Liver problem and frequent stone formation

Question #10761

94 days ago

231

Liver problem and frequent stone formation - #10761

Hayat

I have oriental cholangeohepatatis with frequent formation of stones and as a result dilation of common bile duct happens which result in sharp pain.In stomach...Ihave gone through ercp procedure at least three times.i want to know what isit's permanent treatment...

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

94 days ago

Hello dear
Please follow below instructions
Take protein and fat free diet
Take live 52 for recovery
Get lft tests done and share reports with hematologist
In addition prefer simple diet like dalia,seviyaan,upma and bread for good digestion
In case of no recovery contact hematologist
Regards

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Dr. Neeraj Agarwal

I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.

94 days ago

As you know the cause of repeated stones formation
Advise
Ursodeoxycholic acid (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 any liver related medicines 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

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Dr. Zahir Zolih

I am a General Practitioner who kind of lives on the frontline of everything, really. From sneezes to serious stuff, I handle a mix of it all—and weirdly, that’s what I love about being a GP. I get to see newborns coming in for their first jabs, and then later that day maybe I'm talking through meds with someone who's managing diabetes or heart disease for years. There’s a lot of variety, which keeps me on my toes—nothing ever feels too routine. Most days, I’m diving into a bit of everything—diagnosing infections, keeping an eye on chronic conditions like asthma or hypertension, helping folks plan their health goals, or sometimes just being a good listener when they need to vent. Preventive care’s a big deal for me. I like to catch things early, before they grow into something more serious. Sometimes all it takes is one small observation or something a patient casually mentions—and that changes everything. What I try to do is treat people, not charts. It's about who they are, what matters to them, and what really works in their life—not just what the textbook says. Every treatment plan I make is adjusted based on the real-world challenges each person’s facing. I also explain stuff in plain language. Like, no jargon for the sake of sounding clever. If someone doesn’t understand their condition, how can they take care of themself properly? Oh, and I do my best to keep learning constantly. Medicine doesn’t pause, right? Whether it’s a new guideline, research update or clinical tool—I keep checking, reading, taking notes (sometimes at midnight, honestly). All of this helps me feel confident that what I’m offering isn’t outdated or guesswork. What keeps me going is the trust people place in me. Being someone’s go-to doctor, knowing they’ll come to me when they’re worried or confused—that’s a big responsibility. But also kinda a gift. I don’t just see symptoms, I see stories—and I get to be part of their health journey from day one to who-knows-when. It's not perfect, and yeah, sometimes I feel I missed something or could’ve said something better. But I’m always trying, always caring, and I’m really here—for all of it.

91 days ago

Hello dear,
Considering your situation if you want some long tame remedy the some surgical procedure only helps you but will be depending upon your health.
Stunting or Hepaticojejunostomy may help you. But these have its own risk.
Visit nearest specialised liver/biliary center
With regards
Dr.Zahir Zolih

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

94 days ago

Hello follow these:
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
Thank you

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

92 days ago

Oriental cholangiohepatitis is a chronic condition with no guaranteed permanent cure, but surgical options like hepaticojejunostomy or partial liver resection may reduce recurrence in severe cases. Frequent ERCPs manage acute episodes but don’t prevent future stone formation.
Consult a hepatobiliary surgeon for evaluation of definitive surgical treatment and long-term bile drainage strategy.

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

27 days ago

Oriental cholangiohepatitis, characterized by recurrent bile duct inflammation and stone formation, can indeed be quite challenging. Frequent ERCP procedures for stone removal provide temporary relief but aren’t a cure. The focus for a more permanent solution would be on addressing the root causes and preventing stone formation. Surgical options could be considered if stones keep recurring or if there’s significant duct dilation. A choledochojejunostomy, which involves creating a direct connection between the bile duct and the small intestine, bypassing the affected regions, might be recommended by your specialist. This approach might prevent future stone development by ensuring better drainage and reducing stagnation in the bile duct. It would be important to consult a hepatobiliary surgeon to discuss the risks and benefits of such a procedure tailored to your condition. Additionally, ensuring lifestyle modifications can also help. Hydration and a diet low in fats can decrease the risk of stone formation. In some cases, long-term oral medications like ursodeoxycholic acid might be prescribed to alter bile composition and reduce stone formation, although they aren’t always effective. Ensure you’re being monitored regularly through imaging studies to detect any early formation of stones or damage. Persistent or worsening symptoms would warrant immediate medical evaluation, as complications such as ascending cholangitis or liver damage may require urgent intervention. Always coordinate closely with a healthcare provider knowledgeable about oriental cholangiohepatitis to tailor the management plan specifically to your needs.

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Liver problem and frequent stone formation - #10761

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