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Primary Sclerosing Cholangitis

At GastroDoxs in Katy, our specialists provide comprehensive diagnosis and personalized management of Primary Sclerosing Cholangitis, offering advanced imaging, expert endoscopic therapies, and ongoing care to improve liver health and quality of life for patients throughout the Houston community.

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Bharat Pothuri
Symptoms

What is Primary Sclerosing Cholangitis?

Primary Sclerosing Cholangitis (PSC) is a chronic liver disorder in which inflammation and scarring narrow the bile ducts. These ducts carry bile from the liver to the small intestine. Over time, blocked bile flow leads to progressive liver damage. Early diagnosis and management can help slow disease progression and reduce complications.

Common Symptoms

PSC symptoms often develop gradually and may be mild at first. As the disease advances, you may notice:

  • Persistent fatigue
  • Itchy skin
  • Jaundice (yellowing of the skin or eyes)
  • Pain or discomfort in the upper right abdomen
  • Fever or chills
  • Unintentional weight loss

Causes

The exact cause of PSC remains unknown, but several factors are associated with its development:

  • An abnormal immune response targeting the bile ducts
  • Genetic predisposition or family history of PSC
  • Concurrent inflammatory bowel disease, especially ulcerative colitis
  • Repeated injury or infection of the bile ducts
Treatment

Treatment Options for Primary Sclerosing Cholangitis in Katy

Treatment includes medical procedures and supportive care:

  • Medications: Prescribed to relieve itching, reduce inflammation, and manage symptoms.
  • Endoscopic therapy (ERCP): A minimally invasive procedure to dilate strictured bile ducts and restore bile flow.
  • Imaging (MRCP): A noninvasive MRI scan used to visualize bile duct anatomy and track disease progression.
  • Lab tests: Routine blood work to monitor liver enzymes, bilirubin levels, and overall liver function.
  • Nutrition support: Tailored diet plans and vitamin supplementation to support liver health and address deficiencies.
  • Liver transplant: The definitive treatment for advanced PSC when medical therapies no longer control disease progression.

Why Choose GastroDoxs?

At GastroDoxs in Katy, our experienced PSC team offers advanced diagnostics-like onsite MRCP imaging and ERCP-along with personalized medical, nutritional, and supportive care tailored to your needs. We partner with you at every stage to manage symptoms, monitor liver health, and plan for the future. Ready to take control of your Primary Sclerosing Cholangitis? Book your appointment today and start your journey toward better liver wellness.

1.5K

Patients Treated

We've successfully treated more than 1.5K 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 is Primary Sclerosing Cholangitis (PSC)?

PSC is a chronic liver disease characterized by inflammation, scarring, and narrowing of the bile ducts, which impedes bile flow and can lead to progressive liver damage.

What causes Primary Sclerosing Cholangitis (PSC)?

The exact cause is unknown, but PSC is thought to involve autoimmune factors, genetic predisposition, and is often associated with inflammatory bowel disease-especially ulcerative colitis.

How is Primary Sclerosing Cholangitis (PSC) diagnosed?

Diagnosis usually involves blood tests to assess liver function, imaging such as MRCP or ERCP to visualize bile ducts, and sometimes a liver biopsy to confirm the extent of damage.

What is the ICD-10 code for Primary Sclerosing Cholangitis?

For medical records and insurance purposes, PSC is classified under ICD-10 code K83.0.

Can Primary Sclerosing Cholangitis (PSC) affect life expectancy?

Yes. PSC can lead to complications like cirrhosis and bile duct cancer. With proper management, many patients live 10-20 years or more after diagnosis.

What is MRCP and how is it used in PSC?

MRCP (Magnetic Resonance Cholangiopancreatography) is a non-invasive MRI technique that provides detailed images of the bile and pancreatic ducts without the need for surgery.

Is there a connection between PSC and ulcerative colitis?

Yes. Up to 80% of people with PSC also have ulcerative colitis, indicating a strong link between these two conditions.

When should I see a doctor about PSC?

You should consult a gastroenterologist if you experience persistent itching, jaundice, unexplained fatigue, abdominal pain, or abnormal liver tests.

What treatment options are available for PSC?

Treatment may include medications to reduce itching and inflammation, endoscopic procedures (ERCP) to dilate strictures, nutritional support, and liver transplantation in advanced cases.

Where can I find a PSC specialist in Katy?

GastroDoxs in Katy offers specialized PSC care, including onsite MRCP imaging, lab testing, personalized treatment plans, and long-term follow-up.

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