Ascending Cholangitis Treatment – What Is Recommended?

ascending cholangitisAscending cholangitis is an infection of the bile duct and is a very serious condition. It’s considered an emergency by medical standards and can be life-threatening. It’s a result of bacteria that migrates from its location in the small intestine and often is caused from an existing bile duct obstruction, the most common cause of which is gallstones.

The symptoms of ascending cholangitis are often severe and usually enough to send the afflicted directly to the nearest emergency room, unlike it’s similarly named conditional relative, sclerosis cholangitis, a condition that shares some characteristics but is not the same thing. Abdominal pain, uncontrollable shaking and a fever are the most commonly reported indications of ascending cholangitis, although some also experience one of the most common symptoms of liver disease as well, in the form of jaundice. These signs can be worse in the elderly or already physically compromised; however can also be completely absent, which can make the emergency much more severe.

Cholangitis treatment starts with antibiotics and fluids in a medical setting. These are used to stabilize the afflicted and also to begin combating the offending bacteria. Sometimes, different antibiotics are used as it is often difficult to identify the particular type of bacteria that is causing ascending cholangitis and antibiotics are not universal – what works for one particular type of bacteria may prove largely ineffective for another. The ultimate treatment after controlling the infection associated with ascending cholangitis however is to identify the source of the blockage at the bile duct. This is typically done via endoscopy. From this advanced form of diagnostic imaging, doctors can identify the source of bile duct blockage that has caused the infection and make treatment decisions from there. This normally will include gallstone removal via either crushing the stones or using shock waves to minimize them, particularly larger offenders. Although not always a requirement, and depending on the source of the gallstones, the gallbladder may be entirely removed as either a treatment option or as a method of prevention against future recurrences of the condition.

Because of the seriousness of the infection, which can and does result in death, there are no home treatment options available and medical attention should be sought immediately. A natural liver cleanse is not going to reduce gallstones or prevent infection and changing your dietetic intake to a strict low sodium diet plan will do little to prevent the movement of bacteria once a bile duct obstruction has occurred. The only method of treatment for ascending cholangitis is immediate medical care via an emergency room or immediate care center. If you are experiencing the signs and symptoms of this condition, it’s recommended that you receive emergency medical care immediately due to the risk of shock and organ failure, complications that can and do occur in cases of ascending cholangitis, a condition that after decades of medical advancement still is associated with a mortality rate of between ten and thirty percent.