Doctor insights on:
More info: Please clarify. What are your concerns regarding biliary illness? Please elaborate.
HIDA / DECIDA: Billiary scan also known as hida or decida scan is study to assess functional status of gallbladder, excretory function of liver, and potency of bile ducts system. Study takes an average from 3 to 6 h and very important for treating physician and surgeon. Decision how to treat gallbladder disease is made accounting in major extent for study report.
Bile can't get out: Biliary obstruction means something is blocking the flow of bile into the small intestine. Bile helps digest fats. Bile is made in the liver and flows into the small intestine, by way of the gall bladder. Several different problems can block the flow of bile, such as having a gall stone.
1o biliary cirrhosis: Check out http://www. Mayoclinic. Org/diseases-conditions/primary-biliary-cirrhosis/basics/definition/con-20029377, http://www. Liverfoundation. Org/abouttheliver/info/pbc/ & http://www. Webmd. Com/digestive-disorders/tc/primary-biliary-cirrhosis-pbc-topic-overview for starters. Then chat w/your Gastroenterologist.
I have biliary calculees (stones). Is there any medicine that could disolve and eliminate these stones?
Biliary stones: There are a few products used to try to dissolve gall stones. The most common one is called ursodiol. It is usually only used for more difficult situations, like symptomatic stones when there are medical reasons for not undergoing surgery. You would never take it if you are not having symptoms. It has side effects, but if you're having a lot of symptoms and don't want surgery, it may be reasonable.See 1 more doctor answer
I am having a biliary scan in a couple days why do I have to stop taking my pain meds 4 hours before my test?
May interfere: With the scan and cause results to be inaccurate.See 1 more doctor answer
Biliary dyskinesia: Sphincter of oddi dysfunction, or biliary dyskinesia, is defined by bile duct manometry showing sphincter spasm, increased phasic contraction frequency (tachyoddia), paradoxical contraction response to cck, & abnormal propagation of phasic waves. Response to sphincterotomy is predicted by associated abnornalities in serum liver functions as well as manometry findings. Pain alone may not so respond.
Surgery: Once the diagnosis is made and if the baby is considered an appropriate candidate, the approach is surgical. As the problem is lack of drainage of bile from the liver to the intestine, a new connection is made between the liver and intestine. It is called a portoenterostomy or a kasai procedure. Sometimes the child is not a candidate and may need transplantation of liver.See 1 more doctor answer
Common: It has been demonstrated in studies that narcotics increase spasm in the biliary duct. In patients with this problem, the use of non-steroidal anti-inflammatory drugs are preferential to narcotics for pain relief. Treatment of biliary spasm is based on the underlying cause. Your doctor can help determine what this might be.See 2 more doctor answers
Obstruction of bile: Biliary atresia is a disease of infants and newborns that results in obliteration of the bile dusts resulting in jaundice and eventually liver failure. It needs to be addressed early before infant is two months old. Surgery can correct it in one third of the cases. Any baby who is jaundiced after three weeks of age needs to be worked up.See 1 more doctor answer
Biliary dyskinesia: This is a condition in which the gallbladder does not function normally. It is diagnosed based upon symptoms of right upper quadrant pain without gallstones or sludge and a hida scan demonstrating a reduced gb ejection fraction. Absent other causes or explanations for the pain, surgery is often recommended. Some patients will continue to suffer from pain following gb removal.See 1 more doctor answer
Gallstone disease: The gallbladder holds bile and squeezes it out when needed to help the gut absorb fat. Stones can develop within the gallbladder, so that when the gallbladder squeezes, it pushes the stone against the outlet. This causes considerable pain called "biliary colic." the pain increases during the first hour, stays at its worst for an hour or more, then decreases over hours. Needs evaluation by doc.
That is normal: Intrahepatic bile ducts are small ducts within the liver that collect bile from the liver cells and transport it into increasingly larger bile ductules that coalesce into a single bile duct, the common bile duct. Normally by ultrasound or body scans, only the larger bile ducts can be seen. If the intrahepatic bile ducts are dilated, it means there is a blockage downstream, which is abnormal.
What is meant by no biliary ductal dilitation and no hepitic masses and gallbladder walls are normal?
Seems like: A relatively normal study. No abmnomalities seen.See 1 more doctor answer
Depends on situation: If picked up early enough, some respond to surgery to re-establish bile flow. If operated later than 10 weeks of age, most will need a liver transplant to survive. All cases are quite unique & conferring with the treatment team will provide the best information.See 1 more doctor answer