Treatment options for cholestatic jaundice?
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A 45-year-old man with no past medical history was transferred to hospital after a one-week history of generalized abdominal pain, jaundice, dark urine, and lower extremity edema. His initial evaluation revealed severe hyperbilirubinemia and elevated transaminases, prompting his transfer. He denied any alcohol consumption for the previous twenty years or intravenous drug use. He had no medical history, was taking no medications prior to presentation, except a multivitamin. He denied taking any herbal supplements and his family history was unremarkable. He was married and employed as an auto mechanic. On examination, he was notably jaundiced and cachectic in appearance with a height of 1.7 m, weight of 82.5 kg, and body mass index (BMI) of 28.3 kg/m2. He was afebrile with a pulse of 95 beats per minute, respiratory rate of 16 breaths per minute, and pulse oxygen saturation of 95% while on room air. On thyroid examination, he had a large symmetrical, non-tender goiter with audible bruit. Heartbeat was irregularly irregular. What are all the treatment options for cholestatic jaundice?
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@digambar Cholestasis is a liver disease. It occurs when the flow of bile from your liver is reduced or blocked. Bile is fluid produced by your liver that aids in the digestion of food, especially fats. When bile flow is altered, it can lead to a buildup of bilirubin. Bilirubin is a pigment produced by your liver and excreted from your body via bile. The first step to treating cholestasis is to treat the underlying cause. For example, if it’s determined that medication is causing the condition, your doctor may recommend a different drug. If an obstruction like gallstones or a tumor is causing the backup of bile, your doctor may recommend surgery. Early treatment can improve your chances for a full recovery.
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