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Primary Sclerosing Cholangitis

At GastroDoxs in Jersey Village, our dedicated hepatology team offers compassionate diagnosis and advanced treatment of Primary Sclerosing Cholangitis, guiding patients through personalized care plans with cutting-edge technologies and local expertise, helping individuals in our community achieve improved liver health.

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Bharat Pothuri
Symptoms

What Is Primary Sclerosing Cholangitis?

Primary Sclerosing Cholangitis (PSC) is a chronic liver disorder in which the bile ducts inside and outside the liver become inflamed, scarred, and narrowed. Over time, blocked bile flow can lead to progressive liver damage, cirrhosis, and complications such as bile duct infections or liver failure. PSC is often associated with inflammatory bowel disease, particularly ulcerative colitis, but it can also occur independently.

Common Symptoms

PSC may progress slowly, and early on you might not notice any signs. As the disease advances, watch for:

  • Persistent fatigue or low energy
  • Itchy skin (pruritus), especially at night
  • Yellowing of the skin and eyes (jaundice)
  • Pain or discomfort in the upper right abdomen
  • Dark urine or pale, clay-colored stools
  • Unintended weight loss or loss of appetite

Causes

The exact cause of PSC is not fully understood, but several factors appear to play a role:

  • Autoimmune reaction: The body's immune system mistakenly attacks its own bile ducts.
  • Genetic predisposition: Certain genes (for example, HLA-B27) may increase susceptibility.
  • Inflammatory bowel disease (IBD): Up to 70% of PSC patients also have ulcerative colitis or Crohn's disease.
  • Environmental triggers: Infections, toxins, or other exposures may initiate or worsen bile duct injury.
Treatment

Treatment Options for Primary Sclerosing Cholangitis in Jersey Village

Treatment includes medical therapies and procedural interventions:

  • Ursodeoxycholic acid (UDCA): Helps improve bile flow and may lower liver enzyme levels.
  • Anti-inflammatory & immunosuppressants: Medications such as corticosteroids, azathioprine or methotrexate to reduce duct inflammation.
  • Endoscopic therapy (ERCP): Dilation and stenting of narrowed bile ducts to restore bile drainage.
  • Pruritus management: Agents like cholestyramine, rifampin or antihistamines to relieve itching.
  • Regular monitoring: Scheduled blood tests (alkaline phosphatase, AST/ALT), imaging with MRCP or ultrasound to track disease progression.
  • Liver transplant evaluation: For patients with advanced fibrosis, cirrhosis or complications unresponsive to other treatments.

Why Choose GastroDoxs?

Our Jersey Village team specializes in Primary Sclerosing Cholangitis care-offering expert diagnostics, personalized treatment plans, and ongoing support under one roof. From advanced imaging (MRCP/ERCP) to medical management and transplant coordination, we're dedicated to preserving your liver function and improving your quality of life.

Ready to Take the Next Step?

Don't wait to safeguard your liver health. Schedule your consultation with our board-certified gastroenterologist at GastroDoxs in Jersey Village today, and get the focused, compassionate care you deserve.

286

Patients Treated

We've successfully treated more than 286 patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

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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 primary sclerosing cholangitis (PSC) and primary biliary cholangitis (PBC)?

PSC and PBC are both chronic liver diseases of the bile ducts. PSC causes inflammation and scarring of both large and small ducts and is more common in men, whereas PBC primarily affects small intrahepatic ducts and occurs more often in women.

Can PSC and ulcerative colitis occur together?

Yes. Approximately 70% of PSC patients also have ulcerative colitis, so it's important to screen for and manage both conditions in tandem.

Is PSC inherited?

PSC is not directly inherited, but certain genetic factors-such as HLA-B27-can increase your risk. Family history of autoimmune diseases may also play a role.

How is PSC diagnosed?

PSC diagnosis involves abnormal liver function tests, serologic markers, and imaging studies like MRCP or ERCP, which visualize bile duct narrowing and scarring.

What does radiology show in PSC?

Radiologic exams (MRCP or ERCP) reveal strictures, beading, and dilatation of bile ducts, helping to confirm PSC and monitor disease progression.

How is PSC treated?

Treatment includes ursodeoxycholic acid to improve bile flow, endoscopic dilation of strictures via ERCP, immunosuppressive or anti-inflammatory drugs, and liver transplant for advanced disease.

Can lifestyle changes help manage PSC?

Yes. Avoiding alcohol, following a balanced diet, exercising regularly, and receiving recommended vaccinations can support liver health and overall well-being.

How often should I see a PSC specialist?

Routine follow-up every 6-12 months is typical, though more frequent visits may be needed if symptoms worsen or complications arise.

What's the long-term outlook for PSC?

PSC progresses slowly in many patients. Early diagnosis and appropriate management can preserve liver function, improve quality of life, and delay complications.

Where can I find a PSC specialist near Jersey Village?

GastroDoxs in Jersey Village offers experienced gastroenterologists specializing in PSC. Book an appointment for comprehensive evaluation, imaging, and personalized care.

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