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Cholestasis: Bile congestion due to the narrowing of bile ducts

  1. Cholestasis is the medical term for bile congestion. This occurs as a result of narrowing or blocking of the bile ducts that carry bile from the liver to the intestine. The flow of bile is slowed or blocked as a result. This is often the result of diseases of the bile ducts, pancreas (pancreas) or liver. But other factors also cause this condition. Itching, urine and stool abnormalities, jaundice and abdominal pain are some of the features of this disease. Various imaging tests and a blood test are required to diagnose bile congestion. The treatment of bile congestion usually consists of medicines and / or surgery.

Symptoms: Itching, jaundice, white stools and dark urine

  1. The urine of the patient with cholestasis is dark colored (dark colored urine) because the kidneys excrete the excess bilirubin. The stool has a white color (clay-colored stool) because the bilirubin cannot pass through the intestine, so it cannot disappear from the body. Fat diarrhea is another possible stool pattern. Itching (pruritus) is a common problem. This occurs due to the build-up of bile products in the skin). Icterus (jaundice) also occurs because the excess bilirubin deposits in the skin. The patient has yellow skin or eyes. The patient is unable to digest certain foods in this condition. Abdominal pain is therefore another common symptom, which mainly occurs in the upper right corner of the abdomen. Loss of appetite, nausea, vomiting, low blood pressure (hypotension), increased heart rate (tachycardia), fatigue, weakness

Diagnosis and investigations

  1. Physical examination The presence of jaundice often indicates cholestasis. He tries to determine the cause by listening to the symptoms reported by the patient and identifying the visible symptoms himself. A chronic liver disease is characterized by spider angiomas (small spider webs consisting of blood vessels, which are visible in the skin), an enlarged liver (hepatomegaly), an enlarged spleen (splenomegaly) and an accumulation of fluid in the abdomen (ascites)

Treatment of bile congestion

  1. The doctor treats the underlying cause of the bile congestion. The doctor is often able to remove bile duct stones, allowing the patient to make a full recovery. A patient with cancer may undergo surgery in which the doctor places a stent around parts of the bile duct that are narrowed or obstructed, opening the drainage duct again. However, this does not cure the underlying cancer. When a drug that causes cholestasis, the doctor may prescribe a different drug or dose. The symptoms often disappear because of this. In addition, supplements (calcium

  2. The doctor treats the underlying cause of the bile congestion. The doctor is often able to remove bile duct stones, allowing the patient to make a full recovery. A patient with cancer may receive surgery in which the doctor places a stent around parts of the bile duct that are narrowed or blocked, opening the drainage duct again. However, this does not cure the underlying cancer. When a drug that causes cholestasis, the doctor may prescribe a different drug or dose. The symptoms often disappear because of this. In addition, supplements (calcium



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