Digestive Disorders / Gastroenterology Expert Forum
possible bile duct blockage
About This Forum:

This is a place to ask questions about digestive problems and receive a personal answer from a highly qualified doctor. You will also find support from other members who share your interest in digestive disorders. Digestive Disorders include: Anal and Rectal problems, Barrett’s Esophagus, Bleeding in the Stomach and Digestive Tract, Constipation, Crohn’s Disease, Gastritis, GERD, Heartburn, Proctitis, Short Bowel Syndrome, Ulcers, Whipple’s Disease, Zollinger-Ellison Syndrome (and many more).

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

possible bile duct blockage


  I am a 42 year old male. I have been overweight for abour 12 years
  now after leaving the Air Force.  I have been experiencing upper right quadrant
  pain in the evenings after a heavy meal, these episodes would be clustered fro about 3 days then
  go away for months.  Three days ago the pain did not subside.  The next morning they
  were still there but were bilateral just under the ribs, felt like a bruise.  This condition still
  exists.  My stool is very pale, tan or even white, my urine is very dark yellow.  My wife says my eyes
  are yellow, I feel that I have a yellowish pall to my skin, but I
  may be panicking.  I experience pain upon taking a deep breath ( unilaterally across upper abdoman)
  and awoke slightly nausous this morning.  What could this be?
________________
Dear John,
Your symptoms are very suggestive of a blockage of the bile duct.  A very frequent cause for this problem is bile duct stones although other conditions can cause obstruction.  The history of pain after a heavy meal would make stones a likely explanation in your case.  Blockage of the duct causes jaundice (yellow eyes) dark urine and pale stool.  In some cases, there can be pancreatitis (inflammation of the pancreas) or infection of the bile ducts and liver (cholangitis).  
The other possible explanation for your symptoms is hepatitis,i.e. destruction of liver cells resulting in an inability to secrete the bile.  
It is necessary that you see a physician as soon as possible.  An ultraound of the gall bladder, bile ducts , liver and pancreas is necessary to distinguish between a bile duct and a liver cause for your jaundice. If bile duct obstruction is seen you may need an ERCP to visulize the duct and to remove the blockage.  If the ultrasound doe not show dilated ducts, then you will need a liver biopsy.
This information is presented for educational purposes only. Always consult your personal physician for specific medical questions.  If you want, we would be happy to see you in the Division of Gastroenterology at Henry Ford Health System.  Call our Physician Referral Line at (800) 653-6568 and make an appointment with Dr. Ben-Menahem, one of our experts in the treatment of bile duct problems
HFHSM.D.-rf
*keywords: common bile duct stones, jaundice
0.3




Related Discussions
Continue discussion Blank
This Forum's Experts
351246_tn?1379685732
Dr. Kokil MathurBlank
Consultant
,
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank