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Doctor insights on: Need To Biliary Cirrhosis

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What can be done for primary biliary cirrhosis?

What can be done for  primary 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

Dr. Ihab Ibrahim
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Biliary (Definition)

Biliary means anything related to the production, storage, secretion, or flow of bile, whether in the liver, bile ducts, gallbladder, ...Read more


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Can gallbladder disease cause liver tests to go up?

Can gallbladder disease cause liver tests to go up?

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

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I need answers to liver fibrosis issues?

I need answers to liver fibrosis issues?

OK: what questions do you have? What caused the liver fibrosis? Oftentimes, it's irreversible. Continued injury to the liver can result in cirrhosis. ...Read more

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What are the minimum tests needed to diagnose biliary cirrhosis?

What are the minimum tests needed to diagnose biliary cirrhosis?

Needed tests: The major test needed are routine liver function test in combination with a test called ama and ana. If suspicioius a percutanious liver bx should be done for confirmation. ...Read more

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What leads to obstructive jaundice(distal cbd obstruction) secondary to choledocholithias with cholangitis?

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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Will gallstones cause liver enzymes to be elevated?

Will gallstones cause liver enzymes to be elevated?

Yes, but it usually: Means that the gallstones are in the common duct, causing intermittent obstruction or inflammation. It is a complication of gallstones, and a bit more complicated to treat than gallstones in your gallbladder. ...Read more

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Why does gallbladder cancer lead to jaundice?

Why does gallbladder cancer lead to jaundice?

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 more

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How can I treat primary biliary cirrhosis ?

How can I treat primary biliary cirrhosis ?

Ursodiol: There is not much available to treat primary biliary cirrhosis, but ursodiol helps normalize the liver enzymes. For other therapies you should discuss with a hepatologist. ...Read more

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Does GI or internist do tests for cirrhosis of the liver?

Does GI or internist do tests for cirrhosis of the liver?

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

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If you have cirrhosis or liver disease, can your enzymes go back to normal levels?

If you have cirrhosis or liver disease, can your enzymes go back to normal levels?

Sometimes: It depends how bad the cirrhosis is. The liver is one of the body's best organs at regenerating. Also, a liver transplant can sometimes restore normal function. ...Read more

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Is it possible to diagnose liver cirrhosis or liver cancer without a biopsy?

Is it possible to diagnose liver cirrhosis or liver cancer without a biopsy?

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 more

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Do I need a liver biopsy with NASH disease?

Do I need a liver biopsy with NASH disease?

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

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Does antibiotic damage liver?my grandma have cirrhosis gastric ulcer and gastritis ?how to treatment ?

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

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How can hepatitis, haemolytic anaemia and pancreatic cancer lead to jaundice?

How can hepatitis, haemolytic anaemia and pancreatic cancer lead to jaundice?

Easy to explain: Hepatitis causes hepatic jaundice by the cells being unable to process bilirubin. Hemolytic anemia produces prehepatic jaundice by making more bilirugin. Pancreatic cancer can produce obstructive / cholestatic jaundice by plugging bile ducts. ...Read more

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Can you tell me about primary biliary cirrhosis?

Liver disease: Chronic disease of the liver from scarring of the biliary ducts. Probably an autoimmune disease. There are medications to help with this disease, but you need close follow up with a GI doc. Good luck. ...Read more

Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more


Dr. Chad Levitt
64 doctors shared insights

Primary Biliary Cirrhosis (Definition)

A chronic disease in which the bile ducts in the ...Read more