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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 55441
Experience:  GP in the United States
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I had a bile duct replacement in 2010 with part of the small

Resolved Question:

I had a bile duct replacement in 2010 with part of the small intestine and have had various problems since then. Every few weeks I get shivering from inflammation and feel exhausted with 'liver flu' and nausea. When I take antibiotics it helps but does not solve the problem. I get annoying fatigue. I am an energetic person and this is hampering me! I am 73. The liver levels are raised when tested but nothing has shown up on liver X-ray or other scans. What can you suggest I should do? I often fall asleep after eating. Should I have a smaller meals? I don't drink or smoke and lead a healthy diet with lots of fruit and vegetables. Any advice would be received with gratitude. Thank you! Rowsn Malcolm (Ms)
Submitted: 10 months ago.
Category: Medical
Customer: replied 10 months ago.
Some consultants told me it was probably bile duct blockage but I know by stool colour that there is enough bile and my digestion is fine!
Expert:  Dr. Phil, MD replied 10 months ago.

Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

Expert:  Dr. Phil, MD replied 10 months ago.

any other medical issues Rowan?

Customer: replied 10 months ago.
Cholestoral was 6.4 am on simvastatin now
Expert:  Dr. Phil, MD replied 10 months ago.

Did they scan the area or look at the liver/ducts to make sure there is no issue?

how long has this been going on?

Customer: replied 10 months ago.
Generally I think I am pretty strong and healthy but have to overcome this chronic liver problem. Try to exercise but am slower and more tired. I did walk 500 miles pilgrimage in 2015 though!
Expert:  Dr. Phil, MD replied 10 months ago.

Very good job on the 500 miles!

Did you see my questions above?

Customer: replied 10 months ago.
Sorry didn't see it! Royal Free did lots of tests and said all was fine, dismissed me in 2012. Have had an X-ray here said liver is OK also the ring scan thing. All ok consultant said it was intermittent duct blockage
Customer: replied 10 months ago.
I live in Wales now - Aberystwyth
Customer: replied 10 months ago.
In between bouts of liver problem I am fine, get problems more often now about 5 or 6 times a year
Customer: replied 10 months ago.
Am going to have another blood test end of next week to check levels, had one 2 weeks ago when it was bad and showed raised levels
Customer: replied 10 months ago.
I had op in 2010 when the duct was cut by mistake and reconstructed. Got ill again and had another op in June 2011.
Expert:  Dr. Phil, MD replied 10 months ago.

I think you need some follow up imaging of the liver.

it has been a long time

I would suggest an ultrasound or MRCP (if they will agree to order one)

let me know if you have other questions.

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Customer: replied 10 months ago.
Thank you, ***** ***** suggest that to my practice. This liver 'flu' feeling is debilitating and I would like to know what part of the liver or duct is affected. Also I am not keen to have antibiotics so often but if I don't take them it gets worse. Anyway Dr Phil and goodbye !

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