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Doctor insights on: Develop Cholangitis

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Is primary sclerosing cholangitis rare?

Is primary sclerosing cholangitis rare?

Yes: The goal of managing acute attacks is antibiotics and IV fluids. In about 15%, emergency decompression or surgery is needed. Prevention of future attacks of cholangitis is based on removing biliary stones and debris, dilation or resection of strictures, and establishing optimal biliary drainage. Also important to rule out the clonorchis parasite. Your GI doctor can discuss newest treatments. ...Read more

Dr. Sewa Legha
72 doctors shared insights

Cholangitis (Definition)

It is an infection of the bile ducts. Usually there is an obstruction of the bile ducts. Most commonly this is caused by a gallstone, although there are other rarer causes. It can be life threatening. If you have pain in your right upper quadrant, a fever and are jaundiced, ...Read more


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Who is most likely to develop biliary cirrhosis?

Who is most likely to develop biliary cirrhosis?

PBC--who gets it: 90% of pbc patients are female. Age ranges 20-80, but typically patients are 40-60. The disease is world-wide, & affects asians, caucasians, jews, african. Family clustering is common in sisters, twins, daughters, mothers. While environmental factors can't be ignored, a strong immunogenetic background for pbc that runs in families is suggested. Early sxs: fatigue, itching before jaundice, RUQ pain. ...Read more

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What leads to obstructive jaundice(distal cbd obstruction) secondary to choledocholithias with cholangitis?

What leads to obstructive jaundice(distal cbd obstruction) secondary to choledocholithias with cholangitis?

Usually a gallstone: Usually a gallstone causing obstruction of the common bile duct can cause sudden painful jaundice, sometimes with associated cholangitis (infection of the bile) This requires drainage and extraction of the stone from the common bile duct with a procedure call ERCP. Other causes can be tumors causing obstruction, which is more often painless and gradual. ...Read more

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Ulcerative colitis and primary sclerosing cholangitis related?

Ulcerative colitis and primary sclerosing cholangitis related?

Yes: Yes there is an association. See this link: http://www.Mayoclinic.Com/health/primary-sclerosing-cholangitis/ds00918/dsection=risk-factors. ...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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Does primary sclerosing cholangitis usually cause many symptoms?

Does primary sclerosing cholangitis usually cause many symptoms?

It can.: Primary sclerosing cholangitis (= psc, inflammation of bile ducts) can give symptoms such as itching, pain in the right upper abdomen, fevers, chills, night sweats, and jaundice (yellow skin, yellow whites of the eyes). Most people with this illness have ulcerative colitis, which has symptoms of its own (eg. Bloody diarrhea, abdominal pain). Many with psc eventually need liver transplant. ...Read more

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Is severe jaundice always present with severe acute liver failure?

Is severe jaundice always present with severe acute liver failure?

Yes: Jaundice, or yellowing of the skin and especially the whites of they eyes, is a visible feature of increased bilirubin in the blood, which is always present in the event of liver failure. ...Read more

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How can I prevent developing liver cirrhosis among patients with chronic hepatitis b?

How can I prevent developing liver cirrhosis among patients with chronic hepatitis b?

Unclear question: Do you have chronic hepatitis b? If not, do you work with patients with hep b? If you do, get vaccinated for hep b. I trust you follow universal precautions to prevent infecting yourself. Abstain from alcohol and hepatotoxic drugs like acetaminophen. If you are infected with hep b, you need to contact an infectious disease expert for treatment. ...Read more

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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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Does acute stage of endocarditis produces fever ?

Does acute stage of endocarditis produces fever ?

Usually: Bacterial endocarditis usually but not always causes fever. The fever may not be present early in the disease and may develop later depending on the infecting organism. As you have fever and a valvular abnormality you should be evaluated by your doctor. Blood and other cultures and a cardiac echo may be indicated. ...Read more

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Can acute pancreatits turn into chronic pancreatitis?

Can acute pancreatits turn into chronic pancreatitis?

Depends: Acute pancreatitis from gallstones generally does not turn into chronic pancreatitis. Chronic pancreatitis, associated with diabetes, chronic pain after eating, maldigestion of fats can occur after bouts of alcohol-induced acute pancreatitis;high triglyceride (>1000) panc'itis can also. Got stones? Get gb out; high tg-diet and meds. Alcohol-don't drink. Preg related?: see md for individual rx. ...Read more

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Primary sclerosing cholangitis - what is the inherited risk?

Very low: PSC is most commonly seen in patients with ulcerative colitis. Patients with PSC have 60-72% association with ulcerative colitis; low genetic and immunologic factors are attributed to PSC. ...Read more

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Will everyone with hepatitis C eventually develop liver cancer?

Will everyone with hepatitis C eventually develop liver cancer?

No: No, but the problem is that it is impossible to predict which patients with hepatitis c will develop liver cancer. So it is really very important that everybody with hepatitis c regularly discusses this risk with your doctor. Some patients with hep c are recommended to have blood tests and liver ultrasounds performed regularly to check for cancer. ...Read more

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Chances of developing chronic liver disease?

Chances of developing chronic liver disease?

Live a clean life: You can avoid chronic liver disease by not drinking alcohol in excess and by avoidance of hepatitis b and c by getting tested and vaccinated. This will prevent most of the commons causes of chronic liver disease. ...Read more

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Does everyone with hepatitis C eventually develop liver cancer? 

Does everyone with hepatitis C eventually develop liver cancer? 

No: Hepatitis c is a virus that causes inflammation of the liver. This inflammation and cirrhosis (scarring) can lead to primary liver cancer also known as hepatocellular carcinoma. About 20% of people who contract hep c will develop cirrhosis, and about 20% of those will go on to develop cancer. ...Read more

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Which groups are most likely to develop cholangitis?

Several: Post cholecystectomy with bile stasis or slow drainage obstructed common duct or pancreatic duct biliary to bowel anastomoses. ...Read more

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