How Dr. Rishi Diagnoses Dilated Cbd?
Dr. Rishi Chadha uses a step-by-step approach:
Medical History and Exam
He reviews your health history, any previous gallbladder or bile duct issues, risk factors, and current symptoms such as pain, jaundice, or itching.
Blood Tests
We check liver enzymes (AST, ALT, ALP), bilirubin levels, and inflammatory markers to assess liver function and rule out other causes.
Imaging Studies
- Abdominal ultrasound evaluates bile duct diameter and looks for gallstones or masses.
- MRCP (Magnetic Resonance Cholangiopancreatography) provides detailed, noninvasive imaging of the biliary tree.
Advanced Diagnostics (if needed)
When further detail is required, endoscopic ultrasound (EUS) or ERCP (endoscopic retrograde cholangiopancreatography) can directly visualize the ducts, allow stone extraction or stent placement, and obtain tissue samples.
Frequently Asked Questions
What does a dilated CBD feel like?
Pain or fullness in the upper right belly, nausea, and sometimes jaundice (yellowing of the skin or eyes).
Is it the same as cholangitis?
No. A dilated CBD simply means the duct is widened. Cholangitis is an infection of the bile duct.
Can it heal on its own?
Mild cases may improve with diet and lifestyle changes, but most patients require medical evaluation and treatment.
Is ERCP a safe test?
Yes. ERCP is performed under sedation and is generally low risk when done by an experienced specialist.
Will I need surgery?
Only if less invasive treatments fail or if there's a tumor or persistent blockage that requires surgical removal.
How fast does treatment work?
Many patients feel symptom relief within days of stent placement. Complete healing times vary by individual.
Is ERCP or EUS covered by insurance?
Most insurance plans cover these procedures. Our team can help verify your benefits and obtain approvals.
How does the pancreas relate to the CBD?
The bile duct and pancreatic duct share a common exit into the intestines, so a blockage can affect both systems.
Can this problem come back?
Yes. Scar tissue, strictures, or new stones may recur. Regular follow-up imaging and exams help prevent complications.
What is the ICD-10 code for a dilated CBD?
The ICD-10 code for bile duct dilation is K83.1.