Doctor insights on:
Blockage: This is usually due to a blockage downstream from the duct like a stone. You should have your blood levels checked and an ultrasound done to rule out stones which can cause other problems in the future. ...Read more
Not sure: You question is a bit confusing. If you rephrase, me or one of my colleagues would be happy to provide an answer. ...Read more
Depends: On cause of stenosis. Benign versus malignant lesion. If plastic stents fail, sometimes a metallic stent with or without fabric covering could be placed. Some will require surgical bypass or repair. Your gastroenterologist and surgeon and interventional radiologist will need to come up with a treatment plan. ...Read more
Dr. Can remove the stent: Billy or cracks dance routine he remove my doctors there is a small chance of death but this is unlikely cannot really give any specific advice without specific information to Dr. Consult the best person to ask this questions for Dr. Put a stent in ...Read more
Perscribed 50 tramadols 50mg. Told to take 4/day 1 every 4-6hrs. In that case when do I refill and do I have to take 4? Its for bile duct stonepain. Sos
Problem: This is a big problem in my practice also. When I write an rx for pain medication and use those open end directions then patients tend think that they must take as directed on the bottle. The key word is adding 'as needed' on the prescription. I would look at the directions as a guideline to the maximal number you should take. If you do not need to take the pain medication, take as needed. ...Read more
Had 2 US: 06/2015 9:30am, Common Bile Duct - 3mm; 05/2016 11:15am, CBD is 3.6mm. Both fasting. Is the size increase of CBD a concern (20% increase)?
Highly doubtful that: It is significant, both measurements are in the normal range. Changes of a few tenths of a millimeter are likely simply due to slight differences in measurement technique or normal physiologic changes. ...Read more
Not very good: Bile duct cancers are difficult cancers to control unless caught early when they are still localized to one area. Often they are advanced and metastatic at the time of diagnosis, then they are difficult to get rid of. Yet it all depends on the location and the stage of cancer. ...Read more
Varies: Some cause no symptoms. Others can be associated with right upper abdominal, flank, back or epigastric pain. Nausea and vomiting may occur especially if the stone blocks the bile duct and/or inflames the pancreas. You may notice yellowing of the eyes, darkened urine or light / clay colored stools. ...Read more
I recently had an ultrsound and a polyp was found by my bile duct. Should I have the polyp removed?
Rare: It would be rare and unusual to find a polyp in the bile duct. Polyps are sometimes found in the gallbladder itself, and can usually be observed unless they are more than 1 cm in size. Polypoid tumors of the bile duct would be rare, and may need gastroenterology evaluation with ercp. ...Read more
What to do if I have borderline extrahepatic common bile duct and have had trouble finding any information on the topic.?
Ductal dilatation: I would be happy to answer your questions about bile duct dilatation. If you have the test results that show the dilatation, and if you have any recent blood test, particularly liver tests, this would be useful. You can consult me on HealthTap Concierge and I will be happy to work with you. Good luck. ...Read more
I was informed that I have a obstructed bile duct maybe like 3 months ago I also have continuous pain on my right side upper and lower and lately ever?
Bile ducts: Are buried in the liver, and also are outside, picking up gall bladder secretions before joining the pancreatic ducts. Biliary cancers are divided by their location, and that indicates means of treatment. They are not common, called klatskin tumors, few are resectable; most are not. Ca-19-9 may be quite hi. ...Read more
Aggressive tumor: Tumor can arise intrahepatically requiring partial hepatectomy id possible. It is also found in the common duct outside the liver. The jaundice present can be relieved by a stent from ERCP. Chemo and radiation frequently employed. Within the liver distant metastasis frequently develops. Pancreatic drugs like Gemcitabine may help. ...Read more