Monday, April 24, 2017

CHOLANGITIS : understanding, symptom, Cause, diagnosis, Treatment and complication

Definition Cholangitis

Cholangitis is an infection that occurs in the bile duct (a channel through which the bile from the liver to the gallbladder and intestines). Bile produced by the liver needed by the body to help the digestive process.
In normal circumstances, bile is sterile. However, when there is a blockage in the bile duct, the bile pile earlier would risk infection.
CHOLANGITIS : understanding, symptom, Cause, diagnosis, Treatment and complication

symptoms cholangitis

A person suffering from cholangitis will usually experience symptoms such as:
  • Pain in the upper abdomen or right
  • Stool color dark brown (the color of clay)
  • The color of urine becomes dark
  • Nausea
  • Gag
  • Fever
  • chills
  • Skin yellowing (jaundice) that may wane
Forms of pain due to cholangitis varies, there were sharp, blunt, or resemble cramps. In addition to the middle abdomen or right, sometimes the pain can be felt in the back and the bottom of the right scapula.
Cholangitis can be suffered by anyone, whether male or female. Most cases occur in the age of 50-60 years. In severe conditions, cholangitis risk of causing death if ignored or handled incorrectly. The death rate from cholangitis is reported to be between 13-88 percent.

Causes Cholangitis

Most cases are caused by a bacterial infection cholangitis. The bile duct is clogged, for example, caused by gallstones or a tumor, can cause the bacteria multiply in it and attack the bile ducts.
In addition to a person who has a blockage of the bile ducts, the risk of cholangitis may also occur in:
  • The owner of gallstones
  • Patients with sclerosing cholangitis
  • People with narrowing of the bile duct
  • People with HIV / AIDS
  • Someone who visited the area prone to parasitic infections

complications Cholangitis

Infections that occur in the bile ducts could have spread to the liver and cause dysfunction of these organs. In addition, other complications that may occur due to acute cholangitis is:
  • Acute kidney injury
  • renal dysfunction
  • Dysfunction of the respiratory system
  • Cardiovascular system dysfunction
  • Nervous system dysfunction
  • Haematological system dysfunction
  • septic shock

Diagnosis Cholangitis

Initial inspection will begin by identifying the symptoms suffered, personal and family medical history. Then the doctor will perform a physical examination to see if there are any signs of abnormalities such as jaundice (yellow color appears on the skin and white part of the eye) and the upper abdomen soft palpable.
To ensure the suspicion, the doctor will usually recommend further investigation. Some examples of such further examination include:
  • MRI scan
  • CT scan
  • Ultrasonography of the abdomen (tummy)
  • X-ray examination combined with endoscopy or ERCP (endoscopic retrograde cholangiopancreatography)
  • X-ray examination combined with the injection of a special dye liquid directly into the bile duct or PTC (percutaneous transhepatic cholangiography)
If necessary, the doctor also may recommend tests and blood cultures to look for signs of infection while simultaneously measuring liver function.

treatment of Cholangitis

If you feel the symptoms of cholangitis, see your doctor for a checkup. The sooner the condition is diagnosed and treated, the chances of recovery become increasingly high. Do not underestimate the symptoms of cholangitis since this condition can lead to death.
Most cases of cholangitis treated by a doctor through the provision of drugs antibiotics to kill the bacteria causing the infection. If this is not successful, then your doctor may recommend surgery.
Doctors usually will wait for the patient's condition is stable before performing the operation. But at cholangitis patients whose symptoms worsen rapidly or in patients whose condition is very bad, it usually will be directly carried out the surgical procedure.

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