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Doctor insights on: Cholelithiasis Ethnicity

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Dr. Barry Rosen
978 doctors shared insights

Gallstones (Definition)

Stone-like deposits of bile in the gallbladder that are made from accumulation of cholesterol or bilirubin. Most gallstones are asymptomatic, however complications of gallstones include inflammation of the gallbladder, and blockage of ...Read more


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I have idiopathic chronic pancreatitis my age 19.& liver,hepatitis,CBP r normal.no stone but sludge.MRCP shows no autoimmune +pancretic divisium.sugge?

I have idiopathic chronic pancreatitis my age 19.& liver,hepatitis,CBP r normal.no stone but sludge.MRCP shows no autoimmune +pancretic divisium.sugge?

Pancreatitis: It sounds as if you are being seen and managed by a very knowledgeable doctor and would continue to follow their advice and guidance. This is a very difficult and uncomfortable disease and hopefully you will respond well to conservative measures. Wish you the best and good luck in the future. ...Read more

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I have elevated liver enzyme ast(sgot)412 ALT (sgpt) 317 GGT 186 dilation of the common bile duct 1 CM no gallbladder?

I have elevated liver enzyme ast(sgot)412 ALT (sgpt) 317  GGT 186 dilation of the common bile duct 1 CM no gallbladder?

Liver issue: Enzymes ast and alt are inside liver cells. When liver is injured by disease or medication, enzymes leak out, resulting in elevation. Can be due to many reasons, including medications like statins. An elevated GGT suggest biliary problems, but is not that specific. The normal common bile duct measures less than 0.8 cm, but after the gb is removed, can be 1cm. Complete history needed for this. ...Read more

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Ultrasound:Normal sized pancreas with non-parencymal disease. Elevated lipase level 111. Vomiting, abdominal pain. Is it pancreatitis?

Ultrasound:Normal sized pancreas with non-parencymal disease. Elevated lipase level 111. Vomiting, abdominal pain. Is it pancreatitis?

Maybe: The fact that ultrasound didn't see anything does not mean you don't have pancreatitis . Laboratory data is needed to complete the work up for possible pancreatitis. Actually CT is better ...Read more

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Alt elevated (76, 63) after 2 blood tests and increased parenchymal echogenicity on us. Nafld or nash?

Alt elevated (76, 63) after 2 blood tests and increased parenchymal echogenicity on us. Nafld or nash?

Continue workup: Now would be a great time to get really into aerobic fitness -- this is likely to reverse nash / nafld. You'll get checked for hepatitis c, wilson's, hemochromatosis, autoimmune hepatitis and a few others. Trust you're not taking meds or that they have been ruled out as causing the problems. ...Read more

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Had 1 episode of idiopathic mild acute pancreatitis at age 29. No family history of pancreatitis. Chance of hereditary pancreatitis high?

Hereditary: You could get a genetic study to see if you have the gene present in people with hereditary pancreatitis. If you have family members with idiopathic pancreatitis flareups then you probably don't need to go through genetic testing and just continue to abstain from alcohol. ...Read more

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What ethnicity has most obese people?

What ethnicity has most obese people?

See this at CDC.GOV: Us data shows blacks and hispanic groups have higher rates than caucasians http://www.Cdc.Gov/features/dsobesityadults/but that is a very limited global view. Pima indians and aboriginals have high rates, also certian pacific islanders. ...Read more

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Is primary biliary cirrhosis hereditary?

Is primary biliary cirrhosis hereditary?

Basically no: There's a pair of genes that carry the ability to develop the disease and these run in families, but it's not inherited like sickle cell, huntington's or some of the other familiar entities. http://www.medicalnewstoday.com/releases/151640.php. ...Read more

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GB like symptoms.US-distal dilation of CBD 7.7mm.MRCP-mild prominence of pancreatic duct.Dense adhesions between GB & abdominal wall. Pls. interprete?

GB like symptoms.US-distal dilation of CBD 7.7mm.MRCP-mild prominence of pancreatic duct.Dense adhesions between GB & abdominal wall. Pls. interprete?

Need context...: ...for which your test was ordered. Also, your question is ideally & confidentially answered in the Concierge forum of HealthTap--would suggest you consider that route to your query. ...Read more

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Bilateral lung nodules,Atelectasis prior papilloma thyroid CA.Pituitary Adenoma,Chiari Malformation,FMD,enlarged common bile duct no stones. Genetic?

Bilateral lung nodules,Atelectasis prior papilloma thyroid CA.Pituitary Adenoma,Chiari Malformation,FMD,enlarged common bile duct no stones. Genetic?

Maybe genetic: Probably should have genetic consult. Forinstance Chiari malformation, fibromuscular dysplasia, and thyroid cancer can be associated with neurofibromatosis. Lung nodules are non specific and can be from some infections but also metastatic disease sometimes from papillary thyroid cancer. You may want to consult a geneticist physician. ...Read more

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Who is affected by marasmus (sex, ethnicity, age, etc)?

Who is affected by marasmus (sex, ethnicity, age, etc)?

Marasmus: Forget about sex, ethnicity, etc., merasmus is a form of severe malnutrition, often starting in children who are very young. It has little to do with sex and ethnicity, etc. Please read up about in on the web and, if this directly involves you, follow all of the information provided. ...Read more

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Why is igm elevated in primary biliary cirrhosis (cholangitis)?

Why is igm elevated in primary biliary cirrhosis (cholangitis)?

Immune dysregulation: The immune system is not functioning normally in primary biliary cirrhosis. That and the chronic inflammation contrive to raise IgM. ...Read more

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Mrcp report shows. "suspicion of intraductal calculi & no pancreatic divisium, autoimmune. I have chronic p.(idiopatic)doc said. All tests normal.

Mrcp report shows. "suspicion of intraductal calculi & no pancreatic divisium, autoimmune. I have chronic p.(idiopatic)doc said. All tests normal.

MRCP: You mention suspicious for introductal calculi which means there may be multiple stones either in the biliary or pancreatic ducts (or both) They may have suggested to see a gastroenterologist for an ERCP which is endoscopic evaluation of these ducts and possibly removing the stones. Presence of such stones in the ductal system will increase your chance of having recurrent pancreatitis. ...Read more

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Status post cholecystectomy with prominent gastrohepatic common bile duct measuring 7mm means what?

Status post cholecystectomy with prominent gastrohepatic common bile duct measuring 7mm means what?

GallBladder: "Post- most often relates to "AFTER" and cholecystectomy to the surgical procedure to remove the gallbladder. Post-cholecystectomy = their has been surgical removal of the gallbladder. This term may be used in the patient history or as part of radiology reporting. The common bile duct diameter of 7mm is normal for your age. See http://www.ncbi.nlm.nih.gov/pubmed/21144686 for publication. ...Read more