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Immediate Opinion Reqd...?

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Immediate Opinion Reqd...?

Postby Achazyahu » Fri Jul 28, 2017 10:14 pm

Two weeks back my mother ( 54 years ) had pain in the abdomen and at back, we thought of it as gastric and treated it so. The pain got relieved and she caught fever. Then we took a tablet for fever and she got well.

Last week again the pain started and this time we consulted a Gastroentrologist and he suggested Ultrasound. Ultra sound report showed swelled CBD (Combined Bile ducts) and swelled PD (pancreatic duct ) and mass lesion. She was admitted and further tests like CECT and MRCP confirmed the mass lesion and its size (aprrox 11*23*40 mm). CA 19.9 shows 34.9. She is having mild jaundice ( billirubin = 2.54).Also liver size is increased i.e. 15.4cm. Now ERCP is being done and by biopsy the piece is being sent for analysis. All other reports are OK.

What type of problem it is ?? And what is the remedy ?? Which type of doctor should operate her ?? ( Surgon or Oncologist )
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Joined: Tue Feb 18, 2014 7:06 pm

Immediate Opinion Reqd...?

Postby Skipper » Fri Jul 28, 2017 10:15 pm

*The liver makes bile.
The bile flows from the inside of

the liver, though tube like structures (known as ducts)

to the gallbladder to be stored and concentrated.

*When we eat, the food will eventually move into the

first part of the intestines, known as the duodenum

(from the stomach).

Hormones are then released that makes the

gallbladder contract and this forces the concentrated

bile into the "common bile duct" and it flows down to

the intestines to help emulsify the fats we eat so they

can be digested and absorbed into the body.

*The pancreas also has a duct coming from it.

pancreas make insulin, but it also makes lipase

and amylase.
These are enzymes which help

digest the fats, also, and carbohydrates we eat.

These enzymes flow down to the intestines, also.

Important: The pancreas duct connects to the

Common biliary duct just before it reaches the intestines.

*Gallstones are known to form inside of the gallbladder

and may move into the bile duct.
These stones can

move down and not only block the bile from getting

to the intestines, but also the pancreas enzymes, also.

However, a stone is not the only obstructive thing known

to do this...a growth, like a cyst, tumor, cancer, etc can

also form in the ductal area.

*An ERCP is a very good test to have done.

(endoscopic retrograde cholangiopancreatography)

They use a scope with a light on the end and a camera.

They slide the scope though the mouth (they will

numb the throat and ask the patient to swallow the end and

then sedate the patient)...the scope goes through the esophagus,

to the stomach and over into the intestine, to the biliary area.

They can shoot dye up into the bile ducts and can see more

clearly what is taking place.
They can also put small

instruments through the scope to widen the bile ducts,

remove or break up a stone, do a biopsy and do other things


They also check out the pancreatic ducts while there.

Here is a link that explains this: http://www.gihealth.com/html/education/e...


*Bilirubin is a greenish/ brownish substance

(also known as a pigment because it colors other things)

that the liver takes from the blood and converts into a soluble

form to become Part of the bile.

When there is a blockage in the bile ducts, this

bile/bilirubin will back up into the liver and can damage

the liver cells.
The bilirubin will stay in the blood then and

go higher on the blood tests results...this is what causes

the yellowing of the whites of the eyes and skin and

causes the darkening of the urine.
Since the bilirubin isn't

reaching the intestines, the bowel movements will become

much lighter in color and almost grayish white.

*Back to the liver cell damage: when the liver cells become

damaged, the immune system of the patients body will

respond to this and cause inflammation to develop inside

the liver.
This will cause the liver to enlarge in size.

If this is a benign tumor, they might operate to try to remove it.

If you want a second opinion, I would have it done by someone

that has a connection to a Transplant Center...a hepatologist and

maybe an Oncologist.
Hepatologist are specialist in the field

of Liver/Biliary Disease.
Gastroenterologist are specialized

medicine doctors of the digestive system as a whole...but not all

of them are trying to specialize in just one area like the liver or biliary


I hope this information is of some help to you.

Best wishes
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Joined: Mon Feb 10, 2014 10:24 pm

Immediate Opinion Reqd...?

Postby Leyti » Fri Jul 28, 2017 10:19 pm

If and when it comes to be defined as cancer, your mother will begin to see an oncologist.
I can't pretend to know what kind of cancer it is, it sounds like it.
I'm sorry.
I just got news myself.
I hope everything turns out well..I really do.
Posts: 64
Joined: Sun Jan 05, 2014 6:09 am

Immediate Opinion Reqd...?

Postby Jens » Fri Jul 28, 2017 10:21 pm

before everything how previous is your g/f that she needs her mothers and dads permission? If she's below 18 then for gods sake wait. what's the push??? If she loves you yet needs to attend in the past getting married then you definately could appreciate her needs and wait. a individual is by no skill a similar at 18 as they're at 30 or perhaps 40, who you married at 18 should not be a similar individual at 30 and finally you will understand you probably did not understand all of them alongside. supply her a ruin, she's not waiting till some thing extra powerful comes alongside, yet do not be stunned while it does. She needs to stay her life and journey it, i understand extra people who have been given married suitable out of HS and had teenagers and without notice 15 years later they're divorced because of the fact they sense like they neglected out on life. not something incorrect with in simple terms dating and arranged a at a similar time as in the past making that dedication, marriage isn't to be taken gently, and not each woman needs to be tied down. I''m nevertheless attempting to choose what friendly you sexually has to do with getting married. If that have been the case i could have been married lots.
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Joined: Thu Mar 27, 2014 11:34 am

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