Doctor insights on:
Is Biliary Atresia Detected Before Birth
Depends on situation: If picked up early enough, some respond to surgery to re-establish bile flow. If operated later than 10 weeks of age, most will need a liver transplant to survive. All cases are quite unique & conferring with the treatment team will provide the best information. ...Read moreSee 1 more doctor answer
Multidisciplinary: This diagnosis is made by a team of neonatologists, pediatric surgeons and pediatric gastroenterologists. It includes blood test, an ultrasound, a nuclear scan called hida scan to evaluate drainage of the liver, a liver biopsy and finally a cholangiogram. As you can see it is not straightforward and that is why so many specialists are required. ...Read moreSee 3 more doctor answers
Dilated bile & pancreatic ducts.Ercp scheduled. Previous ercp caused pancreatitis. What are the chances this will happen again?
Known risk: Often depends on amount of manipulation of ducts involved / extent of procedure, and to lesser extent the meds used for procedure and meds you are on chronically. Talk to your GI dr pre-procedure to see if able to limit risk. ...Read more
Dad has biliary colic from gallstones and is scheduled to get gallblAdder removed in 3 weeks. Is it safe to wait this long? Complications wont occur?
Prior gasstic bypass patient, how can I tell if change is stools is blocked common bile duct, epecially since gallbladder is gone?
36 year old with cholestasis of pregnancy during 2nd pregnancy. 6 months after delivery liver enzymes were still elevated, but GB been removed.....?
Unexplained weight loss: Assessment and Plan: 36 yo woman G2P2 with PMH sig for intrahepatic cholestasis of pregnancy, cholecystitis, s/p cholycystecomy presents with unexplained weight loss, elevated transaminases of unknown level >6 mo,polyarthralgia, fatigue,nausea, and dysmenorrhea. You need to be referred to multiple specialists for evaluation of your medical problems. 1. Gastroenterology/Hepatology- CT/MRI scan of liver indicated ,repeat ERCP if indicated. Consider liver biopsy since liver enzymes elevated >6 months. Evaluate all meds, alcohol use, family history of hemochromatosis, NASH. Serology for TSH, Iron, Ferritin, TIBC, alpha-1 antitrypsin, liver function, Hepatitis serologies, ANA, H. Pylori test, and other labs as indicated. 2. OB/GYN- Your painful periods/ dysmenorrhea can be best evaluated by a OB/GYN specialist. 3. Internal Medicine-workup other causes wt. loss, fatigue, joint pain based on med history/ meds. These referrals should be a good start. Good luck. ...Read moreSee 9 more doctor answers
Had abdominal ultrasound November of 2015 (almost a year ago) --- unremarkable study.
 Is it possible that the ultrasound had missed any concerning pancreatic lesions?
 How likely pancreatic cancer has progressed to advanced stage since then?
Surgery: Once the diagnosis is made and if the baby is considered an appropriate candidate, the approach is surgical. As the problem is lack of drainage of bile from the liver to the intestine, a new connection is made between the liver and intestine. It is called a portoenterostomy or a kasai procedure. Sometimes the child is not a candidate and may need transplantation of liver. ...Read moreSee 1 more doctor answer
Biliary atresia: Biliary atresia is a congenital scarring of the biliary ducts. These ducts transport bile made in the liver to the intestine so one can digest fats. The ducts scar and obliterate. Bile then cannot exit the liver which poisons the liver. These infants need corrective surgery before they are 2 months old. ...Read moreSee 1 more doctor answer
How serious is placenta covering cervix @ 17 weeks. 3 early MCs, 2 D&Cs, no birth. No bleeding. What are the chances of placenta NOT moving up ?
Depends: A marginal placenta previa has a good possibility of moving up. A complete placenta previa will probably remain so. ...Read more
9 months after delivery no periods. Case history is Asherman's syndrome. Breastfeeding. Is that normal. ?
Yes: Asherman's syndrome is a condition characterized by adhesions and/or fibrosis of the endometrium (the lining of the uterus) most often associated with D&C's. But since you are breastfeeding, almost anything is considered normal when it comes to your periods while breastfeeding.For some mothers, there may be an absence of menstruation for weeks, months, and even years while still breastfeeding. ...Read moreSee 1 more doctor answer
Arthrogryphosis: There is no prenatal test available to test for this condition. ...Read more
Liver cancer Bilirubin 10.81 & no obstruted bile ducts.Does this mean liver is failing?What can be life expectncy of 70 yrs old male in this condition
Liver cancer hi bili: 52 M notes: Liver cancer Bilirubin 10.81 & no obstruted bile ducts.Does this mean liver is failing?What can be life expectncy of 70 yrs old male in this condition. ANS: You mean no obstructed big bile ducts such as from gall bladder? It is not possible to make reasonable prognosis without knowing more. Happy to do 2nd opinion. ...Read more
Baby is detected with intrahepatic persistent right umbilical vein, isolated finding.i am 23w pregnant.could that pose trouble for baby?
Only a variation?: While a congential anomaly, given many poorly understood control issues & individual variability, there is likely no good way to be sure. Usually there is only a single vein, as in the illustration selected, but controls not well understood & 2 still being present may not be a problem for other organ systems. Look up: "dual fetal umbilical veins" on Google; many discussions, yet nothing definitive ...Read more
Type 6 stool for the past 2 weeks. Is this a sign of colon cancer. Before, stool was more solid. Obstruction?
I had sub chorionic hemorrhage, single umblical artery n spinq bifida during preg. R these 3 due to chromosomal disorder. Is karyotyping is necessary?
If parent had colon cancer at 80, what is risk of offspring getting it after 65? No other known family member was diagnosed with GI tumor or condition
Cancer screening: Cancer screening is recommended and all populations over the age of 50. In your case it does not matter if a family member had cancer at the age of 80 you should have your screening at the age of 50 regardless. The only time this becomes significant is if a family member has cancer around the age of 50 in which case immediate family should be screen 10 years prior to that age. ...Read more
Yes in Mom and child: A gene test can be done on any individual. If the mother carries the gene, she will eventually become symptomatic with huntington disease. Any child of hers will have a 50% chance of inheriting the gene and the disease. Prenatal testing of the child in utero can be performed. Any sort of prenatal testing should involve a genetic counselor consultation, as there are many issues to consider. ...Read more
Acute renal failure after hysterectomy becuase of uterine cancer. Is this normal after a hysterectomy? Problems after surgery, dec 2011, mother 62, now renal failure. Kidney doctor found blockage causing the kidneys to fail.
Assuming : Assuming that your mother did not have chronic renal disease going into surgery, then the prognosis for recovery of kidney function will depend on the reason for the acute injury. Most often acute renal failure is due to a period of low blood pressure, where there is not enough blood pressure to perfuse the kidney which results in something called acute tubular necrosis. There are varying degrees of this, which should improve once the blood pressure stabilizes, in some cases, hemodialysis may be necessary to support the kidney until this recovers. Another potential cause though, particularly in uterine surgery, is injury to the ureters, sometimes due to the extent of the tumor or difficulty in removing the uterus. As you mention that the kidney doctor said a blockage was found, this may be a contributing factor, but usually is known prior to surgery. Other causes (unlikely here) may relate to drug toxicities, for example antibiotics or chemotherapy related. In general, if the patient goes into surgery with good kidney function, the prognosis for recovery is good once all the inciting factors are removed. ...Read moreSee 1 more doctor answer
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