Doctor insights on:
Medicine For Choledocholithiasis
LAB AND XRAY: Stone (s) in the common bile duct (choledocholithiasis) present with pain and/or jaundice, and can cause pancreatitis, a severe inflammation of the pancreas gland. Blood tests, ultrasound, mrcp (magnetic resonance xray of the bile duct,) and/or ERCP (endoscopic exam of the bile and pancreatic ducts) are all avenues used to evaluated cbd stones. Speak to your doctor. Good luck. ...Read more
Not uncommonly, gallstones may exit from the gallbladder and enter the cbd. From there, stones may pass uneventfully into the gut, block the liver, or the pancreas; this can cause serious liver infections (cholangitis) or pancreatitis. Rx requires endoscopic removal of the cbd stone (ERCP) and removal of ...Read more
Stone in bile duct: It is a stone in the tube that carries bile from the liver and gallbladder into the small bowel. If a stone blocks the tube it can lead to infection, pain, itching, yellow skin color (jaundice). Note that these same symptoms or signs can be caused by other issues with the biliary system. ...Read more
Gallstones: In western countries, most cases of choledocholithiasis are a result of the passage of gallstones from the gallbladder into the common bile duct. There are many risk factors for gallstone formation, such as being a multiparous female, obese, and over age 40. Other risk factors include oral contraceptive use, decreased physical activity, diabetes mellitus, and family history and genetics. ...Read more
Pain, Jaundice: Pain from choledocholithiasis (common bile duct stones) will be identical to the pain from gallstones, since both cause pain by blocking the outflow of bile from the gallbladder. However, since the liver is also blocked, one will be more prone to infections in the liver and jaundice; lastly, these stones may cause pancreatitis, which can cause severe mid-abdominal pain. ...Read more
CommonBileDuctStones: Not uncommonly, gallstones may exit from the gallbladder and enter the cbd. From there, stones may pass uneventfully into the gut, block the liver, or the pancreas; this can cause serious liver infections (cholangitis) or pancreatitis. Rx requires endoscopic removal of the cbd stone (ERCP) and removal of the gallbladder (laparoscopic cholecystectomy). ...Read more
None: There are none. See your doctor!Get a more detailed answer ›
Choledocholithiasis: Is a stone or stones in the main duct draining bile from the gallbladder and liver. These may or may not cause blockage of this duct. Mirizzi syndrome is blockage of the same duct by a stone not in the main bile duct but in the smaller (and close by) duct just draining the gallbladder. The blockage is usually from swelling around the stone. See graphic. ...Read more
This is an urgent medical problem that should be addressed immediately. Failure to get treatment can lead to severe infection and liver dysfunction. Delaying treatment can make treatment more complicated and difficult.
Treatment consist of removal of the stones endoscopically or surgically.
Antibiotics prevent and treat cholangitis or infection of the bile ducts that can be life threatening. ...Read more
Am a sandwich generation member, planning to move to be near kids. Now mom has been diagnosed with choledocholithiasis. What to do?
Remove the stones: Common bile duct stones are much more serious than gallstones due to their ability to block the liver and cause infections or pancreatitis. These can be removed non surgically by gastroenterologists (ercp), followed by surgical removal of the gallbladder to prevent any other stones from leaving the gallbladder and entering the bile duct (provided that mom is healthy enough for surgery). ...Read more
How to diff b/w CBD infection, cholangitis & choledocholithiasis when looking at labs? Any spec. Parts of LFT to look 4 that are < or > in each case?
Labs in biliary dz: Labs offer only one window into the disease process that's going on. So your question can't really be answered. The liver profile (LFTs) contains Alkaline Phosphatase which is a surface enzyme of the cells lining the biliary tree- that should be elevated. GGT is another surface enzyme that should be elevated, but it's not a routine part of the LFTs. Imaging tests and other clinical info is needed. ...Read more
MRCP shows a distended gallbladder, numerous calculi, common bile duct up to 0.6cm, no evidence of choledocholithiasis, abdominal pain 2 mo. Surgery?
Drugs frm India safe: F from US asks: Are the drugs from India as safe as the drugs from the U.S? ANS: Some are some are not and some dangerous. I do not recommend them unless all else has failed. You don't want to be playing "You bet your Life" with them. ...Read more
Ambroxol is a…: Mucolytic agent, i.e., it makes mucus & sputum thinner & less viscous (sticky) & therefore more easily removed by coughing; so it is beneficial in diseases associated with increased mucus production (acute/chronic bronchitis, copd). It also appears to have anti-inflammatory properties. None of the articles I reviewed noted that this drug is not available in the us. Ask your fp/pharmacist. ...Read more
Urine testing is the: Most commonly used.Get a more detailed answer ›
Doubtful: Des has been off the market for decadesa and the structural anomalies are well defined. Talk them over with your doctor. ...Read more
A growing speciality: Anti aging medicine is really based around the goal of keeping individuals as healthy as possible. Not simply treating them when they are sick. This means paying particular attention to the current state of our health and how to make it better. Also look at less invasive ways of managing a person's health. It is fascinating. ...Read more
How can I increase my baby appetite, do I have to buy drug that increase my 1 year old baby appetite, he s active normal but I wish he eat more?
Depends: Depends on what type of IBS you have… Constipation type we have a few different medications, for diarrhea type there are fewer options. Before diagnosing yourself with IBS though, make sure you have colonoscopy and EGD and labs done and an examination as IBS is what we call a diagnosis of exclusion, where we "rule Out" other causes then call it IBS. ...Read more
For high BP: Eprosartan is used alone or in combination with other medications to treat high blood pressure. Eprosartan is in a class of medications called angiotensin ii receptor antagonists. It works by blocking the action of certain natural substances that tighten the blood vessels, allowing the blood to flow more smoothly. ...Read more
Seek Urgent Care: Take them to the emergency room.Get a more detailed answer ›
Please suggest the best OTC medicine (s) for sinus symptoms management (esp. The headache) and can be used regularly.
OTC meds for Sunuses:
Pseduephedrine (Sudafed) is the main decongestant sold OTC, but due to its potential for abuse, it is now stored behind the shelf and u need to ask for it. It can cause increased heart rate and insomnia.
u can use nasal sprays to decongest while avoiding the insomnia caused by oral decongestants. Anti allergy meds
can be used if they are adding to the congestion otherwise u can skip these ...Read more
Took statin drugs 9 years side effects made me stop the drug will the 9 years I was on statins be a credit when I get into my 70s and 80's?
Cholesterol karma: Lets start by saying statins simply control a risk factor (hypercholesterolemia). There is no evidence that they extend your life. The more important question would be, what are your current risk factors? Are you eating right? Exercising? What's your bmi. What's your blood pressure? What's your cholesterol now? Talk to your doc. They can assess your risks and set you on the right course if action. ...Read more