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Gallbladder sludge
My father suffered from fever for 4-5 times in past 3 months and there was no viral fever or anything when checked
And 2weeks back when checked for jaundice and total bilirubin was 10 followed strict diet later got checked for bilirubin decreased to 2 and have loosen up diet the bilirubin value has gone up for 5 today
So have taken Ultra sound abdomen test today then gallbladder sludge was formed what step to be taken next? Remedy- medication Any advice or another choice
attaching the reports as well
Report of HBS,RVD,HCV is NON REACTIVE
MP(ICT) - NEGATIVE
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Hello!
Thanks for sharing your query.
This clearly was a case of obstructive jaundice and the cause of which remains unknown till now. He does have risk factor for it, which is the sludge/stone in the gallbladder, however, it needs great deal of attention to rule out other causes. The ultrasound does mentions dilated CBD and a possibility of stricture, but again, it isn’t the best test to prove so.
Next Steps
Detailed history, clinical examination and further evaluation. He may need to undergo MRCP
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It looks like a stricture in CBD
Problem ur father facing is called cholangitis
So is the reason for fever and jaundice
He need immediate attention of a gastroenterologist
He should be on antibiotics
Get an ERCP done for a clear picture of CBD dilation as it is the cause for all the problems
Dr sharathchendra Gorantla will be a good choice
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