Doctor insights on:
Need To Biliary Cirrhosis
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
Yes: Liver function tests include ast, alt, alkaline phosphotase (alkp), and bilirubin.Acute inflammation of the gallbladder can secondarily inflame the liver, typically causing a elevation of ast and alt.A stone in the common bile duct (cbd) may block the liver and lead to abnormalities of all these labs. If a stone is in the cbd, endoscopic removal (ERCP) is usually necessary, in addition to chole-x. ...Read more
What leads to obstructive jaundice(distal cbd obstruction) secondary to choledocholithias with cholangitis?
Usually a gallstone: Usually a gallstone causing obstruction of the common bile duct can cause sudden painful jaundice, sometimes with associated cholangitis (infection of the bile) This requires drainage and extraction of the stone from the common bile duct with a procedure call ERCP. Other causes can be tumors causing obstruction, which is more often painless and gradual. ...Read more
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The main duct: Draining the liver (common bile duct) collects the drainage from the gall bladder when the cystic duct joins. The gall bladder in intimately position with the liver, and gb cancer can lead to nodes obstructing these ducts or invasion directly into the liver. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Yes and no: Cirrhosis is a histologic diagnosis but can made without a biopsy with almost certainty based on lab data, imaging studies and physical exam. Liver cancer (hcc) is also a histologic diagnosis, but in the setting of cirrhosis it can be made based on MRI or ct imaging criteria without a biopsy with >95% certainty. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Does antibiotic damage liver?my grandma have cirrhosis gastric ulcer and gastritis ?how to treatment ?
Which antibiotic?: No medication is without potential side effect. Work w/your (grandma's) doc to determine if desired benefit exceeds potential risk. Some medications, such as paracetamol, are dangerous to liver in high doses. Others harm kidneys or stomach lining. Ask prescribing doc which medications are being used. Then search reputable references such as www.drugs.com & www.epocrates.com, etc. Good luck! ...Read more
No: Liver hemangiomas occur at random and are harmless. ...Read more
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