Sometimes, when it comes to problems in the abdominal area, an ultrasound is not clear enough for a diagnosis. In such cases, an Endoscopic Retrograde Cholangiopancreatography (ERCP) may be performed. This procedure gives the doctor a clear view of the duodenum, bile duct, pancreatic ducts, gallbladder and papilla of Vater.

This procedure is usually performed under intravenous sedation without general anesthesia. This procedure involves the use of a duodenoscope, which can be described as a thin, long, flexible tube with a camera at one end. It also has a fiber optic bundle that transmits lights to the camera and a chip to transmit video images to a TV screen.

This is inserted through the patient s mouth and sent down the throat through the food pipe to the stomach and duodenum while the patient is lying on his or her back. The air pipe is left undisturbed so as to not interfere with the patient s breathing. Since the patient is not under general anesthesia, he or she can move and turn according to the doctor s needs. The papilla of Vater is a small nipple like structure with an opening to the bile duct and pancreatic duct. Once this has been identified, a small plastic catheter is passed through the duodenoscope into the bile duct or pancreatic duct through the papilla. Dye is then injected into the area and X-rays are taken of the bile ducts and pancreatic duct. In cases where a biopsy is needed, other instruments can also be passed through the endoscope. Plastic or metal stents can also be passed through this to relieve obstructions in the bile ducts and pancreatic ducts.

ERCP can be used to diagnose and treat a number of conditions in the liver, bile ducts, gall bladder, pancreas and papilla of Vater. These include:

  Blockage of the bile duct by gallstones, cancer, scars, tumors or compression from adjacent organs.

  Jaundice due to an obstructed bile duct. This can also cause light stools and dark urine.

  Persistent upper abdominal pain

  Unexplained weight loss and loss of appetite

  Diagnosing a Dysfunctioning Sphincter of Oddi within the Papilla of Vater

ERCP can also be used to confirm pancreatic cancer and cancer of the bile duct. Once the diagnosis is confirmed, the doctors can customize treatment according to the patient s needs.

Endoscopic Retrograde Cholangiopancreatography - Procedure and Results

Jaundice is a disease that is caused by high levels of bilirubin in the human body. It is a serious condition of the liver that needs to be treated on time because it leads to weakness, weight loss, fever, loss of appetite and other disturbing symptoms. It severely affects the functioning of the liver and since the liver is one of the most important organs of the body, its dysfunction can cause a lot of trouble to the patient. So, most of them prefer Ayurvedic treatment to get jaundice cured as allopathic medicines are harsh and not every patient can handle them with weak immunity.



Ayurveda treatment principle in jaundice
In Ayurveda, jaundice is known as  Kamala  and it is believed to be caused by pitta aggravation. When the liver starts producing bile in excess, the liver becomes dysfunctional and it causes jaundice. Therefore, Ayurveda tries to correct this aggravation. It focuses on curing the pitta imbalance and therefore, all of the Ayurvedic medicines that are used to treat jaundice have diuretic, detoxification, anti-bacterial, and anti-inflammatory properties. These medicines work by flushing out the toxins, in this case, excessive pitta from the liver, while also relaxing the liver muscles.

Ayurvedic medicine effects
Medicines have anti-inflammatory and anti-bacterial properties and it restores the normal functions of the liver. So, Ayurveda aims to correct the root cause of the disease and does not suppress the symptoms of the disease. It cures the disease completely without being harsh on the liver. Also, the diet guidelines prescribed in Ayurvedic treatment increase the efficiency of the medicines, thereby, helping in quicker recovery.

Liver cleansing in jaundice
In the Ayurvedic treatment of jaundice, correction of pitta dosha is the prime goal. Even the therapies help in detoxifying the body so that the liver does not have to work hard to remove the toxins. The idea is to restore the liver to its previous state so that it can perform the normal functions without any trouble. So, all the Ayurvedic remedies work at strengthening the liver and it can be done only when the liver does not have excess pitta in the form of toxins.

Also, excess water and fluid intake are especially emphasized during Ayurvedic treatment and the motive behind this instruction is also the same   to expel the toxins. The liver is badly affected by jaundice. The excessive bile secretion makes it work extra hard to filter the toxins, which puts additional strain on the liver and as a result, it gets inflamed.

Ayurveda is a holistic and permanent curing system that works to provide lasting relief to the patient. It does not harm the body either and the remedies are always in sync with the medical state of the patient. Ayurveda diagnoses the patient before prescribing the medicines as every patient differs from another.

In case you have a concern or query, you can always consult an ayurvedic doctor for a proper line of treatment.

Treatment Of Jaundice - The Ayurvedic Approach!

Infants often suffer from certain diseases which need proper care and timely treatment for quick recovery. At times, it can be difficult to communicate with an infant and understand his/her needs and problems but with a close observation you will surely be able to detect any alteration in the baby's behavior and sense it when he/she is ill. Here are some of the most common diseases infants are susceptible to and what you can do about them.

1. Abdominal distension
It is normal for a baby's belly to stick out after he/she has been fed, but if between feedings there is swelling in the abdomen or it feels hard, it can be an indication of a problem. If this symptom is accompanied by vomiting and absence of bowel movements for more than two days, your baby may be suffering from abdominal distention. This condition may have been caused by swallowing of extra air by the baby while crying or feeding. In such a situation, a pediatrician should be consulted for proper diagnosis and treatment.

2. Jaundice
It is common among newborns to develop mild forms of jaundice as the undeveloped liver is often not able to eliminate the chemical bilirubin from the blood. Mostly, this situation proves to be harmless till the level of bilirubin reaches a certain limit. After that, the disease must be properly treated to avoid damage to the baby's brain or nervous system.

3. Rsv infection
Rsv or respiratory syncytial virus is responsible for causing respiratory problems among infants. Rsv infection usually affects the bronchial passage and shows symptoms like cough, runny nose and mild fever which may even lead to bronchitis. Moreover, this infection may also develop into viral pneumonia, which makes it more important to consult a pediatrician if your baby shows any of the above symptoms.

4. Diarrhea
Infants are susceptible to watery bowel movements due to the action of virus, allergens, specific medications or bacteria. If you observe that your baby is passing stools more often than usual and it is watery, then it may be a case of diarrhea. Sometimes, these symptoms are accompanied by high fever, abdominal pain, lethargy, vomiting, dry eyes and mouth etc. In this situation you should consult your pediatrician and focus on replacing the fluids your baby has lost, to prevent dehydration.

4 Common Diseases that Babies are Susceptible To

Jaundice or hyperbilirubinemia is a medical condition that is caused by the high level of bilirubin in the system of a person. It is not a disease in itself but a symptom of various underlying illnesses such as malaria, hepatitis, infection of the liver, destruction of red blood cells or some other causes. It manifests in the form of discoloration of the skin. It turns yellow and so does the white parts of the eyes. The signs and symptoms of jaundice are, yellow skin and whites of the eyes, loss of appetite, weakness, drowsiness, dark colored urine, and fever. Jaundice is diagnosed by physical examination, blood test, or skin test. It can be cured by diet management and allopathic medicines. However, the latter are harsh by nature and if one seeks gentler remedies then Ayurveda is the answer. It has many effective remedies to cure jaundice (pilia) of roots and give quick and lasting relief. 

So, here are some such remedies.

Aloe vera: This Ayurvedic herb is a gentle cleanser that detoxifies the kidneys and liver of the toxins accumulated in the system. It improves the overall digestive functions of the body and is a great tonic for the digestive system. It can be consumed in the form of juice or its pulp can be taken with water.
Bhumyamalaki (Phyllanthus Niruri): A comprehensive liver tonic, bhumyalaki is effective in all kinds of liver disorders. It gives relief in case of all the symptoms of jaundice. Being anti-inflammatory, anti-bacterial, and anti-spasmodic, it cures the liver of infections and also treats the dysfunction.
Yakrit Plihantak Churna: A mixture of beneficial herbs such as kalmegh, katuki, bhringaraj, bhumi amla and others, this churna is a complete medicine for liver disorders. It reduces inflammation and also flushes out the toxins accumulated in the body. It also restores the health of the liver by boosting the regeneration of liver cells.
Changeri (Indian Sorrel): This is helpful in curing symptoms of low appetite and poor digestion. It stimulates digestion and also helps in proper bowel movement.
Chichinda (Snake Gourd): Effective in detoxification and improving the digestive system, chichinda is a rich source of nutrients needed by the human body. It boosts the immune system and also removes worms from the intestines. A natural diuretic, it increases urine secretion, thereby, helping the body get rid of toxins. It can be consumed in the form of juice or taken in mashed form after boiling.
Karela (bitter gourd): A natural cleanser, karela improves the filtration functions of the liver. Being an anti-oxidant, it also restores the immunity of the body, thereby, helping it recover fast.
Ayurveda believes that jaundice or pilia is caused by pitta dosha in the human body and all these remedies work to correct this dosha. Along with these natural remedies, Ayurveda also prescribes plenty of water intake and fluids and abstinence from oily and spicy food as they are known to aggravate the pitta dosha. So, one should follow these instructions and also, take the advice of an Ayurvedic practitioner before taking these remedies.

Jaundice - 6 Ayurvedic Herbs That Can Treat It!

Biliary stricture or a bile duct stricture is a condition where the bile duct narrows due to the presence of scar tissues in the body. There are many reasons for scar tissue formation   bile duct surgery, stone in the bile duct or exposure of the abdominal area to radiation. 

This condition can be either malignant or benign. In some cases, the presence of a tumour in the gallbladder can narrow the bile ducts. 

Signs of biliary stricture  

Bile ducts are very small. Because their diameter ranges from 4-10 millimetres, they can easily be blocked by scar tissue. The symptoms are similar to other disorders of the bile duct, where the bile duct is blocked. This stops it from releasing bile into the intestine. 

The symptoms may take a while before they become obvious. In fact, they may take several years as scar tissue takes time to develop.

The common signs are  

Stomach pain, especially on the right side

Fever

Itching

Your skin and eyes turn yellow 

The stools are light coloured

Fatigue

No appetite

Besides this, the biliary stricture can also cause organ inflammation. Liver, gallbladder, and pancreas are the most vulnerable ones in this regard. It can also lead to low blood pressure and sepsis (infection of the blood). 

The link between jaundice and biliary stricture

Because biliary stricture blocks bile ducts, the level of bile in the blood can increase. This may happen because the bile won t follow its normal route   from the liver to the intestine. Hence jaundice might occur.

To treat jaundice resulting from biliary stricture, the first line of treatment involves IV fluids, antibiotics, and antiviral medications. If that doesn t work, then surgery may be necessary to get rid of the bile duct obstructions.

Apart from this, you will also need to adopt certain self-care practices such as alcohol avoidance, proper hydration, and adhering to strict dietary guidelines.



Biliary Stricture & Jaundice - Know The Link!

Jaundice is a medical condition, which is characterized by the yellow coloring of the skin and eyes. It generally occurs when there is an excess of bilirubin in your system. Bilirubin is a yellow pigment formed in the liver by the breakdown of red blood cells. It normally gets discharged by the liver along with other dead red blood cells. So if you are suffering from jaundice, it usually indicates that you have some serious problems regarding the functioning of your liver, pancreas, or gallbladder.

Signs and symptoms
Signs and symptoms commonly associated with jaundice include:
1.  Yellow-tinted eyes and skin
2.  The whites of your eyes may turn orange or brown in color
3.  Dark urine
4.  Pale stools
5.  High fatigue and vomiting (in severe cases)

Causes
Jaundice, as mentioned above, occurs when there is an excess of bilirubin and the liver is incapable of metabolizing it along with the old red blood cells. It is more common in infants than in adults, because their livers are not fully developed. However, it is also a frequent occurrence in adults and could be a potential sign of any of the following problems:
1.  Liver infection
2.  Scarring of the liver, or cirrhosis
3.  Hepatitis
4.  Alcohol abuse
5.  Liver cancer
6.  Gallstones
7.  Pancreatic cancer
8.  Blood disorders, like hemolytic anemia
9.  Parasites in the liver
10. Abnormal reactions to or overdose of medication

Diagnosis
Diagnostic tests may include:
1. Jaundice is diagnosed primarily by taking blood tests, to help measure the amount of bilirubin as well as to trace the presence of other diseases like Hepatitis.
2. Liver function tests in order to make comparisons between levels of certain proteins and enzymes when the liver is in good shape and when it is damaged.
3. Liver biopsies, where samples of liver tissue are first extracted and later examined under a microscope.
4. Imaging studies, consisting of abdominal ultrasounds, computed tomography scans and magnetic resonance images (MRI) tests.

Signs, Symptoms and Diagnosis of Jaundice

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