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Cholangitis Types - Ascending, Primary, Secondary Sclerosing
Cholangitis is a condition wherein the biliary tract of the individual gets infected. It is generally caused due to a bacterial infection, and may occur when the biliary duct or tract is blocked due to something like a tumor or gallstone. The infection that is caused due to this condition sometimes spreads to the liver. The risk factors for cholangitis include HIV, a history of gallstones, the bile duct narrowing, and in rare cases, those who have traveled to certain countries might catch a parasite or worm infection. We need to be aware of the fact that sclerosing cholangitis can be a life threatening disease and needs to be treated in time.
Patients suffering from cholangitis, suffer from an inflamed bile duct.
One should be aware of the cholangitis symptoms and causes so as to be able to diagnose and treat it properly. Cholangitis is usually caused due to a bacterial infection. On seeing the following cholangitis symptoms, diagnosis can be made. One symptom is abdominal pain in the upper region, especially in the middle or right upper side region. This pain usually comes and goes and is crampy, sharp or dull. The pain also moves to the back region or just below the patient’s right shoulder blade. Other symptoms include fever, chills, clay-colored stools, vomiting and nausea, dark urine, and skin yellowing (jaundice). Primary sclerosing cholangitis signs or symptoms may not be seen in the early stages. In some cases of primary sclerosing cholangitis, an abnormal blood test result may suggest that the patients liver in not functioning properly. In case of acute cholangitis or ascending cholangitis, the symptoms include abdominal pain, fever, and jaundice, and in severe cases, confusion and low blood pressure.
To sum up, the sclerosing cholangitis signs, ascending cholangitis symptoms, and autoimmune cholangitis symptoms are many. Depending on what the cause of your cholangitis is you could exhibit some of these symptoms:
If you have any of these symptoms of cholangitis, it is best that you connect with your health care provider.
It is important that cholangitis is diagnosed in time and appropriate treatment be administered. In the initial stages cholangitis, treatment guidelines recommend that antibiotics be used to treat the problem. In the case of primary sclerosing cholangitis treatment or autoimmune cholangitis treatment, the focus is on keeping the symptoms under control and slowing the progression of the disease. Cholangitis treatment duration depends on the severity of the problem and varies from patient to patient. Various tests are required before the doctor goes in for a treatment plan. Treatment options include
In the case of cholangitis treatment, antibiotics and medication helps ease the itching, boosts the absorption of vitamin, and helps clear any infection. Opening the bile ducts is another option. X-ray guided procedures help open any blockages in the bile duct and facilitate the flow of bile. Stents can be used to ensure that the ducts are open. In case of chronic cholangitis treatment, the patient may have to go in for a new liver. Ascending cholangitis treatment generally requires that the patient be admitted to a hospital. In case the blood pressure drops, intravenous fluids and antibiotics are administered. In case of acute cholangitis, any diet treatment is not advisable. Patients should not take anything orally in the acute stages of the disease. Hydration can be accomplished with the help of intravenous fluids.
So what are the causes of cholangitis? Primary sclerosing cholangitis causes are unknown. It could be caused in people who have certain immune system problems. Individuals who have a family history of sclerosing cholangitis tend to be more prone towards this disease. In the initial stages one may not notice any symptoms. Sclerosing cholangitis is only noticed when the patient goes in for some blood tests that might indicate that his/her liver is not functioning properly. Inflammatory bowel disease is also linked to primary sclerosing cholangitis, although the link has yet to be understood. One of the main causes of ascending cholangitis is bacteria, resulting in symptoms such as fever, jaundice and pain. The typical bacteria that could be responsible are as follows:
|Submitted on January 16, 2014|