Liver problem and frequent stone formation - #10761
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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Doctors’ responses
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
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
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
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
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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