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Choledocholithiasis

At GastroDoxs in Cypress, our expert team specializes in diagnosing and treating choledocholithiasis, effectively removing bile duct stones to relieve pain and prevent complications, ensuring personalized care with advanced endoscopic techniques right here in your community when you need it.

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Bharat Pothuri
Symptoms

What is Choledocholithiasis?

Choledocholithiasis occurs when gallstones become lodged in the common bile duct, blocking the normal flow of bile. This blockage can lead to abdominal pain, infection, and even affect the pancreas. At GastroDoxs in Cypress, we explain your condition in simple terms and provide fast, effective treatment to help you feel better.

Common Symptoms

Symptoms of choledocholithiasis often start suddenly and may come and go. You may notice:

  • Pain or cramping in the upper right part of the abdomen
  • Yellowing of the skin and eyes (jaundice)
  • Dark urine and pale, clay-colored stools
  • Fever or chills
  • Nausea or vomiting

Causes

Choledocholithiasis happens when gallstones form in the gallbladder and then migrate into the common bile duct. Several factors increase your risk:

  • Age over 40 years
  • Female gender
  • Obesity or rapid weight loss
  • Family history of gallstones
  • Certain blood disorders (e.g., hemolytic anemia)

In some cases, a stone can also block the pancreatic duct, leading to acute pancreatitis that requires prompt treatment.

Treatment

Treatment Options for Choledocholithiasis in Cypress

Treatment includes procedural, medical, and lifestyle support:

  • Endoscopic stone removal (ERCP): A minimally invasive procedure to locate and extract stones from the common bile duct.
  • Cholecystectomy: Surgical removal of the gallbladder to prevent recurring stones if you have multiple episodes.
  • Antibiotic therapy: Prescribed when infection (cholangitis) is present or likely, to eliminate bacteria and reduce inflammation.
  • Pain management: Pain relievers are used to control abdominal discomfort before and after procedures.
  • Dietary guidance: A low-fat, high-fiber diet plan to reduce future stone formation and support healthy bile flow.
  • Follow-up imaging: Ultrasound or MRCP scans to confirm that the bile duct is clear and ensure no new stones have formed.

Why Choose GastroDoxs?

At GastroDoxs in Cypress, we combine advanced diagnostics-such as ERCP, MRCP, and ultrasound-with personalized, compassionate care to diagnose and treat choledocholithiasis quickly and safely. Our expert team takes the time to explain your ICD-10 codes, review your treatment options, and create a plan designed to relieve pain, clear bile duct stones, and prevent future episodes. Don't wait for complications-book your appointment today and get back to feeling your best.

Patients Treated

We've successfully treated more than 265 patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What's the difference between cholecystitis and choledocholithiasis?

Cholecystitis is inflammation of the gallbladder, often due to stones lodged there. Choledocholithiasis refers specifically to gallstones that have moved into and block the common bile duct.

When is ERCP needed to treat choledocholithiasis?

ERCP (endoscopic retrograde cholangiopancreatography) is indicated when imaging or labs confirm a bile duct stone and you have symptoms such as biliary pain, jaundice, or fever, or if there's evidence of ductal obstruction or infection.

Can bile duct stones come back after removal?

Yes, stones can recur in the bile duct. Removing the gallbladder (cholecystectomy) after ERCP significantly lowers the chance of new stones forming in the future.

Can dietary changes help prevent choledocholithiasis?

A low-fat, high-fiber diet along with adequate hydration can reduce bile cholesterol saturation and help prevent gallstone formation, thereby lowering the risk of stones entering the bile duct.

What are the risks of untreated choledocholithiasis?

If left untreated, bile duct stones can lead to serious complications such as cholangitis (infection of the bile ducts) or acute pancreatitis, both of which require urgent medical care.

What's the typical recovery after an ERCP procedure?

Most patients recover quickly, often going home the same day or after an overnight stay. You may experience mild abdominal discomfort or sore throat, but serious complications are uncommon.

Is choledocholithiasis genetic?

Family history of gallstones can increase your risk of developing bile duct stones, but diet, weight changes, and other health factors also play significant roles.

Will I need antibiotics for choledocholithiasis?

Yes, if there's an associated infection such as cholangitis. Your physician will select the appropriate antibiotic based on the severity and likely bacteria involved.

How is choledocholithiasis diagnosed?

Diagnosis typically involves imaging studies like abdominal ultrasound or MRCP (magnetic resonance cholangiopancreatography). ERCP may be used both to confirm the diagnosis and to remove the stone.

What ICD-10 code should I use for choledocholithiasis?

For most cases of choledocholithiasis, use K80.5. If the case is unspecified, use K80.50. If accompanied by acute cholecystitis, additional codes like K81.1 may apply.

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