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Need advice about fever with stent

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Hello,

I'm asking for some advice regarding my situation. I have a stent in

my CBD right now that has been in for 4 weeks, before the stent I had

increased pain and through the roof liver enzymes. After the stent I

developed cholangitis had a round of cipro, now a few weeks later I'm

having slightly increased pain and been running a low grade fever

around 100-101. Had my liver enzymes done yesterday and they are

significantly down. The problem is my Dr.is out of town until Dec. and

I'm not sure if it can wait or not since my labs are down. However,

I'm not real comfortable sitting around with a fever.

Is it ok to wait or should I go to urgent care? Does it sound like it

could be a slight case of Cholangitis again or maybe that my body is

trying to reject the stent???

Thanks for any ideas

Sands

UC 2002, PSC 11/07

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My hepatologist's instructions to me, if I had a fever of 101--no

matter with a stent or not--would be to head to the ER. Suspect

cholangitis until proven otherwise is what I'm told.

Genevieve

UC 1983, J-Pouch 1999, PSC 12/07, CCA 10/07, Start chemo next

Wednesday.

>

> Hello,

> I'm asking for some advice regarding my situation. I have a stent

in

> my CBD right now that has been in for 4 weeks, before the stent I

had

> increased pain and through the roof liver enzymes. After the stent

I

> developed cholangitis had a round of cipro, now a few weeks later

I'm

> having slightly increased pain and been running a low grade fever

> around 100-101. Had my liver enzymes done yesterday and they are

> significantly down. The problem is my Dr.is out of town until Dec.

and

> I'm not sure if it can wait or not since my labs are down.

However,

> I'm not real comfortable sitting around with a fever.

> Is it ok to wait or should I go to urgent care? Does it sound like

it

> could be a slight case of Cholangitis again or maybe that my body

is

> trying to reject the stent???

> Thanks for any ideas

>

> Sands

> UC 2002, PSC 11/07

>

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My hepatologist's instructions to me, if I had a fever of 101--no

matter with a stent or not--would be to head to the ER. Suspect

cholangitis until proven otherwise is what I'm told.

Genevieve

UC 1983, J-Pouch 1999, PSC 12/07, CCA 10/07, Start chemo next

Wednesday.

>

> Hello,

> I'm asking for some advice regarding my situation. I have a stent

in

> my CBD right now that has been in for 4 weeks, before the stent I

had

> increased pain and through the roof liver enzymes. After the stent

I

> developed cholangitis had a round of cipro, now a few weeks later

I'm

> having slightly increased pain and been running a low grade fever

> around 100-101. Had my liver enzymes done yesterday and they are

> significantly down. The problem is my Dr.is out of town until Dec.

and

> I'm not sure if it can wait or not since my labs are down.

However,

> I'm not real comfortable sitting around with a fever.

> Is it ok to wait or should I go to urgent care? Does it sound like

it

> could be a slight case of Cholangitis again or maybe that my body

is

> trying to reject the stent???

> Thanks for any ideas

>

> Sands

> UC 2002, PSC 11/07

>

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Thanks for the replies, I knew if I didn't go into urgent care I would just be worried about it, so I went in and the Dr. was knowledgable about PSC, and felt like it was Cholangitis so I'm on Flagyl and Cipro now.

Thanks again

Sands

Subject: Re: Need advice about fever with stentTo: Date: Wednesday, November 19, 2008, 3:33 PM

I was also told the same, and find that the actual doc discounts under 101.5. But it is definitely worth checking. Sometimes I find by myself that extreme stress or sleeping for extended periods causes a rise to 100.5. But again in such a case I suggest a consult with the doctor on call. Sent via BlackBerry by AT & T

From: cmp12305 (AT) aol (DOT) comDate: Wed, 19 Nov 2008 16:27:26 -0500To: <@ yahoogroups. com>Subject: Re: Need advice about fever with stent

I suggest you call his office and ask for advice, they should have another doctor who will be on call. Perhaps an antibiotic would solve the problem. I was always told that if I got a fever over 100 to call the docs or go to the ER. Be sure to tell whoever you talk to that you have a stent because they can cause an infection. My advice is to play it safe and seek some help today and not wait until the week-end when you can't find anyone to talk to.Take CareMizKit Need advice about fever with stent

Hello, I'm asking for some advice regarding my situation. I have a stent in my CBD right now that has been in for 4 weeks, before the stent I had increased pain and through the roof liver enzymes. After the stent I developed cholangitis had a round of cipro, now a few weeks later I'm having slightly increased pain and been running a low grade fever around 100-101. Had my liver enzymes done yesterday and they are significantly down. The problem is my Dr.is out of town until Dec. and I'm not sure if it can wait or not since my labs are down. However, I'm not real comfortable sitting around with a fever.Is it ok to wait or should I go to urgent care? Does it sound like it could be a slight case of Cholangitis again or maybe that my body is trying to reject the stent???Thanks for any ideas SandsUC 2002, PSC 11/07

Traveling over the river or through the woods this holiday season? Get the MapQuest Toolbar. Directions, Traffic, Gas Prices More!

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Iris,

Thanks for the heads up, I was thinking the same thing, The pain is getting just a little worse and my fever is still around 101 after 2 1/2 days of double antibiotics.

Shouldn't the fever be down by now? I won't hesitiate to go back in if I feel like something isn't right.

Thanks again for the support.

Sands

Subject: Re: Need advice about fever with stentTo: Date: Friday, November 21, 2008, 6:37 PM

Hey jennifer that happened to me a few months ago as well. THey found that is was some sludge at the end of the stent after a ultrasound.Make sure you follow up with your primary PSC dr.Iris> > From: CholangitisSuprt@ ... <CholangitisSuprt@ ...>> Subject: Re: Need advice about fever with stent> To: @ yahoogroups. com> Date: Wednesday, November 19, 2008, 3:33 PM> > > > > > > I was also told the same, and find that the actual doc discounts under 101.5. But it is definitely worth checking. Sometimes I find by myself that extreme stress or sleeping for extended periods causes a rise to 100.5. But again in such a case I suggest a consult with the doctor on call. > Sent via BlackBerry by AT & T> > > From: cmp12305 (AT) aol (DOT) com> Date: Wed, 19 Nov 2008 16:27:26 -0500> To: <@ yahoogroups. com>> Subject: Re: Need advice about fever with stent> > > > > > I suggest you call his office and ask for advice, they should have another doctor who will be on call. Perhaps an

antibiotic would solve the problem. I was always told that if I got a fever over 100 to call the docs or go to the ER. Be sure to tell whoever you talk to that you have a stent because they can cause an infection. My advice is to play it safe and seek some help today and not wait until the week-end when you can't find anyone to talk to.> > Take Care> MizKit> > > Need advice about fever with stent> > > > > > > Hello, > I'm asking for some advice regarding my situation. I have a stent in > my CBD right now that has been in for 4 weeks, before the stent I had > increased pain and through the roof liver enzymes. After

the stent I > developed cholangitis had a round of cipro, now a few weeks later I'm > having slightly increased pain and been running a low grade fever > around 100-101. Had my liver enzymes done yesterday and they are > significantly down. The problem is my Dr.is out of town until Dec. and > I'm not sure if it can wait or not since my labs are down. However, > I'm not real comfortable sitting around with a fever.> Is it ok to wait or should I go to urgent care? Does it sound like it > could be a slight case of Cholangitis again or maybe that my body is > trying to reject the stent???> Thanks for any ideas> > Sands> UC 2002, PSC 11/07> > > > > > Traveling over the river or through the woods this holiday season? Get the MapQuest Toolbar. Directions, Traffic, Gas Prices

More!>

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Iris,

Thanks for the heads up, I was thinking the same thing, The pain is getting just a little worse and my fever is still around 101 after 2 1/2 days of double antibiotics.

Shouldn't the fever be down by now? I won't hesitiate to go back in if I feel like something isn't right.

Thanks again for the support.

Sands

Subject: Re: Need advice about fever with stentTo: Date: Friday, November 21, 2008, 6:37 PM

Hey jennifer that happened to me a few months ago as well. THey found that is was some sludge at the end of the stent after a ultrasound.Make sure you follow up with your primary PSC dr.Iris> > From: CholangitisSuprt@ ... <CholangitisSuprt@ ...>> Subject: Re: Need advice about fever with stent> To: @ yahoogroups. com> Date: Wednesday, November 19, 2008, 3:33 PM> > > > > > > I was also told the same, and find that the actual doc discounts under 101.5. But it is definitely worth checking. Sometimes I find by myself that extreme stress or sleeping for extended periods causes a rise to 100.5. But again in such a case I suggest a consult with the doctor on call. > Sent via BlackBerry by AT & T> > > From: cmp12305 (AT) aol (DOT) com> Date: Wed, 19 Nov 2008 16:27:26 -0500> To: <@ yahoogroups. com>> Subject: Re: Need advice about fever with stent> > > > > > I suggest you call his office and ask for advice, they should have another doctor who will be on call. Perhaps an

antibiotic would solve the problem. I was always told that if I got a fever over 100 to call the docs or go to the ER. Be sure to tell whoever you talk to that you have a stent because they can cause an infection. My advice is to play it safe and seek some help today and not wait until the week-end when you can't find anyone to talk to.> > Take Care> MizKit> > > Need advice about fever with stent> > > > > > > Hello, > I'm asking for some advice regarding my situation. I have a stent in > my CBD right now that has been in for 4 weeks, before the stent I had > increased pain and through the roof liver enzymes. After

the stent I > developed cholangitis had a round of cipro, now a few weeks later I'm > having slightly increased pain and been running a low grade fever > around 100-101. Had my liver enzymes done yesterday and they are > significantly down. The problem is my Dr.is out of town until Dec. and > I'm not sure if it can wait or not since my labs are down. However, > I'm not real comfortable sitting around with a fever.> Is it ok to wait or should I go to urgent care? Does it sound like it > could be a slight case of Cholangitis again or maybe that my body is > trying to reject the stent???> Thanks for any ideas> > Sands> UC 2002, PSC 11/07> > > > > > Traveling over the river or through the woods this holiday season? Get the MapQuest Toolbar. Directions, Traffic, Gas Prices

More!>

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> >

> > Thanks for the replies, I knew if I didn't go into urgent care I

> would just be worried about it, so I went in and the Dr. was

> knowledgable about PSC, and felt like it was Cholangitis so I'm on

> Flagyl and Cipro now.

> > Thanks again

> > Sands

>

I have had well over 15 ERCPS. Extended pain is not normal. Repeated

infections (sepsis) are something you want to keep a close eye on.

Dont try to bite the bullet concerning the pain. Sometimes a stent

will drop and protrude into the duodenum raking backing and forth

against the internal surface of the small intestine. I would approach

my GI/HP about removal ASAP if the pain and fever are

persistant.There are times a stent may pass thru your system, usually

with no harm done(very strange feeling).

Regards,

Andi

PSC/Crohns 01/02 Modesto California- Beautiful fall day here in

Central Cal

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