Doctor insights on:
High Bilirubin After Gallbladder Removal
Bilirubin is the potentially toxic product of heme metabolism. It is formed by breakdown of heme present in hemoglobin, myoglobin, cytochromes, catalase, peroxidase and tryptophan pyrrolase. Eighty percent of the daily bilirubin production comes from hemoglobin. It requires conversion to a water-soluble form before elimination from the body by ...Read more
What causes elevated bilirubin and liver enzymes after gallbladder removal with ERCP and stent placement after?
ERCP: Many laboratory values can be elevated after manipulation of your biliary tract with ERCP and stent placement since it is an invasive procedure. Your laboratory values are all relative and your provider can trend them. The important thing is to have close followup with your gastroenterologist regarding these lab values and/or any new symptoms like abdominal pain or nausea/vomiting after ERCP. ...Read more
Not necessarily: Gallbladder disease will only cause jaundice if a gallstone has exited the gallbladder and is blocking the outflow of the liver (common bile duct stone). This can be managed surgically, or, more commonly, by endoscopic removal (ercp). A very common cause of jaundice is gilbert's disease, which is harmless; one tends to get jaundiced with any stress, including surgery or acute inflammation.A. ...Read more
Workup continues: Jaundice at any time is a problem in differential diagnosis. Entities that your physicians are considering include a common duct gallstone, pancreatic cancer, cholangiocarcinoma, damage or occlusion involving the common duct during surgery, hepatitis / cholestasis from a medication or anesthesia, delayed hemolysis after transfusion or from a rx. They need to sort it out. Good luck. ...Read more
Depends on how: Much of elevation and how soon after surgery. If it is sudden elevation shortly after surgery, it could mean something bad, like retained stone, obstruction of common duct, liver damage, etc. Conversely, if is is a slight elevation years after surgery, then it is probably not even related. ...Read more
Bilirubin levels very high. Direct bilirubin at9.8 and total bilirubin at 10 mg/dl. Assuming a gallbladder obstruction, an ERCP found no stones.
Depends: How long ago was the surgery? Off and on for a few weeks after surgery, upper abdominal gas and pressure discomforts can occur after larger meals or fatty foods. If the surgery was a long time ago then see your doctor for an evaluation, as there may be something else causing pain such as gastritis, stomach ulcer, pancreatitis, etc. ...Read more
Gallstone, 31% EF, low total bilirubin, high anion gap, hx of elevated liver enzymes. Liver enzymes leveled out after taking hormones.causes? advice?
HF: you have complex issues. Why do you have HF and also the cause of liver disease ? The AGMA is concerning and has to be worked up. Some of these conditions can be related. What hormones did you take ? I have more questions than answers, more so because you have 2 organ dysfunction and a acid base disorder and they can be related. ...Read more
Depends on level: Some minor elevation of bilirubin can occur from swelling of the bile duct but should be very short lived. Marked elevation or prolonged elevation (assuming normal levels pre-operatively) should be evaluated promptly, with ultrasound and in some cases, x-rays of the bile duct (also called ERCP or mrcp). Any other associated symptom, like abdominal pain, fever, should necessitate emergent tests. ...Read more
Bile induced IBS after gallbladder removal?? True?? Best med for diarrhea cholestyramine after gb removal ?
Yes but will resolve: After gallbladder surgery, some people have ongoing abdominal symptoms, such as pain, bloating, gas, and diarrhea (postcholecystectomy syndrome). Following cholecystectomy, bile which was once stored in the gallbladder and released only after meals, now flows continuously into the intestines and cause irritation. Cholestyramine absorbs bile, but these symptoms will often resolve over time. ...Read more
Two years ago, underwent surgery perforated duodenal ulcer. After surgery yellowed eyes. Examined liver healthy. Elevated bilirubin in the blood. No k?
What is your health?: If liver is healthy now, and you are in good health now then yellow eyes after emergency GI surgery was transient/normal. During recovery the liver processes hematoma left over from bleeding. Yellow eyes, high blood bilirubin occur commonly as the liver works. It often takes time before you are ready to review and learn what happened to you during an emergency. Ok to ask your doc. ...Read moreSee 1 more doctor answer
Sludge on us, high chol., high ldl, hida 40%, back and abdominal pain, green stool. Is gallbladder surgery an option if hida is 40%?
Depends: Most times surgery is considered if the gallbladder function is less than 30%-35%. It would be quite possible that having gallbladder surgery, for you, may offer no benefit ; could make your symptoms worse with more food intolerance, indigestion, diarrhea, etc. Be very cautious in considering surgery that could have no benefit for you. ...Read moreSee 1 more doctor answer
Bilirubin levels are total 2.0 total 1.76 and direct 0.27... Have fatty liver bad gallbladder? Protein 8.4
What's the question?: You have some form of likely liver disease and need further evaluation. These labs are of very little value without a full detailed assessment of the entire clinical picture, which may also require a hepatic biopsy. Need serologic testing for all forms of hepatitis, and so on. What are you asking? ...Read more
Gallbladder surgery 1 wk ago. Bilirubin is 1.4 today ALT is 100 AST 40. Can bili be high due to post removal ALT 142 and AST 77 3 weeks ago. Fatty liver?
LFTs post chole: Simple answer, is “yes!” the data you report is trending down—resolving. It could take a few weeks for lfts to return to normal after an acute attack of cholecystitis. Bear in mind, though, that upward trends could suggest a retained stone in the common bile duct. Unless an intraoperative cholangiogram was done during the surgery, then you would want to rule-out that possibility... ...Read more
Gall bladder removed coz of gallstones. No alcohol. Liver function tests all normal. 2 GGT tests- 89, 124 IU/L. Bile duct disease? Need liver scan?
Gall bladder removed 7 years ago coz of gallstones. Can I still have bile duct disease? GGT 124. Other liver enzymes all normal.
The gallbladder is a sac-like structure located under the right lobe of the liver. It is attached to the common bile duct via the cystic duct. The gallbladder can store bile when the bile is not needed, and can squeeze bile into the bile duct and intestine for digestion when a person eats larger ...Read more
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