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Doctor insights on: Need Help With Biliary Cirrhosis

No: Antibiotics do not help with gallbladder disease except in the case of gallbladder infection, in which case they are only useful as an adjunct to surgery. ...Read more

Will differ: Gallstones cause symptoms when they block the function of the gallbladder after eating fatty foods. Thus avoiding fatty foods like fried and high fat foods may be helpful. For diverticulitis, the blockage of diverticular sac openings is the root cause for inflammation. Avoiding constipation by eating more fiber and drinking more water, and to exercise more frequently. ...Read more

Meds for cirrhosis: Not much to offer, other than liver transplantation. These classes of medications help somewhat - diuretics, some beta blockers and lactulose. Tips is a procedure that is done for alleviating portal hypertension in cirrhosis. ...Read more

Maybe: This may be offered to you as an option; I am going to assume viral and autoimmune hepatitis, wilson's, drug reaction, alcohol abuse, and hemochromatosis are ruled out. If there's suspicion your disease is advanced, you'll probably be offered a biopsy. Or you may be offered one now to see if a trial of medication is worth it before or after you get really aerobically fit -- the best rx. ...Read more

Liver Disease: I am very proud of you for asking this question. Your health is at significant risk. It is time to stop drinking and it is easier with help. Without knowing much about your life my gut sense is that you need an inpatient program that also has a medical component to it. You have very good programs in california. The betty ford center is excellent. ...Read more

Debatable: One newer approach to treating chronic kidney disease (ckd) is experimental anti-inflammatory drugs. There have been limited positive results. Alternatively, there are many testimonials on the benefits of enzyme therapy for a variety of disorders, many of which have some inflammatory component. Thus, benefits of enzyme therapy in ckd/dialysis is debatable. Best, talk to your doctor and discuss. ...Read more

Number of things: If caught early, there are medications, particularly ursodeoxycholic acid (actigall) which can slow it down. Preventing and treating complications is also important, especially high pressure in the portal vein, which can be treated with beta blockers (inderal (propranolol) and others) and sometimes surgery. Itching, fatigue and other symptoms can be treated as well, but liver transplant is needed when severe. ...Read more

Take care of liver: if overweight loose weight. Avoid foods/drinks with high fructose corn syrup. Such substances are metabolized like alcohol and don't give you a buzz. Avoid alcohol. Talk to your doc about the steatosis. If they do not help you, find another provider. ...Read more

Both; Gi can biopsy: Either can do the history, physical, appropriate blood tests, and order supporting imaging studies, like sonograms. Gi docs are trained to do liver biopsies (so can interventional radiologists, but they generally get smaller bits of tissue) when needed to diagnose and stage the disease. ...Read more

Resins, antihistamin: Bile salt resins to bind these in the gut, antihistamines. ...Read more

Many years: Primary biliary cirrhosis (PBC) is usually diagnosed with lab tests and liver biopsy. People can live many years with PBC. Without knowing more information, I can't give you exact numbers, but hopefully you are on ursodiol medication and this helps PBC a lot. You should be following with a liver doctor who will help manage your disease. ...Read more

Other way around: A hernia can definitely lead to an intestinal blockage. That can be life threatening. ...Read more

Cannot say: I would need more info about the causes of your liver failure and the medications you use. ...Read more

No, ↑es the Problems: With healthy metabolism, ~50% of more of glucose is produced by hepatic gluconeogenesis (sugar production from internal protein & fat) & prevents low bg fasting. However, in type ii, glucagon & gluconeogenesis increase after eating, driving blood sugar levels even higher. Type ii is excess sugar, intake & production, not too little, the reason bg is routinely high. As dm worsens problem ?es. ...Read more

No: No no and no -- please see your doctor if you have any of the above condition. ...Read more

See details: Studies need to be done to rule out all of the underlying causes for a fatty liver. If those studies are negative and you are obese, then weight loss is the best treatment. ...Read more

Small bowel obstruct: Ion is a medical emergency. It should be treated by confirming the diagnosis, bowel rest, possible decompression with a nasogastric tube on suction. If not resolving within 24 hours, surgical exploration is indicated to avoided ischemic or dead bowel. Do not delay if you think you are obstructed. This is not to be treated t home! ...Read more

No. (?): "Bloodletting" refers to the ancient and long-discredited practice of bleeding someone to remove "evil humors" (another long-outdated concept). "Therapeutic phlebotomy" is used to treat diseases that cause overproduction of red blood cells or their constituents eg hemochromatosis, polycythemia vera, porphyria cutanea tarda. It is NOT indicated for hepatic encephalopathy. ...Read more

I am sorry to : hear of this. But, it would be best to ask the oncologist/ treating physician who knows the full medical history. ...Read more

Decrease symptoms: Placing a stent into a pancreatic or common bile duct for a patient with pancreatic cancer that is obstructing that duct may improve the symptoms of obstruction. Usually done for palliation in non resectable tumor or in preparation for surgery after acute obstruction. ...Read more