Expert Treatment for Primary Sclerosing Cholangitis by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Physical Exam
He examines your symptoms-particularly, epigastric pain, itchiness, weariness, and alterations in either stool or urine-color and analyzes risk personalities, which which could undermine ulcerative colitis or in a family background of autoimmune illness.
Blood Tests
Also, we test liver functioning (alkaline phosphatase, GGT, bilirubin) and autoimmune (p-ANCA) samples to determine cholestasis and exclude other liver diseases.
Imaging Studies
- MRCP (Magnetic Resonance Cholangiopancreatography) in order to actively visualize sphincter ducts of the liver and inflammatory spots.
- The presence of abdominal ultrasound to scan ductal dilation assessment and changes of liver texture.
Advanced Testing (if needed)
ERCP (Endoscopic Retrograde Cholangiopancreatography) enables Novel inspection, sampling and disturbance of stenting in constricted ducts. A liver biopsy can be done infrequently to achieve diagnosis and fibrosis stage.
Frequently Asked Questions
What is the difference between PBC and PSC?
PSC normally attends the larger bile ducts and is prevalent more in individuals with ulcerative colitis. PBC predominantly attacks smaller bile ducts and it is more frequent in the female gender.
How are antibody tests used in PSC?
The diagnostic blood tests include immune markers that are positive in PSC diagnosis. Findings are explained with the use of imaging tests such as ERCP or MRCP.
Is PSC treatment available in Houston?
Yes. GastroDoxs in Houston provides complete PSC care, such as diagnostic services, medical therapy, endoscopy, and transplant organization.
Can PSC lead to cirrhosis?
Yes. Unattended chronic inflammation and scarring of the bile duct will result in cirrhosis. In the early stages of the disease, intervention may boost or reduce liver damage.
Do I need a special diet for PSC?
It has been recommended to eat a balanced diet with very little saturated fat and high in terms of fiber and vitamins. Dr. The team of Pothuri offers customized nutrition-related counsel and supplements.
When is liver transplant needed?
Transplant is taken to be further when the liver function is considerably bad or the symptoms become worse even with the expected medical and endoscopic treatment. Dr. Pothuri works with Houston transplant centers.
How often should I follow up with my doctor?
How often the follow-up visits are usually scheduled depends upon your blood tests, the results of the imaging and the state of your condition based on your clinical symptoms.