How can i treat primary sclerosing cholangitis?

Question

Does primary sclerosing cholangitis usually cause many symptoms?

Answer 1

Difficult problem: Psc: autoimmune swelling/scarring of bile ducts within and outside the liver; often associated with infl. Bowel (usually ulc colitis). Increased risk for biliary ca. Med rx for itch, biochem abnormalities, e.g. Urso (bear bile), antihistamines, antibiotics for infections, vitamin supllements for deficiencies. Ercp procedure may open some strictures (narrowing). Ultimately, may need liver transpla.

Answer 2

Ursodiol: Standard treatment includes ursodiol, a bile acid naturally produced by the liver, which has been shown to lower elevated liver enzyme numbers in people with psc, but has not improved liver- or overall survival. Invasive approaches include ERCP and stunting are needed to open major blockage. Liver transplant is the only proven long term treatment.

Answer 3

Yes: The goal of managing acute attacks is antibiotics and IV fluids. In about 15%, emergency decompression or surgery is needed. Prevention of future attacks of cholangitis is based on removing biliary stones and debris, dilation or resection of strictures, and establishing optimal biliary drainage. Also important to rule out the clonorchis parasite. Your GI doctor can discuss newest treatments.

Answer 4

Very low: PSC is most commonly seen in patients with ulcerative colitis. Patients with PSC have 60-72% association with ulcerative colitis; low genetic and immunologic factors are attributed to PSC.

Answer 5

Yes: It is a disease that slowly progresses and eventually without treatment leads to hepatic failure which has a very high mortality rate.

Answer 6

Depends: Primary sclerosing cholangitis ( psc) causes destruction of the bile ducts inside and outside of the liver. The first symptoms of the disease include fatigue, itching and jaundice, or yellowing of the skin and eyes. Psc however, is associated with a number of hepatobilliary disorders like pancreatitis, which may cause pain.

Answer 7

Not common: Most people with psc don't routinely complain of pain. Psc affects the bile ducts and can lead to cirrhosis of the liver. This can cause many things jaundice, itching, fatigue, bleeding. I suppose if you still have your gallbladder you could have some pain from obstruction of the outflow of the gallbladder. But pain isn't the first thing i think of with psc.

How can i treat primary sclerosing cholangitis?

Ask U.S. doctors your own question and get educational, text answers — it's anonymous and free!

Ask U.S. doctors your own question and get educational, text answers — it's anonymous and free!

HealthTap doctors are based in the U.S., board certified, and available by text or video.

Ask your Colon and Rectal Surgery question free

Talk to a primary care doctor now for a personalized answer to your Colon and Rectal Surgery question

Trusted by millions since 2010

Similar questions

Is primary sclerosing cholangitis rare?

Primary sclerosing cholangitis - what is the inherited risk?

Will primary sclerosing cholangitis kill me?

Do people with primary sclerosing cholangitis have a lot of pain?

Related questions

Which tests can I undergo to give me a good overall idea of my health, as well as check for Primary Sclerosing Cholangitis (runs in family)?

Is there any relation between ulcerative colitis and primary sclerosing cholangitis?

Is primary sclerosing cholangitis only associated with severe Ulcerative Colitis? Or is it associated with mild disease too?

He has gallstones and maybe with psc (primary sclerosing cholangitis). He's had constant pain in his upper right quadrant for 24hr+. Do we go to emerg?

I was diagnosed with Primary Sclerosing Cholangitis in 2019. My gastroenterologist has tried to put me in Ursotan, but there is a shortage in the country from the manufacturer / supplier. What overall effect in the delay of treating PSC?

Found in:

People also asked

Related topics

Disclaimer:

Get the Free App for Members

Get the Free App for Doctors

Product

Company