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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Abdominal Pain And Pale Yellow Stool Symptoms Of Bile Duct Obstruction?

Hello, I was diagnosed with a obstructed bile duct last year, & due to lack of affordable insurance was unable to seek further medical care. But now I have been experiencing a lot of discomfort on my right side & now suffering with pale yellow bowl movements. I know I need to return to the doctor what should my next step
Sat, 25 Apr 2020
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General Surgeon,  's  Response
Hello,

* As per my clinical experience, the abdomen pain with pale yellow stool and obstructed bile duct a year back, indicates extension of the underlying pathology to greater extent.

Many possible issues do present with this as

- liver problems with intrahepatic ducts
- compression or narrowing of extra hepatic bile ducts
- peri ampullary lesions as tumor or others compressing second part of duodenum
- sphincter of oddi dysfunction
- pancreas problems as chronic pancreatitis, pseudopancreatic cyst
- othres

However, in my clinic, after thorough examination, I do recommend

- complete hemogram
- serum alkaline phosphatase
- SGPT and SGOT
- bilirubin levels
- urine and stool microscopy with bile acids level
- ultrasound of the abdomen & pelvis
- ERCP or MRCP as per the choice of clinician.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Bhagyesh V. Patel
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Are Abdominal Pain And Pale Yellow Stool Symptoms Of Bile Duct Obstruction?

Hello, * As per my clinical experience, the abdomen pain with pale yellow stool and obstructed bile duct a year back, indicates extension of the underlying pathology to greater extent. Many possible issues do present with this as - liver problems with intrahepatic ducts - compression or narrowing of extra hepatic bile ducts - peri ampullary lesions as tumor or others compressing second part of duodenum - sphincter of oddi dysfunction - pancreas problems as chronic pancreatitis, pseudopancreatic cyst - othres However, in my clinic, after thorough examination, I do recommend - complete hemogram - serum alkaline phosphatase - SGPT and SGOT - bilirubin levels - urine and stool microscopy with bile acids level - ultrasound of the abdomen & pelvis - ERCP or MRCP as per the choice of clinician. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Bhagyesh V. Patel