Frequent formation of liver stones because of OCH - #10760
I have oriental cholangiohepatatis because of which stones are formed frequently andIsuffer from pain.i have done ercp three times and cleared common bile duct ,my liver enzymes like ggtp and ast are raised for whichIamworried.kindly suggest some treatment
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Investigations (if not done recently): 1. MRCP – to detect intrahepatic strictures or missed stones 2. Liver Function Tests (LFT) – GGT, AST, ALT, ALP, Bilirubin 3. Complete Blood Count (CBC) – to check ongoing infection 4. HbA1c – glycemic control 5. Abdominal ultrasound (monthly follow-up) Follow-up: - Gastroenterologist every 3 months - Diabetes control with endocrinologist
As you know the cause of repeated stones medicine you can take after consultation with heptologist (UDCA) 300–600 mg/day,-Helps improve bile flow, prevent stone formation, and reduce liver enzyme levels Antibiotics (for infections) -As needed during episodes of fever/pain Liver supplements (e.g., Silymarin or Liv.52 DS)-To support liver function Diabetes control (HbA1c <7%)-Very important as diabetes worsens liver injury
Consult your hepatologist to adjust dose of UDCA and monitor liver function every 3 months.
Dietary Management Low-fat, high-fiber diet
Avoid oily, spicy food, red meat, and refined sugar
Include: Boiled vegetables, steamed food
Turmeric (haldi) with warm water (anti-inflammatory)
Amla, green tea, or black coffee (liver-protective)
Avoid high-fat dairy, egg yolks, deep-fried snacks
When to Seek Urgent Help: Fever + right upper abdominal pain
Jaundice (yellow eyes)
Vomiting or chills
Your condition indicates chronic inflammation of the bile ducts, causing repeated stone formation and liver enzyme elevation. While ERCP helps clear stones, definitive treatment may require surgical bile drainage (like hepaticojejunostomy) to prevent recurrence and liver damage. Consult a hepatobiliary surgeon for long-term management and to protect liver function from further decline.
Hello dear Please follow below instructions Take live 52 Avoid fat and protein rich diet Take dalia seviyaan or upma for good digestion Contact hepatoligist for further details Regards
Hello Hayat, Am sorry to hear about your struggles with OCH.
Since OCH is a chronic condition, long-term management is key. If your current gastroenterologist hasn’t suggested UDCA, stenting, or surgery, consider seeking a second opinion at a specialized liver/biliary center.
There are options like. Biliary stunting Liver resection ( for localised diseases) Hepaticojejunostomy (bypass surgery)
They May consider according to your health.
Thank you
Oriental cholangiohepatitis (OCH), also known as recurrent pyogenic cholangitis, is a chronic condition that can indeed lead to the formation of liver stones and subsequently cause recurrent episodes of pain and elevated liver enzymes. Frequent ERCP (Endoscopic Retrograde Cholangiopancreatography) is often necessary to remove these stones and alleviate symptoms. The elevated liver enzymes you noted, such as GGT (Gamma-glutamyl transferase) and AST (aspartate aminotransferase), are indicative of liver inflammation and bile duct involvement. To manage your condition effectively, a multifaceted approach is recommended. First, maintain regular follow-ups with your hepatologist or gastroenterologist to monitor liver function and enzyme levels closely. This will help in determining the frequency of interventions needed. Consider dietary changes, such as reducing fat intake, as high-fat diets can stimulate bile production and exacerbate stone formation. Staying hydrated is essential as it aids in maintaining normal bile viscosity. Discuss with your doctor the potential use of bile acids like ursodeoxycholic acid (UDCA), as these can help dissolve some types of stones and improve bile flow. Preventing infections is crucial, so ensure any episodes of jaundice or fever are assessed promptly, as they may signal infections or blockages. Since OCH can predispose to cholangiocarcinoma, regular surveillance, potentially including imaging like MRCP (Magnetic Resonance Cholangiopancreatography), is vital for early detection of any malignancy. If ERCP has had to be repeated frequently, your medical team might assess the need for surgical options, such as biliary bypass or partial hepatectomy, to reduce recurrence risk. Finally, if there are signs of complications or if you experience severe pain, jaundice, or fever, seek immediate medical attention as these can indicate more severe complications like ascending cholangitis, which require urgent treatment.
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