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My son is 17 years old and is not having very good appetite. When referred a doctor, he got his S.Bilirubin test done. It was 1.92 and then after a weeks time this test was again repeated and it came out to be 1.86. Now the last test was done today after 10 days and the result is 2.86. The test that was done today is with a fasting of around 14 hours. Just want to know, about the next steps and why the bilirubin level is so high. Please suggest. Thanks.
What Is Biliary Tract Disorder?
Acute calculus cholecystitis is an inflammation of the gallbladder that develops in the setting of an obstructed cystic or bile duct. It usually develops after 5 hours of biliary-type pain. The initial inflammation is caused by chemical irritation, and bacterial infection probably is a secondary event.
malignant neoplasm of the gallbladder
malignant neoplasm of other parts of biliary tract
extrahepatic bile duct
ampulla of Vater
others (excluding postcholecystectomy syndrome), but including
other obstructions of the gallbladder (like strictures)
hydrops, perforation, fistula
K83: other diseases of the biliary tract:
cholangitis (including ascending cholangitis and primary sclerosing cholangitis)
obstruction, perforation, fistula of biliary tract
spasm of sphincter of Oddi
Symptoms of possible biliary disease:
Although symptoms may differ among bile duct disorders, symptoms common to many of the disorders include:
Jaundice (yellowing of the skin and whites of the eyes)
Abdominal pain, especially in the upper right side of the abdomen under the rib cage
Nausea or vomiting
Loss of appetite, which may result in weight loss
Fever or chills
Light brown urine
Greasy or clay-colored stools
The tests performed vary according to the suspected bile duct disorder. However, tests commonly performed to diagnose many bile duct disorders may include:
*Liver function tests
*Computed tomography (CT) scan
*Magnetic Resonance Imaging (MRI)
*Endoscopic retrograde cholangiopancreatography (ERCP)
When a hole develops in the wall of the gallbladder, rectum, large bowel, small intestine, stomach or oesophagus, it is called gastrointestinal perforation. It is a medical emergency that needs urgent medical attention.
Symptoms of gastrointestinal perforation (GP) usually include
Peritonitis (abdominal cavity lining inflammation) can also accompany the abovementioned condition. So in addition to the above symptoms, you may also experience peritonitis symptoms such as:
Certain diseases can cause Gastro-intestinal perforation, such as:
- Diverticulitis (A type of digestive disorder)
- Stomach ulcer
- Gallbladder infection
- Inflammatory bowel diseases (inflammation in the small intestine and the colon)
- Swollen Meckel’s diverticulum (abnormal bulging of the small intestine at birth)
- Gastrointestinal tract cancer
Besides diseases, the following conditions can also lead to Gastro-intestinal perforation:
- Blunt abdominal trauma
- Gunshot or knife wound to the abdomen
- Abdominal surgery
- Stomach ulcers caused by excessive consumption of steroids, anti-inflammatory drugs and aspirin
- Ingestion of caustic substances or foreign objects
This condition is mostly treated with surgery. The goal of the surgery is to repair the anatomical problem and cause of peritonitis, along with removal of any foreign object in the abdominal socket, such as food, faeces and bile. However, if your doctor deems surgery unnecessary (in instances where the hole closes voluntarily) you will be only given antibiotics.
In some cases, a section of the intestine might need to be removed. An ileostomy or colostomy is performed where a portion of the large or small intestine is removed, which grants intestinal contents to empty or drain into a bag implanted on the wall of your abdomen.
The complications include:
Hi, I have stomach problem means gas. I thing it is gastric. I have take aciloc every day morning and take 3glass water daily morning in blank stomach. But still now I am suffering same problems last 3 years. So now what to do. Kindly help me. When you free then please inform me what to do..
Which baby doesn't spit up their food! This is usually not a reason to worry, but if this spitting up is chronic and is accompanied by other symptoms it is known as Gastroesophageal reflux disease or GERD. Severe GERD can cause weight loss and breathing problems and thus, should not be ignored.
Reflux occurs when food is pushed out of the stomach and back up the esophagus. This is usually because the digestive system in babies is not yet fully developed. Vomiting often during the day is one of the most common symptoms of GERD. Other symptoms include:
- A persistent cough
- Choking or gagging while eating
- Refusing to eat
- Crying while feeding
- Pain in the stomach
Most cases of GERD can be diagnosed by its symptoms and a look at the baby's medical history. In some cases, additional tests may be required, such as:
- Barium swallow: The child is given a chalky substance to drink. This highlights the esophagus, stomach and upper part of the small intestines in a special X-ray. It is used to check if there are any blockages in the digestive system.
- pH probe: A long, thin tube with a probe at one end is put down the child's throat. This is kept in the esophagus for 24 hours. The probe measures the levels of acidity in the stomach. This test is usually done when the child complains of breathing problems along with reflux.
- Upper GI endoscopy: Here the doctor puts a thin, flexible tube down the child's throat. At one end of the tube is a camera that allows the doctor to look into the esophagus, stomach and small intestine.
- Gastric emptying study: One of the causes of reflux is the slow emptying of the stomach. To check this, the doctor will mix a radioactive chemical with the baby's milk that allows a special camera to follow its path down the digestive system.
In most cases, GERD can be treated by making a few lifestyle changes. Some of these are:
- Raise the head of the baby's crib
- After feeding the baby, do not let him lie down, but hold him upright for half an hour or so.
- Change his feeding schedule
- Ask your doctor if you can try giving him solid food. Else, check if you can thicken his feed with cereal.
- Make the baby burp after feeding
Most infants outgrow this condition within a year, so do not stress yourself and enjoy life with your baby. In case you have a concern or query you can always consult an expert & get answers to your questions!