Doctor insights on:
Intrahepatic Cholestasis Of Pregnancy Inr
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
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
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
Delivery: It usually goes away at or shortly after delivery. ...Read more
Fatty liver: Acute fatty liver of pregnancy (aflp) is a rare, potentially fatal complication that occurs in the third trimester or early postpartum period. Although the exact pathogenesis is unknown, this disease has been linked to an abnormality in fetal fatty acid metabolism. Early diagnosis of aflp sometimes can be difficult because it shares features with other common conditions such as pre-eclampsia, vira. ...Read more
Hepc, cirohsis, episode of grade 2 hepatic enceplopathy, minor bleeding in esophagus, ejection fraction 40....Is there any new medicines available ?
Conjugated bilirubin is 0.50 mg/dl, and total bilirubin 0.78 mg/dl, is there any chance of obstructive jaundice? Is this normal?
Normal: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, what you provided is well within normal limits. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Get HPV vaccine. ...Read more
Fetus's tissue testing on D&C (8 weeks and 2nd early MC) showed turners syndrome in the feutus. Future pregnancy implications of this? Any precautions
Generally no: In general, in each subsequent pregnancy, the chance of having another pregnancy affected by Turner syndrome would not be increased given that it occurs due to a random error in the splitting of chromosomes during the creation of sperm usually, though sometimes also the egg. Unlikely to recur in a first time case. ...Read more
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
Age 36, no alcohol. Bilirubin 4 sgpt 127 sgot 79 liver size 14.5cm. Diffuse fatty liver. No biliary dilatation. Common duct 2mm. Confirm fatty liver?
Pregnancy and elevated liver enzymes of ALT 54? Pregnancy related? No alcohol. No meds, except materna, iron pill (palafer cf) & occasional tylenol (acetaminophen).
Yes.: If you have only alt elevetion and the rest of your blood work and exam is ok, you may have intrahepatic cholestasis of pregnancy -icp, which would resolve after delivery. Gallbladder us and elevated GGT confirm the diagnosis. The combination with the low platelets and elevated blood pressure, or hellp syndrome, is a complication of the severe preeclampsia which needed emergent hospitalisatio. ...Read more
7 weeks postpartum-had obstetric cholestasis. How long before liver heals? Some of my liver enzymes still high and B12 is elevated. Other problem?
6-12 weeks: May take upto 12 weeks for full healing. ...Read more
What is prognosis of pt of liver cirrhosis with insomnia and asciteshaving sgot 68.5, total prStein 4.5, albumin 2.4 bld urea, creatinine normal?
It'll kill him...: ... unless he stops drinking. Period. From the clinical findings, this individual continues to be a "moderate drinker." Without sobriety, his chances of recovery aer zero. How soon? I can't tell you. Can we get through this man's denial? I don't know. Is this you? Do you want to die? Or would you like to feel well once again. Cirrhosis is largely reversibly -- IF you sober up. ...Read moreSee 1 more doctor answer
Ultrasound found mild extrahepatic biliary dilatation increased by 1 mm from last year; significance uncertain, increasing fatty infiltration of the liver, pancreas normal, doctor ordered endoscopy
Biliary dilatation: Depends on what else is going on. Need more details to be better able to help. ...Read more
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
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