesion,tumor and inflammation. What could be causing my bilirubin to continously rise?

doctor1 MD

Hello. Went in for right upper quad pain and left chest/ shoulder pain . Fever for 10+ hrs but hasn't returned since this am. Bilirubin is high and in urine. High lymphocytes. All other labs normal. Ultrasound in am. Thoughts? Have been followed...

doctor1 MD

have a bile duct stucture a result of gall blader surgery. I have had 10 ERCP done to strech the bile duct, it continues to narrows. what is the min. size it could be. I'm trierd of getting these ERCP's done and i have had some complaction with there procedurs

doctor1 MD

I have recently been diagnosed with cholangitis by my gastro dr but was not prescribed antibiotics. My doctor said ERCP would be the treatment, however, I was hospitalized for 34 days last year with pancreatitis and an ERCP at the time inflamed that condition consideralby. I was wondering if I should ask my dr if I should be on antibiotics, he set me up for a follow up in 4 months to have a blood test done at that time. The cholangitis diagnoses came up as a result of a liver biospsy I had done last month. Thanx p.s. He diagnosed me with crhonic pancreatitis last year.

doctor1 MD

is a 32mm gallbladder stone XXXXXXX for health...is it required to be removed...if there is no pain?

doctor1 MD

I had an ERCP on Monday of this week. I felt good the next day til around 1900 hrs, wrapping Christmas gifts, when I started feeling sick ( nausea , back pain and a sudden onset of chills/shivering). I went to bed and covered myself with many...

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