Attacks commonly follow meals rich in fats or may occur at night. suddenly awakening the patient. They begin with acute abdominal pain in the right upper quadrant that may radiate to the back. between the shoulders. or to the front of the chest; the pain may be so severe that the patient seeks emergency department care. Other features may include recurring fat intolerance. biliary colic. belching. flatulence, indigestion. diaphoresis. nausea. vomiting. chills. low-grade fever. jaundice (if a stone obstructs the common bile duct). and clay-colored stools (with choledocholithiasis).
Clinical features of cholangitis include a rise in eosinophils, jaundice, abdominal pain. high fever. and chills; biliary drrhosis may produce jaundice, related itching, weakness, fatigue. slight weight loss. and abdominal pain. Gallstone ileus produces signs and symptoms of small bowel obstruction - nausea. vomiting, abdominal distention, and absent bowel sounds if the bowel is completely obstructed. Its most telling symptom is intermittent recurrence of colicky pain over several days. Each of these disorders produces its own set of complications.
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Tuesday, May 4, 2010
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