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Doctor insights on: Common Bile Duct Sludge

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Dr. Donald Colantino Dr. Colantino
Internal Medicine
57 years in practice
Tufts University School of Medicine
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MRCP "Persistent mild dilation of the central intrahepatic duct. There are areas of mild narrowing & irregularity of the intrahepatic ducts & proximal common duct. No dilation of common bile duct. Gallbladder sludge is present." What causes this?

MRCP "Persistent mild dilation of the central intrahepatic duct. There are areas of mild narrowing & irregularity of the intrahepatic ducts & proximal common duct. No dilation of common bile duct. Gallbladder sludge is present." What causes this?

Nonspecific: I believe that the ductal findings are nonspecific. Sludge in the gall bladder can cause abdominal distress and indigestion. A gastroenterologist would sit down with the radiologist and review the images and decide whether more imaging studies like an MRI or liver biopsy are advisable depending upon your symptoms or lack of symptoms.

Dr. Harinder Gill
1 Doctor shared a insight

Biliary (Definition)

Biliary means anything related to the production, storage, secretion, or flow of bile, whether in the liver, bile ducts, gallbladder, ...Read more


Dr. Michael Dugan Dr. Dugan
Internal Medicine - Hematology
years in practice
Indiana University School of Medicine
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What and wher is your cbs located "common bile duct "?

What and wher is your cbs located "common bile duct "?

The common: Bile duct is formed by the coming together of the bile duct from the liver and the bile duct from the gallbaldder. It ends in the small bowel.

Dr. Rafael Lugo Dr. Lugo
Surgery
24 years in practice
Ponce School of Medicine
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What happens when the distal end of the common bile duct decrease from 7mm to 5mm?

What happens when the distal end of the common bile duct decrease from 7mm to 5mm?

Stricture: This is called a stricture. The more important question is why and if it is causing liver enzyme elevation or symptoms. You should see a doctor for this. One that apexializes in biliary surgery. Let me know if I can help finding one. Www. Drlugo. Com.

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Dr. Michael Gabor Dr. Gabor
Diagnostic Radiology
29 years in practice
University of Connecticut School of Medicine
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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)?

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.

Dr. Raj Vuppalanchi Dr. Vuppalanchi
Internal Medicine - Hepatology
19 years in practice
NTR University of Health Sciences, Gandhi Medical College
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What are common bile duct stones? Are they serious?

Yes: Common bile dict stones ate similar to gallstones but can be dangerous as they can cause blockage resulting in infections such as cholangitis and pancreatitis.

Dr. Andrew Seibert Dr. Seibert
Internal Medicine - Gastroenterology
31 years in practice
University of Louisville School of Medicine
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What to do if I have borderline extrahepatic common bile duct and have had trouble finding any information on the topic.?

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.

Dr. Andrew Hoffman Dr. Hoffman
Surgery
31 years in practice
Hahnemann Medical College
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What causes your common bile duct to be dilated 12mm when you don't have a gallbladder.

Sphincter muscle: At the end of the duct, just at it's entry to the intestine. There is a circular muscle that closes off the duct when bile is not needed to digest foods. Since the liver never stops making bile, it will build up inside the bile ducts and stretch them out when a gallbladder has been removed. A stone could block the duct but will produce symptoms. The stretched open ducts happen without symptoms.

Dr. Michael Sparacino Dr. Sparacino
Family Medicine
33 years in practice
A. T. Still University Kirksville College of Osteopathic Medicine
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What might cause a slightly dilated common bile duct when all of the other organs look good?

What might cause a slightly dilated common bile duct when all of the other organs look good?

Many things: You need to be thoroughly evaluated by your doctor. Only then can you find out what's going on and what can be done for you.

Dr. Bassam Amawi Dr. Amawi
Psychiatry
45 years in practice
University of South Florida College of Medicine
10
Dr. Mohammed Shafi Dr. Shafi
Internal Medicine - Gastroenterology
32 years in practice
Bhopal University, Gandhi Medical College
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Why would turmeric be contraindicated for patients with common bile duct obstruction?

Jaundice.: The color of turmeric and the color of jaundice caused by biliary obstruction in deep yellow. It is recommended not to use turmeric when you have biliary obstruction

Dr. Stephen Strum Dr. Strum
Internal Medicine - Oncology
49 years in practice
University of Chicago Pritzker School of Medicine
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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.

Dr. Robert Uyeda Dr. Uyeda
Surgery
41 years in practice
Boston University School of Medicine
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What are the symptoms of common bile duct inflammation & can this occur several years after having a cholecystectomy?

Pain, fever,: And jaundice are typical, less likely pancreatitis and cholangitis, both serious conditions. And yes, it can be a stone that was present at the time of your cholecystectomy that was not found or overlooked or a stone that formed subsequently. If this is suspected, it can be confirmed by mr cholangiography; or ercp, an endocsopic x-ray and procedure during which a stone, if found, can be removed.

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Dr. Richard Zimon Dr. Zimon
Internal Medicine
55 years in practice
Harvard Medical School
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If the common bile duct is occluded will it always produce green emesis??

If the common bile duct is occluded will it always produce green emesis??

If its totally: Occluded the bile has to go somewhere....the blood (jaundice) or backwards to the stomach (nausea vomiting) Hope this is helpful and I assume you are under a Physician's care! Dr Z

Dr. Tracy Berg Dr. Berg
Surgery
28 years in practice
University of Maryland School of Medicine
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I have an inflammed common bile duct with no stones determined during gallbladder removal. What can be the other reasons?

I have an inflammed common bile duct with no stones determined during gallbladder removal. What can be the other reasons?

The stone passed: If you are otherwise recovering well from gallbladder removal surgery, you can rest assured the inflammation was part of the disease process and nothing more. If you have jaundice, yellow eyes and skin, losing weight, feeling poorly then get in to your doc, consider ERCP and biopsy. Be well.

Dr. Richard Zimon Dr. Zimon
Internal Medicine
55 years in practice
Harvard Medical School
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Elevated ALT & mucosal irregularity of common bile duct. Other labs normal range. See the specialist Monday. What questions should I ask? Concerns?

Elevated ALT & mucosal irregularity of common bile duct. Other labs normal range. See the specialist Monday. What questions should I ask? Concerns?

It is possible: That a liver biopsy will be in your future if your elevated ALT is not explained...be prepared for a LOT of QUESTIONS ASKED!!!! (maybe not so much answered) It takes some "detective work" sometimes when a single lab test is abnormal..... (PS the mucosal irregularity may indicate that a GALLSTONE was passed and that may be the ANSWER to your "mystery!! " Hope this helps! Good Luck Dr Z

Dr. Michael Sparacino Dr. Sparacino
Family Medicine
33 years in practice
A. T. Still University Kirksville College of Osteopathic Medicine
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I have adenomatous tissue in common bile duct, is that same as the adenomatous polyps or is it just the beginning stage, I am an fap patient as well?

See your doctor: Problems like these can only be correctly handled by your doctor in person. He/she needs to listen to you, perform an examination and possibly run labs or other tests. That's the only way he/she can find out what's going on and what to do about it.

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Dr. Mark Hoepfner Dr. Hoepfner
Surgery
35 years in practice
University of Washington School of Medicine
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I just had a stent put in by my common bile duct, is it normal to have a tender feeling where my gallbladder is?

I just had a stent put in by my common bile duct, is it normal to have a tender feeling where my gallbladder is?

Yes: I do not know why you had a biliary stent placed, but it is usually for some type of bile duct blockage. Upper abdominal discomfort and yellow jaundice would be very common, and would gradually resolve over a few days after the stent is placed.

Dr. M. Hytham Beck Dr. Beck
Surgery
39 years in practice
University of Damascus Faculty of Medicine
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What is inflammation of the common bile duct & mucosal irregularity? Is it something to be concerned about? Can it heal itself after gallbladder removal

What is inflammation of the common bile duct & mucosal irregularity? Is it something to be concerned about? Can it heal itself after gallbladder removal

Yes you should: It depend on the circumstances around the inflammation and what symptoms you have. I will be concerned and I will check with my GI for proper evaluation.

Dr. Barry Rosen Dr. Rosen
Surgery
30 years in practice
Northwestern University Feinberg School of Medicine
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Gallbladder is contracted and contain multiple echogenic calculi. The common bile duct is 4mm and no filling defect is seen. Please advice me.

Gallbladder is contracted and contain multiple echogenic calculi. The common bile duct is 4mm and no filling defect is seen. Please advice me.

Do You Have Pain?: The presence of gallstones in the absence of symptoms does not warrant gallbladder surgery. In fact, most people with "silent" gallstones will never develop symptoms, as high as 75% of the time. I advise my patients to be familiar with the symptoms of gallbladder disease and return if these develop. While surgery is safe and easy, it is not risk-free.

Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more


Duct (Definition)

Is a channel leading from a gland or an organ, for example lactiferous duct leads from mammary gland to ...Read more