Hi.
Thanks for your query.
Your history is self -explanatory.
All the symptoms go in favour of obstructive juandice.
The reason is apparent. The small gallstones might have raversed and got impacted into the bile ducts causing all the problems.
I would advise in such a case the following:
Urgent ultrasonograph, if this is obstruction = to go for ERCP for confirmation of diagnosis and therapeutic too as we can remove the stones.
Removal of the
gall bladder once everything is settled.
I would advise further tests like::
Blood -Routine- BT CT PT ,
liver funstion tests and
kidney function test.
Urine: routine, microscopy m bile salts and pigments.
Urine: routine and for bile salts and pigments.
Stool-- routine and for sterobilinogen.
The surgery and medical management will depend upon the reports.