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Dr PG M.D.
Dr PG M.D., Doctor
Category: Health
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Experience:  MBBS, MD, MS
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What is best treatment for enlarged bile duct. CT and MRI ...

Customer Question

What is best treatment for enlarged bile duct. CT and MRI did not show any stone, cysts, tumors, or other obstruction.
Submitted: 8 years ago.
Category: Health
Expert:  Dr PG M.D. replied 8 years ago.
Hi,
The most important thing here would be to do a test called ERCP and check for the pressures (manometry) of the Sphincter of ODDI (SOD).
If you are having any symptoms and the ERCP / manometry reveals an SOD dysfunction, then the treatment would involve stenting the SOD and the common bile duct.
read more here
http://www.medhelp.org/posts/show/437747
regards
Dr PG
Dr PG M.D. and 3 other Health Specialists are ready to help you
Customer: replied 8 years ago.
Thanks.
Customer: replied 8 years ago.
The answer was very helpful, but, what is the best medicine to control the pain. Yesterday doctor prescribed Impramine for IBS.
Expert:  Dr PG M.D. replied 8 years ago.
Hi,
For severe pain use of antispasmodics maybe advised along with Imipramine.
Nowadays there is a possibility of using specific medicines for IBS like LOTRONEX and AMITIZA for relieving IBS too,
Read more here
http://www.mayoclinic.com/health/irritable-bowel-syndrome/DS00106/DSECTION=treatments-and-drugs

And here
http://digestive.niddk.nih.gov/ddiseases/pubs/ibs_ez/#treat

regards
Dr. PG
Expert:  Dr PG M.D. replied 8 years ago.
Just an addition,
Antispasmodic medicines, such as dicyclomine (Bemote, Bentyl, Di-Spaz) and hyoscyamine (Levsin, Levbid, NuLev), maybe useful in your case too in addition to the painkillers that you are on,
Read more here
http://www.emedicinehealth.com/irritable_bowel_syndrome/page8_em.htm#Medications
regards
Dr. PG

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