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Choledocholithiasis

In the case of choledocholithiasis, our highly trained professionals at GastroDoxs in Cypress are experienced in the diagnosis and treatment of bile duct stones and your stones are simply removed efficiently and painlessly to relieve back pain and prevent other complications, this is our home and our family and we are right in your neighborhood when you need our services.

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Bharat Pothuri
Symptoms

What is Choledocholithiasis?

Choledocholithiasis is due to the obstruction in the regular flow of the bile by the presence of gallstones in the common duct of the bile. The result of this obstruction may include gutache, infectiousness, to the extent of involving the pancreas. We GastroDoxs in Cypress clarify your situation in an easy to understand manner and on top of it we offer fast effective treatment so that 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 identify and remove stones from the common bile duct.
  • Cholecystectomy: Surgical removal of the gallbladder to prevent future gallstone episodes, especially in recurrent cases.
  • The use of antibiotics: Prescribed in cases of infection (such as cholangitis) or suspected infection to eliminate bacteria and reduce inflammation.
  • Suffering treatment: Pain relievers are used to manage abdominal pain before and after the procedure.
  • Food recommendations: A low-fat, high-fiber diet (LLD dietary intervention) to reduce the likelihood of future stone formation and support healthy bile flow.
  • Follow-up imaging: Ultrasound or MRCP is used post-treatment to confirm the bile duct is clear and ensure no new stones have formed.

Why Choose GastroDoxs?

We use both high-technology diagnostics load tested with ERCP, MRCP, and ultrasound and individual, caring patient care to diagnose and treat choledocholithiasis fast and safely at GastroDoxs in Cypress. Our professional staff takes time to explain to you the ICD-10 codes involved, discuss your treatment and even provide you with a plan that would help to take out your pain, clear out bile duct stones, and prevent future attacks. You certainly will not want to wait till the issue becomes complicated because a simple appointment will make you feel your best again today.

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

The difference between cholecystitis and choledocholithiasis

Cholecystitis is inflammation of the gallbladder, usually caused by stones trapped within it. Choledocholithiasis refers to gallstones that have migrated into and are obstructing the common bile duct.

In what instances should ERCP be used to treat choledocholithiasis?

Endoscopic Retrograde Cholangiopancreatography (ERCP) is recommended when imaging or lab tests reveal bile duct stones, especially if the patient has biliary pain, jaundice, fever, or signs of ductal obstruction or infection.

Are the bile duct stones reproducible upon removal?

Yes, bile duct stones can recur. However, ERCP followed by gallbladder removal (cholecystectomy) significantly reduces the risk of recurrence.

Do dietary modifications help prevent choledocholithiasis?

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

What are the risks of untreated choledocholithiasis?

If left untreated, choledocholithiasis can cause serious complications such as cholangitis (infection of the bile ducts) or acute pancreatitis. These require immediate medical attention.

What is the general recovery process after an ERCP procedure?

Most patients recover quickly and can be discharged the same day or after an overnight stay. Mild abdominal discomfort or a sore throat may occur. Serious complications are rare.

Is choledocholithiasis genetic?

There may be a genetic predisposition to gallstones, which can lead to choledocholithiasis. However, lifestyle factors like diet, weight, and other health conditions also play important roles.

Will I require antibiotics for choledocholithiasis?

Yes, if an infection such as cholangitis is present. Your doctor will prescribe appropriate antibiotics based on the severity and likely bacterial cause.

What is the diagnosis process for choledocholithiasis?

Diagnosis is typically made through imaging such as abdominal ultrasound or MRCP (Magnetic Resonance Cholangiopancreatography). ERCP can be used both to confirm the diagnosis and remove the stones.

Which ICD-10 code is appropriate for choledocholithiasis?

The standard ICD-10 code for choledocholithiasis is K80.5. If unspecified, use K80.50. For associated conditions like acute cholecystitis, K81.1 may also apply.

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