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Doctor insights on: Common Bile Duct Sludge

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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. ...Read more

Dr. Oscar Novick
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Biliary (Definition)

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


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Does Biliary Dykskinesia typically cause gallstones and/or increase in sludge? If so, how often do stones/sludge get stuck in the common bile duct?

Does Biliary Dykskinesia typically cause gallstones and/or increase in sludge? If so, how often do stones/sludge get stuck in the common bile duct?

Colicky pain: Gallstones/sludge cause symptoms referred to as biliary dyskinesia (not the other way around). Large stones can get stuck in the common bile duct but that usually causes severe pain and sometimes jaundice. Dyskinesia is pain that comes and goes, especially triggered by fatty food. The symptoms can be controlled with diet for a while but the best treatment is gallbladder removal. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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 ...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

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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. ...Read more

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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 ...Read more

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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. ...Read more

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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 ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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I had a billary Stent placed in my common bile duct in April and I have been having episodes of feeling like I am being punched in my stomach. Could?

I had a billary Stent placed in my common bile duct in April and I have been having episodes of feeling like I am being punched in my stomach. Could?

Need follow up.: Sometimes the stent can become clogged or displaced. Call the doctor who placed the stent. For severe pain or fever may need to go to the ER. ...Read more

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How do doctors know if a stone is lodged in the common bile duct and/or the pancreatic ducts? Is ercp the only way to know for sure?

Maging studies: Liver function studies and history can give a strong indication that the pt has a common duct stone. At surgery for cholecystectomy, a cholangiogram can show a cbd stone. Magnetic resonance cholangiopancreatography (mrcp) is being done as a noninvasive test to find cbd stones prior to ercp. Sometimes only ERCP gives the answer. ...Read more

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Hi I have transaminitis from a gallstone that was blocked in common bile duct for a year, test, meds, life expectancy? It's progressed to my brain

Hi I have transaminitis from a gallstone that was blocked in common bile duct for a year, test, meds, life expectancy? It's progressed to my brain

Misinterpretaton: "Transaminitis" refers to elevation of the enzymes ALT and AST that results from inflammation of the liver. Blockage of the common bile duct from any cause can elevate AST & ALT. If there's no permanent liver injury after removal of the stone, ALT & AST will gradually return to normal. SEVERE liver failure can cause toxicity to the brain but it's not from" transaminitis". Talk to your doctor! ...Read more

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...2cm shadowing stone in the fundus. No pericholecystic fluid seen. No biliary ductal dilation seen, the common bile duct measures 5 mm. Meaning?

...2cm shadowing stone in the fundus. No pericholecystic fluid seen. No biliary ductal dilation seen, the common bile duct measures 5 mm. Meaning?

Gallstone: It seems like you have a gallstone sitting in there, not really doing anything. It’s not causing an infection. It’s not blocking the passage of bile. But it could. If it decides to move, that 20mm stone won’t pass out through that 5mm common bile duct. You may want to at least have a general surgeon aware of this. ...Read more

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What does moderately fluid distended gallbladder mean? Noted on abdominal MRI, common bile duct diameter at 6mm. & I have alot of abdominal symptoms.

As an isolated: Finding it is of uncertain significance, it may mean nothing. It has to be interpreted in the context of your entire clinical picture, i.e. does your doctor suspect gallbladder dysfunction or biliary problem. Likewise, a 6mm common bile duct is borderline abnormal. If you have no signs, symptoms, or lab values suggesting biliary obstruction, it may be normal for you. ...Read more

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In sonography of my father in law I have seen common bile duct is dilated and measures 1 cms. Is it anything major about lever function? Hiw to go abo

That is an: Abnormal diameter for the common bile duct. It could indicate that the duct is obstructed, and potential reasons include stones, stricture, or mass. If your father has had a prior cholecystectomy, it may be post op chronic dilatation. Correlation with liver function tests along with additional imaging with CT and/or MRI and/or MRCP may be needed to determine why the duct is dilated. ...Read more

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