Causes And Treatment For Bile Duct Obstruction?
Good afternoon doctor .. A week ago I was taken out of the hospital Dri .. Control per Wednesday kmrin date 20 February 2019 .. Referenced by the doctor sp. surgery is recommended for MRCP radiology because there is an indication of a blockage in the bile duct leading to the digestive tract. My current condition: Yellow eyes, yellow skin, itching, slight nausea, Sometimes pain in the pit of the stomach and spine, urine such as tea color, pale stools, and the body is often weak. My schedule for MRCP radiolgi on March 11, 2019. what I want to ask: 1. Is the schedule too long? 2. Is it dangerous for my condition until I do MRCP radiology considering that it is still around for almost the next 3 weeks? Thank you for your attention. Regards.
Hello Rikoar, thanks for the question to HealthReplies.com
The symptoms that you experience are indeed directing your suspicion in the bile duct obstruction. Blockage of the bile duct itself can be caused by a variety of possibilities which are generally classified as intrahepatic and extrahepatic causes. Intrahepatic causes such as hepatitis, alcoholic liver disease, cholangitis with scarring of the bile duct, cirrhosis, certain drugs, etc. Extrahepatic causes such as stones in the bile duct, stricture (narrowing of the bile duct), cancer in the bile duct or in the pancreas, pancreatitis.
The initial examination is usually done is a laboratory examination and radiological examination in the form of abdominal ultrasound. If there are indications, it is usually possible to recommend additional examinations such as ERCP, MRCP, or ultrasound with endoscopy. The choice of what examination should be done also depends on the results of the previous inspection. For example, in patients who have a strong suspicion towards the presence of stones in the bile duct, ERCP is more advisable to do because it can also be done by taking gallstones at once. If the suspicion of blockage is caused by something else, then a less invasive examination such as MRCP is recommended.
However, you need to know that health facilities that can do MRI (and MRCP) in patients are still very limited and therefore often this examination cannot be done immediately. Ideally the examination is done immediately after the doctor's examination, but due to the limited availability of this tool, patients often have to queue before they can do the examination.
Your doctor must have considered the advantages and disadvantages of doing this examination for you. If your doctor still asks for the next 3 weeks examination, it means that the clinical condition, as well as the results of other laboratory and radiological examinations do not lead to emergencies. While waiting for the examination to be carried out, control and consume your medicine according to your doctor's instructions. If the symptoms that you experience you feel heavy, immediately go to the hospital so that it can be evaluated and managed properly.
So much information from me, hopefully enough answer