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Biliary Tract Tips

What Is Biliary Tract Disorder?

Dr. Ramakrishna Chanduri 88% (2518 ratings)
BHMS
Homeopath, Hyderabad

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.

Types:

malignant neoplasm of the gallbladder
malignant neoplasm of other parts of biliary tract
extrahepatic bile duct
ampulla of Vater
cholelithiasis
cholecystitis
others (excluding postcholecystectomy syndrome), but including
other obstructions of the gallbladder (like strictures)
hydrops, perforation, fistula
cholesterolosis
biliary dyskinesia
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
biliary cyst
biliary atresis

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
Fatigue
Fever or chills
Itching
Light brown urine
Greasy or clay-colored stools

Diagnosis:

The tests performed vary according to the suspected bile duct disorder. However, tests commonly performed to diagnose many bile duct disorders may include:

*Blood tests
*Liver function tests
**Ultrasound
*Endoscopic ultrasound
*Computed tomography (CT) scan
*Magnetic Resonance Imaging (MRI)
*Endoscopic retrograde cholangiopancreatography (ERCP)
*Liver biopsy

What Is Biliary Tract Disorder?

BHMS, Diploma in Dermatology
Homeopath, Hyderabad

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.

Types:

malignant neoplasm of the gallbladder
malignant neoplasm of other parts of biliary tract
extrahepatic bile duct
ampulla of Vater
cholelithiasis
cholecystitis
others (excluding postcholecystectomy syndrome), but including
other obstructions of the gallbladder (like strictures)
hydrops, perforation, fistula
cholesterolosis
biliary dyskinesia
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
biliary cyst
biliary atresis

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
Fatigue
Fever or chills
Itching
Light brown urine
Greasy or clay-colored stools

Diagnosis:

The tests performed vary according to the suspected bile duct disorder. However, tests commonly performed to diagnose many bile duct disorders may include:

*Blood tests
*Liver function tests
*Ultrasound
*Endoscopic ultrasound
*Computed tomography (CT) scan
*Magnetic Resonance Imaging (MRI)
*Endoscopic retrograde cholangiopancreatography (ERCP)
*Liver biopsy

What Is Biliary Tract Disorder?

Dr. Ramakrishna Chanduri 88% (2518 ratings)
BHMS
Homeopath, Hyderabad

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.

Types:

malignant neoplasm of the gallbladder
malignant neoplasm of other parts of biliary tract
extrahepatic bile duct
ampulla of Vater
cholelithiasis
cholecystitis
others (excluding postcholecystectomy syndrome), but including
other obstructions of the gallbladder (like strictures)
hydrops, perforation, fistula
cholesterolosis
biliary dyskinesia
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
biliary cyst
biliary atresis

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
Fatigue
Fever or chills
Itching
Light brown urine
Greasy or clay-colored stools

Diagnosis:

The tests performed vary according to the suspected bile duct disorder. However, tests commonly performed to diagnose many bile duct disorders may include:

*Blood tests
*Liver function tests
*Ultrasound
*Endoscopic ultrasound
*Computed tomography (CT) scan
*Magnetic Resonance Imaging (MRI)
*Endoscopic retrograde cholangiopancreatography (ERCP)
*Liver biopsy

What Is Biliary Tract Disorder ?

BHMS, Diploma in Dermatology
Homeopath, Hyderabad
What Is Biliary Tract Disorder ?

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.

Types:

malignant neoplasm of the gallbladder
malignant neoplasm of other parts of biliary tract
extrahepatic bile duct
ampulla of Vater
cholelithiasis
cholecystitis
others (excluding postcholecystectomy syndrome), but including
other obstructions of the gallbladder (like strictures)
hydrops, perforation, fistula
cholesterolosis
biliary dyskinesia
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
biliary cyst
biliary atresis

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
Fatigue
Fever or chills
Itching
Light brown urine
Greasy or clay-colored stools

Diagnosis:

The tests performed vary according to the suspected bile duct disorder. However, tests commonly performed to diagnose many bile duct disorders may include:

*Blood tests
*Liver function tests
**Ultrasound
*Endoscopic ultrasound
*Computed tomography (CT) scan
*Magnetic Resonance Imaging (MRI)
*Endoscopic retrograde cholangiopancreatography (ERCP)
*Liver biopsy

What Is Biliary Tract Disorder ?

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
What Is Biliary Tract Disorder ?

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.

Types:

malignant neoplasm of the gallbladder
malignant neoplasm of other parts of biliary tract
extrahepatic bile duct
ampulla of Vater
cholelithiasis
cholecystitis
others (excluding postcholecystectomy syndrome), but including
other obstructions of the gallbladder (like strictures)
hydrops, perforation, fistula
cholesterolosis
biliary dyskinesia
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
biliary cyst
biliary atresis

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
Fatigue
Fever or chills
Itching
Light brown urine
Greasy or clay-colored stools

Diagnosis:

The tests performed vary according to the suspected bile duct disorder. However, tests commonly performed to diagnose many bile duct disorders may include:

*Blood tests
*Liver function tests
**Ultrasound
*Endoscopic ultrasound
*Computed tomography (CT) scan
*Magnetic Resonance Imaging (MRI)
*Endoscopic retrograde cholangiopancreatography (ERCP)
*Liver biopsy

Laparoscopic Surgery And Biliary Cancer - Know About It!

MBBS, MD - General Medicine, DM - Gastroenterology
Gastroenterologist, Delhi
Laparoscopic Surgery And Biliary Cancer - Know About It!

The bile duct connects the liver, gall bladder and small intestine and plays an important role in the digestion process. Though it is rare, the bile duct may also be affected by cancer, this type of cancer is known as biliary cancer. Biliary cancer can be categorized as intrahepatic cholangiocarcinoma, extrahepatic cholangiocarcinoma, and cancer of the gall bladder. Of these, gall bladder cancer is the most common. Biliary cancer is typically treated with surgery and followed by chemotherapy and radiation. In many cases, this surgery may be performed laparoscopically.

Laparoscopic surgery is also known as keyhole surgery or minimally invasive surgery. This differs from other surgical procedures as it allows a surgeon to operate on an internal organ without making a large incision. There are many advantages to laparoscopic surgery which include minimal bleeding, smaller internal and external scars, reduced chances of infections, lowered pain and discomfort and faster healing. It also reduces the amount of hospitalization required after a surgery and allows the patient to return to his normal lifestyle faster. However, laparoscopic surgery cannot be applied to all procedures.

When it comes to biliary cancer, laparoscopy can be used to treat cancer of the gall bladder. This is known as Laparoscopic cholecystectomy and involves the removal of part of the gallbladder or the whole gall bladder. The lymph nodes around the gall bladder and parts of the liver tissue may also be removed. For this procedure, 3 to 4 incisions may be made in the abdomen. A long flexible tube with a light and camera at one end is passed through one of these incisions. This allows the surgeons to look inside the abdominal cavity. Instruments are used through the other incisions to cut the tumor away and remove it.

Laparoscopy is rarely used to treattumours in the bile ducts. This is because the bile ducts are relatively small and placed deep within the abdomen. However, if a tumor is blocking the flow of bile into the intestines, laparoscopy may be used to create a bypass. It may also be used to remove small stones from the bile duct.

Biliary cancer has very few significant symptoms. Hence, in many cases, it is diagnosed only at an advanced stage. Almost all cases of Biliary cancer are accompanied by the development of gall stones. Laparoscopy is very effective in treating gall stones and increases the chances of detecting biliary cancer in its early stage

2708 people found this helpful

Urinary tract infection

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Urinary tract infection
Uti, a very common problem can be kept at bay by simple measures like drinking 8-10 glasses of water. Research also suggests that coconut water and cranberry juice have protective effects against uti.

Urinary Tract Infection

MS - General Surgery, MCh Urology
Urologist, Hyderabad
Urinary Tract Infection

OVERVIEW

Urinary Tract Infections are common infections, affect men and women of all ages, and vary dramatically in their presentation and sequelae.

Urinary Tract Infections are a common cause of morbidity and can lead to significant mortality.

WHAT IS AN UTI?

A UTI is an infection involving any part of the Urinary Tract such as the Urethra, Urinary Bladder and the Kidneys.

UTI is an inflammatory response of the urothelium (lining of the urinary tract) to bacterial invasion.

INCIDENCE AND EPIDEMIOLOGY

Women are most at risk for a UTI. Nearly half of all women (50%) will experience a UTI during their lifetime.

WHY?

Women have a short urethra which makes it easier for the bacteria to enter the bladder and cause infections. Also the urethra is in close proximity to the anal canal, which is the source of these organisms.

What causes the UTI`s?

The most common causative organisms of UTI`s are bacteria from the bowel such as E.coli, proteus, pseudomonas etc.

Once the bacteria enter the urethra, they travel upwards causing infection in the bladder and sometimes other parts of the urinary tract.

Sexual intercourse is commonly associated with UTI`s in women. During intercourse, the bacteria in the vaginal area are sometimes transferred into the urethra by the motion of the penis.

Using spermicides or a diaphragm also can cause more frequent UTI`S , due to increased binding of the organisms to the lining of the urethra.

Menopause also increases the risk of getting a UTI. During menopause, the level of estrogen decreases which causes changes in the periurethral tissues that can lead to a UTI.

In men, urethritis is usually the result of bacteria acquired during sexual contact.

SYMPTOMS AND SIGNS OF A UTI

  1. A strong persistent urge to urinate.
  2. A burning sensation during or after urination.
  3. Passing frequent, small amounts of urine.
  4. Blood in the urine (Hematuria) / Cloudy Urine / Foul smelling urine.
  5. Pain in the lower abdomen and the pelvis.
  6. Penile discharge in men.
  7. Pain in the flank region/ back, fever , nausea and vomiting, fatigue  (Infection of the kidneys)

HOW ARE UTI`S DIAGNOSED?

The Urologist will take a proper history and examine the patient and order some basic investigations like Urine Analysis and Urine Culture and sensitivity. UTI`S in males require more detailed investigations like the Ultrasound of the Abdomen to elucidate the cause of UTI.

TREATMENT

Based on the severity of the symptoms, the urologist may prescribe antibiotics empirically based on the common sensitivity patterns. The antibiotic may be changed based on the Urine C/S report , which usually takes around 48 hours time. You may also be prescribed a medicine that will relax the bladder while the antibiotic starts to work.

Patients must make sure they take the complete course of treatment as directed and to return back if the symptoms are not relieved.

Patients are also advised to drink plenty of oral fluids, which help in flushing out the bacteria from the urinary tract. Patients are also asked to avoid coffee, alcohol, and soft drinks containing caffeine until the infection is cleared because these can irritate the bladder and cause worsening of symptoms.

Kidney Infections (Pyelonephritis) usually require hospitalization and more intensive management.

PREVENTION OF UTI`S

  1. Drink plenty of oral fluids to flush out the bacteria
  2. Do NOT hold the urine for long periods of time. Urinate when you feel
  3. Wipe from front to back after a bowel movement.
  4. Urinate before and after sexual contact emptying the bladder completely each time.
  5. Avoid using spermicides/ diaphragms , in case of recurrent UTI`s
  6. Avoid use of feminine “hygeiene” products like douches and sprays, which could upset the delicate bacterial balance of the genital region.
4 people found this helpful

Congenital Problems With The Urinary Tract!

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Noida
Congenital Problems With The Urinary Tract!

CAKUT or Congenital Anomalies of the Kidney and Urinary Tract is a group of simple to life-threatening malfunction or malformation of the ureters, kidney, bladders, testis, penis or female genitalia. These malformations are present from the birth when the genital or urinary system of the fetal starts developing. In young children, this kind of malformations can lead to renal transplantations and kidney failures. The primary cause of this kind of congenital problem with the urinary tract is genetic while other possible cause can be due to the environment.

Some of the most common Congenital problems with the urinary tract are:

  1. Bladder Exstrophy: One of the most common congenital problems in children is bladder malformation. In this case, the bladder is flattened in shape and not round. So it will be exposed on the abdominal walls. This, in turn, will result in widely separated pelvic bones. Thus the function of female genitalia, penis and prostate will be affected. There are different types of Exstrophy and surgeries required for correcting them.
  2. Undescended Testes: Usually, in the abdomen area, the testicles are formed. After the formation, they pass from the abdominal wall muscles and twist to the local place. This happens in the last few weeks of the pregnancy and is seen only in 5 percent of full-grown boys. Most of the times, testicles fall to the normal place in the first 6 months of their life. Any abnormality in the testicles or missing testicles can be due to problems in the testicular blood vessels or due to loss of blood flow to that particular area. Surgical and nonsurgical therapies like hormone management can be used to treat this kind of congenital problem.
  3. Vesicoureteral Reflux: The Ureter is the tube in the human body that carries the urine from the kidneys to the bladder. When there is Vesicoureteral Reflux problem, then the urine flows back in the ureter. When the reflux of urine takes place, then that will get detained in that area and can cause damage to the kidneys. There are basically two types of Vesicoureteral Reflux and the primary condition is congenital problems. This problem can also be treated with the help of surgical and nonsurgical methods.
  4. Hydronephrosis: Another very common congenital problem with the urinary tract in children is Hydronephrosis. The flow of the urine from the kidney can be prevented by any obstruction. This obstruction can result in fluids getting filled in the organs. There can be many disorders or problems associated such as Multicystic Dysplastic Kidney, Posterior Urethral Valve, Ureteropelvic Junction Obstruction and Idiopathic Hydronephrosis. There can be many other problems also associated along with these.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3451 people found this helpful

Urinary Tract Infection

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PGD IN NATURO & YOGA SCIENCE
Ayurveda, Katni
Urinary Tract Infection

If the patients are getting UTI repeatedly. Start lukewarm water, and coconut water. 

If the problem repeats don't waste the time start ayurvedic treatment. 

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