Cholangitis history and symptoms
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farwa Haideri [2]
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Overview
Obtaining a thorough and accurate history is the most important aspect of making a diagnosis of cholangitis. It provides insight into cause, precipitating factors, and associated comorbid conditions.
History
A complete history will help determine the appropriate therapy and prognosis. Specific areas of focus include:[1]
- Gallstones and common bile duct stones
- Recent cholecystectomy
- Endoscopic manipulation or endoscopic retrograde cholangiopancreatography (ERCP)
- History of HIV or AIDS
- AIDS-related cholangitis is characterized by extrahepatic biliary edema, ulceration, and obstruction.
Symptoms
Associated symptoms can provide indications to the cause of cholangitis.[1][2]
- Acholic or hypocholic stools
- Confusion
- Malaise
- Nausea and vomiting
- Occult sepsis
- Pain on the upper right side or upper middle part of the abdomen
- May be felt in the back or below the right shoulder blade
- May come and go and feel sharp, cramp-like, or dull
- Paralytic ileus
- Pruritus