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Doctor insights on: Intrahepatic Cholestasis Of Pregnancy Abdominal Pain

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Is intrahepatic cholestasis of pregnancy painful?

Is intrahepatic cholestasis of pregnancy painful?

NO: Cholestasis of pregnancy does not generally cause pain. The most common symptoms is pruritis (itching). It almost always starts with itching on the palms of the hands and soles of the feet, and it is first noticed at night. The itching spreads to other parts of the body over time. Treatment with ursodiol (bile salts) can improve symptoms. Consultation with a high risk OB is recommended. ...Read more

Dr. Lynne Weixel
4 doctors shared insights

Pregnancy (Definition)

When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more


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How long does abdominal pain associated with intrahepatic cholestasis of pregnancy last?

How long does abdominal pain associated with intrahepatic cholestasis of pregnancy last?

24-48 hrs: Usually all symptoms of intrahepatic cholestasis of pregnancy resolve within 24-48 hrs after delivery, in rare cases sx may continue to up to one week after and may signify retained placenta. But if you have this condition pregnancy needs to be monitored by obgyn very closely as poor outcomes for the baby are not uncommon if not monitored. ...Read more

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Could I have icp (intrahepatic cholestasis of pregnancy)? What are the risks?

Could I have icp (intrahepatic cholestasis of pregnancy)? What are the risks?

Icp causes itching: I have only had one patient with icp in 27 years of practicing obstetrics. Diagnosis is made by elevated bile salts (detectable by lab test) and the treatment is cholestyramine. Pregnancy outcome should be unaffected by the condition. So icp is rare and makes you miserable, but should not affect your baby. One case however hardly makes me an expert so second opinions welcome. ...Read more

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Stomach pain in trimester of pregnancy?

Stomach pain in trimester of pregnancy?

Call your MD: There is not enough description to tell your anything other than call your md. ...Read more

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6 weeks pregnant, got sudden onset of dull right flank pain, no vaginal bleeding, hcg of >1500. Could these be signs of ectopic pregnancy?

6 weeks pregnant, got sudden onset of dull right flank pain, no vaginal bleeding, hcg of >1500. Could these be signs of ectopic pregnancy?

Evaluation: If you are in early pregnancy with new onset of pain then evaluation by your Obgyn is needed. A sonogram can be done to make sure there is a normal pregnancy seen located inside of the uterus. ...Read more

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Gallbladder removed, history of C-Diff + Chronic Cholcystitis, bile ducts Symptoms continue, Upper Abdominal pain, bloating. what could it be?

Gallbladder removed, history of C-Diff + Chronic Cholcystitis, bile ducts  Symptoms continue, Upper Abdominal pain, bloating. what could it be?

Too complex: That situation is too complex to analyzing analyze in 400 characters. If you'd like, set up a consult on Healthtap concierge, and I will be happy to work through things for you, to see if I can help. Good luck. ...Read more

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What are the early symptoms of cirrhosis of the liver? Is it right upper abdominal pain only?

What are the early symptoms of cirrhosis of the liver? Is it right upper abdominal pain only?

Depends on cause: There are many causes of liver disease: drugs/alcohol, obesity, viral infection, autoimmune disorders, injury to the liver, etc. The common cause is chronic inflammation of the liver leading to scarring. Most patients do not have any symptoms, except for possibly fatigue due to inflammation, until cirrhosis develops. Symptoms of cirrhosis include abdominal fullness, confusion, bleeding. ...Read more

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Pain in the abdomen during urination-sign of periods or pregnancy?

May be neither: If this continues please d/w your physician to insure that you don't have an infection. ...Read more

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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

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What are the complications of sacroilitis? Serum ALT is 97. Scan report- no sonological abnormalities in abdomen and pelvis. Having lower backache.

What are the complications of sacroilitis? Serum ALT is 97.  Scan report- no sonological abnormalities in abdomen and pelvis. Having lower backache.

Sacroiliitis: Sacroiliitis is an inflammation of the sacroiliac joint. This a joint between the sacrum and the ilium. The joints are located bilaterally where the small dimples in the low back are located. Pain in this joint is made worse by rising from a seated position, rolling onto the affected side while in bed, and taking a step up on the affected side. Elevated alt is not directed related to sacroiliitis. ...Read more

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Had ultrasound done for abdomenial pain and nausea. What does minimal fullness of the right renal pelvis mean?

Had ultrasound done for abdomenial pain and nausea. What does minimal fullness of the right renal pelvis mean?

Probably nothing: Right upper abdominal pain and nausea especially after eating are usually symptoms of gallbladder disease. If no gallstones were seen, my next step would be a hida scan to see if the gallbladder is functioning correctly. Fullness of the renal pelvis without kidney stones is probably an anatomic variant. ...Read more

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Management of abdominal pains and burning micturation in pregnancy?

Management of abdominal pains and burning micturation in pregnancy?

Exam & urinalysis: Anytime in pregnancy that you have abdominal pain, you want to see your OB to determine if a miscarriage is occurring, infection, or preterm contractions after 2nd trimester. A urine test is needed if indeed you have burning & a careful exam to check for other causes of abdominal pain. Take care. ...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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What treatment for common duct cyst? Elevated liver enzymes, abd. Pain

What treatment for  common duct cyst? Elevated liver enzymes, abd. Pain

May need surgery: This needs careful study by a gastroenterologist and depending on the details of the workup may require surgery. It would also depend on the overall medical condition and whether or not there is underlying liver disease. The precise location of the cyst is also important, as involvement of the pancreas would have a large impact on treatment and decision making. ...Read more

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What could cause ruq pain? Multiple ultrasounds all perfect, gallbladder walls thin and no distension. Pain in waves, sporadic in nature. Alt^

RUQ Pain: There are multiple causes of right upper quadrant pain including: peptic ulcer disease, biliary dyskinesia, gastritis, etc. You should visit your doctor for a further workup if these conditions have not been ruled out. ...Read more

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How long does abdominal pain associated with intrahepatic cholestasis of pregnancy last?

24-48 hrs: Usually all symptoms of intrahepatic cholestasis of pregnancy resolve within 24-48 hrs after delivery, in rare cases sx may continue to up to one week after and may signify retained placenta. But if you have this condition pregnancy needs to be monitored by obgyn very closely as poor outcomes for the baby are not uncommon if not monitored. ...Read more

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Is intrahepatic cholestasis of pregnancy painful?

NO: Cholestasis of pregnancy does not generally cause pain. The most common symptoms is pruritis (itching). It almost always starts with itching on the palms of the hands and soles of the feet, and it is first noticed at night. The itching spreads to other parts of the body over time. Treatment with ursodiol (bile salts) can improve symptoms. Consultation with a high risk OB is recommended. ...Read more

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What are the tests for intrahepatic cholestasis of pregnancy?

What are the tests for intrahepatic cholestasis of pregnancy?

LFTs, bile acids.: Liver function tests (alt/ast/alkaline phosphatase) and bile acids can clinch the clinical diagnosis of intrahepatic cholestasis of pregnancy - in the absence of cholelithiasis. ...Read more

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Could I have icp (intrahepatic cholestasis of pregnancy)? What are the risks?

Icp causes itching: I have only had one patient with icp in 27 years of practicing obstetrics. Diagnosis is made by elevated bile salts (detectable by lab test) and the treatment is cholestyramine. Pregnancy outcome should be unaffected by the condition. So icp is rare and makes you miserable, but should not affect your baby. One case however hardly makes me an expert so second opinions welcome. ...Read more

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Which treatment works the best and fastest for intrahepatic cholestasis of pregnancy?

Which treatment works the best and fastest for intrahepatic cholestasis of pregnancy?

See your doc: The one we know it works in relieving the symptoms if itching is the ursodeoxycolic acid. But in pregnancy this is a very serious condition that requires frequent fetal monitoring, maternal monitoring and potentially delivery before your due date. Please see and ob/gyn specialized in high risk pregnancy if you dont have one. ...Read more

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What is the result of liver function tests in intrahepatic cholestasis of pregnancy?

Cholestasis: You could elevated bilirrubin and alkaline phosphatase predominantly. Others sucn as transaminases can be elevated too. They will all normalize upon delivery. ...Read more

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Are there things I can do for intrahepatic cholestasis of pregnancy at home?

Are there things I can do for intrahepatic cholestasis of pregnancy at home?

Uncertain: Cause and treatment of intra-hepatic cholestasis are uncertain. Since it is often associated with itching, you need to protect your skin with emollients and refrain from scratching your skin. ...Read more

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How long does pruritus associated with intrahepatic cholestasis of pregnancy last?

Until pregnancy ends: Cholestasis of pregnancy is a considition which generally occurs in the 3rd trimester and is characterized by intense pruritis without rash and increase serum levels of free bile acids. The condition lasts until the pregnancy ends. The pruritis sometimes can be controlled with medications, such as ursodiol. ...Read more

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Are some people more prone to getting intrahepatic cholestasis of pregnancy?

Yes: There may be some familial predisposition to this disorder as it seems to apear in clusters of related women. It is also more common with multiple pregnancies (twins/triplets) and recurrence risk is as high as 50% or more in subsequent pregnancies. Resolution of symptoms is usually very prompt after delivery. ...Read more

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Can intrahepatic cholestasis be a problem if pregnant?

Can intrahepatic cholestasis be a problem if pregnant?

Cholestasis: Cholestasis in pregnancy can be a serious problem. Usually occurs in the third trimester. It's caused by an excess accumulation of bile acids which can be toxic to the fetus. Leading to fetal distress and can even lead to fetal death. One of the most common symptoms is intense itching. Delivery at 36-37 weeks.
If not term, fetal monitoring and monitor liver enzymes and rx for itching. ...Read more

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I had intrahepatic cholestasis due to alcohol 8 months ago.I didn't drink 6 months.Now i drink.My GGT is 67, indirect bilirubin is1.2 is it ok to drink?

I had intrahepatic cholestasis due to alcohol 8 months ago.I didn't drink 6 months.Now i drink.My GGT is 67, indirect bilirubin is1.2 is it ok to drink?

Probably not: If you have already had liver problems associated with drinking alcohol, it is likely that you are at risk of recurrance and you likely have some permanent liver damage as well. The safest thing that you can do to optimize your health would be to abstain from drinking alcohol at all. I would discuss this with your GI physician. ...Read more

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What can be done for intraheptic cholestasis of pregnancy?

What can be done for intraheptic cholestasis of pregnancy?

Ursodiol/hydroxyzine: Delivery is the ultimate therapy for cholestasis gravidarum, by 36-38 weeks with 1-2/week fetal surveillance to avoid fetal demise. Oral ursodiol and Hydroxyzine cab help control the bile acid level in the mother's blood stream and decrease her pruritus. ...Read more

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How far along in pregnancy does cholestasis or pregnancy start? And what is cholestasis of pregnancy?

Cholestasis: Cholestasis of pregnancy is a condition in which the normal flow of bile in the gallbladder is affected by the high amounts of pregnancy hormones. Cholestasis is more common in the last trimester of pregnancy when hormones are at their peak, but it usually goes away within a few days after delivery. ...Read more

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What are the chances of having cholestasis of pregnancy in consecutive pregnancies?

70% recurrance risk: Recurrance risk for cholestasis of pregnancy can be as high as 70% in subsequent pregnancies. There is no current therapy to lessen the risk or prevent those recurrances. ...Read more

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What are tests, treatment for cholestasis of pregnancy?

What are tests, treatment for cholestasis of pregnancy?

Med, early delivery: Intrahepatic cholestasis is usually first noticed when a pregnant woman complains of itching all over the body but no rash. Testing will show abnormal bile salt levels and liver function tests. There is a medication that relieves the itching and lowers bile salt, but there is increased risk for stillbirth, so close monitoring of the pregnancy and delivery as soon as feasible is usual management. ...Read more

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I had cholestasis of pregnancy. I am over 2mo post delivery and the itching hasn't gone away. Liver function tests are normal. What do I do now?

Specialist : The itching from cholestasis should resolve 24-48 hrs after delivery. If you are still itching then it is from something else. Schedule a visit with an allergy/immunology specialist or perhaps a dermatologist. ...Read more

Dr. Katherine Kohari
38 doctors shared insights

Cholestasis Of Pregnancy (Definition)

A condition that can occur in pregnancy where the flow of bile, a digestive fluid produced by the liver, slows or stops. As a result, the bile enters the bloodstream and causes intense itching on the palms of the hands and the soles of the feet, plus ...Read more


Dr. Jon Fishburn
79 doctors shared insights

Cholestasis (Definition)

A condition where the flow of bile, a digestive fluid produced by the liver, slows or stops. As a result, the bile chemicals can get into the bloodstream and cause itching ...Read more