FAQ - cholangitis
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Cholangitis?


The liver Cholangitis is a disease that happened to Walter Payton, a NFL football player. Can someone plz tell me the symptoms of this disease.
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Cholangitis means inflammation of the bile ducts. Is it Primary Sclerosing Cholangitis? If so, here's some info:
Definition of Primary sclerosing cholangitis

Primary sclerosing cholangitis: A chronic disorder of the liver in which the ducts carrying bile from the liver to the intestine, and often the ducts carrying bile within the liver, become inflamed, thickened, scarred (sclerotic), and obstructed. This relentlessly progressive process can in time destroy the bile ducts and lead to cirrhosis.

Primary sclerosing cholangitis (PSC) can occur by itself or in association with other diseases, including inflammatory bowel disease, especially with ulcerative colitis; certain uncommon diseases, such as multifocal fibrosclerosis syndrome, Riedel's struma, and pseudotumor of the orbit; and AIDS.

Changes in the biliary tract are quite common in AIDS and very similar to those in PSC; however, in AIDS the changes in the biliary tract are probably due to infection with mycoplasma, cytomegalovirus, or other agents.

PSC often triggers jaundice (yellowing), pruritus (generalized itching all over the body), upper abdominal pain, and infection. Later on, PSC progresses to cirrhosis of the liver and liver failure, creating a need for liver transplantation. Diagnosis is by clinical observation and routine laboratory tests, and is confirmed by demonstration of thickened bile ducts using special radiologic tests called cholangiography.

Treatment includes cholestyramine to diminish itching, antibiotics for infection, vitamin D and calcium to prevent bone loss (osteoporosis), sometimes balloon dilatation or surgery for obstructed ducts, and liver transplantation when necessary and possible. Prognosis depends on the age of the person, degree of jaundice, the stage of PSC found via liver biopsy, and the size of the spleen. Most patients die within 10 years of diagnosis unless a liver transplant is performed. Also known as idiopathic sclerosing cholangitis.  (+ info)

My wife has been diagnosed with ascending cholangitis while pregnant. Will the baby survive?


She's being treated with antibiotics and is responding to them. The doctor doesn't think surgery will be needed. I received a very vague answer about the survival rate the baby. Basically a wait and see.

Does anyone know if the baby is likely to survive? I can't get any information out of these people! She's currently 15 weeks and 2 days pregnant.
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I really don't know, keep asking the doctor that is treating her, if he keeps being flaky find another doctor you can ask.  (+ info)

How long do you stay in remission with Chronic Pancreatitis,Crohn's,and Primary Sclerosing Cholangitis?


Impossible to answer as its an individual thing for everyone.  (+ info)

How is my prognosis in primary sclerosing cholangitis effected by having had a liver resection?


  (+ info)

ulcerative colitis and primary sclerosing cholangitis?


how likely is it that my children will have problems if my future husband has these diseases? should i not have children with him? he might not even live long enough to see them in college anyway. i don't know what to do. he always talking about having children with me in the future but i just dont know if it's a good idea.
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There is a genetic link, but the risk to your future children is actually quite low. About 1 in 100 of the population have ulcerative colitis (UC). If you have a relative with the condition, this goes up to about 3 in 100 (3% chance). Even among identical twins (who share identical genes), where one twin has the disease, only 6% of the "normal" twins went on to develop the ulcerative colitis. Most people live reasonably normal lives with UC and surgery to remove the large bowel can cure the disease if it can't be managed with medication.
Primary sclerosing cholangitis is a much rarer disease, but people with colitis are known to be at higher risk. The outcome for this condition tends not to be so good, with most people developing liver failure after about 10 years and needing a liver transplant. The genetic risk of this condition for any future children would be very small but the disease itself and/or the implications of a liver transplant could possibly affect fertility. Hope this helps.  (+ info)

I have autoimmune cholangitis, does anyone have any information to help me?


I am very sorry to hear this...

The name you gave me is rather vague, so I am going ot make a guess... Most likely you have primary sclerosing cholangitis (PSC). PCS is a is a form of cholangitis due to an autoimmune reaction. Meaning, PCS leads to cholestasis (blockage of bile transport to the gut). The reason for concern is that blockage of the bile duct leads to accumulation of bile, which damages the liver, leading to jaundice and eventually causes liver failure.

As far as treatment, unfortunately we do not know much about it right yet. Meaning, the reason for the autoimmune response is unknown, but suspected to be genetic in origin. The main treatment focus is on protecting the liver and preventing its failure. In extreme cases, a liver transplant is needed...

Good Luck and I Hope this Helps... And please take care of yourself...  (+ info)

Primary Sclerosing Cholangitis, due to Ulcerative Colitis, anyone got it?


Any tips on how to manage it? I was diagnosed just last year. Not on any meds yet, but I have seriously cut down on my drinking.
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Wikipedia provides a good place to start

http://en.wikipedia.org/wiki/Primary_sclerosing_cholangitis  (+ info)

primary sclerosing cholangitis.. how long before liver transplant is needed?


i have PSC my specialist just found out about 3 weeks ago i am on medicie but im just wondering how long is the usual time before a liver tansplant is needed...
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If you were diagnosed around the same time the disease actually developed, it takes anywhere from 10-20 years. There are helpful resources at this link:  (+ info)

causes for obstructive jaundice(distal CBD obstruction) secondary to choledocholithias with cholangitis?


is it due to CBD stone removal done once before and later on with laporoscopic cholecystectomy done? the ERCP reads- papilla: evidence of previous sphincterotomy with lot of purulent discharge. Cholangiogram: Gb-Post cholecystectomy status.
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no one knows exactly.

Sounds like the patient had a blown open sphincter of Odi (the papilla), this may have been done at ERCP, or from stone passing "naturally", or from the lap cholecystectomy. Sphincterotomies are routine, and are thought to open the papilla to allow stones to exit more easily. If only a simple cholecystectomy, then a stone may have been left. If they explored thh CBD, they may have injured it, or pushed a stone into the pancreas, or frankly, missed another stone.

There very well be no way to answer the question, ever. This is an issue that will trouble surgeons for decades.  (+ info)

primary sclerosing cholangitis progression?


liver cancer and rectal cancer. What are progession signs?
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If the person you are asking about has both primary sclerosing cholangitis and rectal and liver cancer then the prognosis is not good. PSC is not cancer but the combination of the two diseases carries a poor prognosis.

Scroll down for the section on PSC and colon cancer
http://www.emedicine.com/ped/topic1895.htm

Symptoms of progression would be the same as for advanced cirrhosis in combination with liver cancer - ascites, swelling, potential bowel blockage, malaise. good luck  (+ info)

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