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Thanks Irene for the welcome. I've already gained alot from being

here the last few days. And know I will continue to gain.

I have been counting down the days til chat time ( posted on front

page) I have never been in a chat room - so please bare with me as I

learn.

I just hope everything goes well so I can attend !!!!!!!! I'm sure

you all know what I mean.

Cinda

> Cinda, welcome to our group. It is a very good one. The people

are

> friendly, caring, loving and very supportive. If you have anymore

questions,

> ask away, someone will probably have the answer. if you feel like

venting,

> this is the place to do it. There is always someone to listen.

>

> Take care,

> Irene

>

> Books may well be the only true magic

> Alice Hoffman

>

>

>

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Guest guest

Thanks Irene for the welcome. I've already gained alot from being

here the last few days. And know I will continue to gain.

I have been counting down the days til chat time ( posted on front

page) I have never been in a chat room - so please bare with me as I

learn.

I just hope everything goes well so I can attend !!!!!!!! I'm sure

you all know what I mean.

Cinda

> Cinda, welcome to our group. It is a very good one. The people

are

> friendly, caring, loving and very supportive. If you have anymore

questions,

> ask away, someone will probably have the answer. if you feel like

venting,

> this is the place to do it. There is always someone to listen.

>

> Take care,

> Irene

>

> Books may well be the only true magic

> Alice Hoffman

>

>

>

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Guest guest

Thanks Irene for the welcome. I've already gained alot from being

here the last few days. And know I will continue to gain.

I have been counting down the days til chat time ( posted on front

page) I have never been in a chat room - so please bare with me as I

learn.

I just hope everything goes well so I can attend !!!!!!!! I'm sure

you all know what I mean.

Cinda

> Cinda, welcome to our group. It is a very good one. The people

are

> friendly, caring, loving and very supportive. If you have anymore

questions,

> ask away, someone will probably have the answer. if you feel like

venting,

> this is the place to do it. There is always someone to listen.

>

> Take care,

> Irene

>

> Books may well be the only true magic

> Alice Hoffman

>

>

>

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  • 2 months later...
Guest guest

--- I do know what you mean! I have enough mush to win the Ididorod

or whatever it is called when then sled dogs race. Welcome home.

In @y..., " suemarr1954 " wrote:

> Hi, everyone, I just joined the group today. My name is . I

> have had Fibromyalgia symptoms for about 16+ years. This past year

> seems to have been worse for some reason...or did I just forget the

> other years?!?!? ;-) Seems I have been in this " fibrofog " for

> weeks. My brain is like mush. I work full time and am able to get

> my job done, but by the end of the day, there is nothing left. I

> know you all know what I am talking about.

>

> Anyway, I just wanted to check in.

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  • 6 years later...

Hi, My name is Enid Cresson. I was diagnosed in August, 2008 with

PSC. I have been ill with a low grade fever and extreme fatigue since

June, 2005. At the time I received my diagnosis, I was also diagnosed

with Graves disease. All the doctors I have seen have not been very

helpful in explaining things to me or being able to address my

fatigue. I'd like to find out if anyone has been able to treat there

fatigue with success. Also my PSC has started mostly in the Bilary

Tree on the left side and don't know if the progression will go to my

liver sooner than if it had started in the CBD. Lately, my cholestrol

has become high and would like to know if that is because of the

disease in the ducts or the liver. I'm quite thin and can't believe

that my cholesterol is high. Thanks.

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Hi Enid;

Welcome to the group. Sorry to hear about your fatigue and low grade

fever, and elevated cholesterol. Perhaps others will comment on the

fatigue issue, but here I'd like to tackle your cholesterol question.

Cholesterol can come from two sources; the diet, and assembly from

small molecules in the body. Cholesterol from both sources is then used

to make bile in the liver, which is normally excreted into the bile

ducts and eventually ends up in the intestines. In " cholestatic " liver

diseases like primary sclerosing cholangitis, and primary biliary

cirrhosis, the bile flow out of the liver is impaired, and so bile

acids build up and tend to slow down the conversion of cholesterol into

bile acids. The net result is that cholesterol builds up. In primary

biliary cirrhosis there is good evidence that ursodeoxycholic acid

helps restores bile flow, and helps lower cholesterol. Also it seems

that cholesterol-lowering drugs, such as fibrates and statins can help

improve liver biochemistry. This is described in an article from Swiss

Medical Weekly (2008)

http://www.smw.ch/docs/pdf200x/2008/29/smw-12311.pdf

" Ursodeoxycholic acid is an established treatment for primary biliary

cirrhosis: it has been shown to improve significantly transplantation

free survival in these patients. Nevertheless, some 50% of patients do

not achieve a complete response, with persistent elevated alkaline

phosphatase levels, and are at risk for disease progression. It is

important to identify medications with which these patients could be

treated. The literature shows that fibrates as well as statins could be

prescribed to patients with PBC, not only to reduce

hypercholesterolaemia but also to improve PBC. Simvastatin and

bezafibrate are two medications which, specifically, deserve to be

formally studied in larger randomised controlled trials. "

I would imagine that such cholesterol-lowering drugs might have similar

types of effects in PSC, but currently, there are only a few reports of

beneficial effects in PSC patients treated in Japan, and there havn't

been any large trials yet in the U.S.A.

Anyway, ther clearly are treatment options for high cholesterol in

cholestatic liver disease. Maybe trying to improve bile flow by taking

urosdeoxycholic acid would be a place to start, if you are not already

taking this drug?

Best regards,

Dave

(father of (23); PSC 07/03; UC 08/03)

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Hi Enid;

Welcome to the group. Sorry to hear about your fatigue and low grade

fever, and elevated cholesterol. Perhaps others will comment on the

fatigue issue, but here I'd like to tackle your cholesterol question.

Cholesterol can come from two sources; the diet, and assembly from

small molecules in the body. Cholesterol from both sources is then used

to make bile in the liver, which is normally excreted into the bile

ducts and eventually ends up in the intestines. In " cholestatic " liver

diseases like primary sclerosing cholangitis, and primary biliary

cirrhosis, the bile flow out of the liver is impaired, and so bile

acids build up and tend to slow down the conversion of cholesterol into

bile acids. The net result is that cholesterol builds up. In primary

biliary cirrhosis there is good evidence that ursodeoxycholic acid

helps restores bile flow, and helps lower cholesterol. Also it seems

that cholesterol-lowering drugs, such as fibrates and statins can help

improve liver biochemistry. This is described in an article from Swiss

Medical Weekly (2008)

http://www.smw.ch/docs/pdf200x/2008/29/smw-12311.pdf

" Ursodeoxycholic acid is an established treatment for primary biliary

cirrhosis: it has been shown to improve significantly transplantation

free survival in these patients. Nevertheless, some 50% of patients do

not achieve a complete response, with persistent elevated alkaline

phosphatase levels, and are at risk for disease progression. It is

important to identify medications with which these patients could be

treated. The literature shows that fibrates as well as statins could be

prescribed to patients with PBC, not only to reduce

hypercholesterolaemia but also to improve PBC. Simvastatin and

bezafibrate are two medications which, specifically, deserve to be

formally studied in larger randomised controlled trials. "

I would imagine that such cholesterol-lowering drugs might have similar

types of effects in PSC, but currently, there are only a few reports of

beneficial effects in PSC patients treated in Japan, and there havn't

been any large trials yet in the U.S.A.

Anyway, ther clearly are treatment options for high cholesterol in

cholestatic liver disease. Maybe trying to improve bile flow by taking

urosdeoxycholic acid would be a place to start, if you are not already

taking this drug?

Best regards,

Dave

(father of (23); PSC 07/03; UC 08/03)

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  • 1 month later...
Guest guest

Hi ,

Glad you found us but sorry you had to find us. I will start out by saying that

I have been sick since 1994 with symptoms of PSC; however, I was not diagnosed

until 2003. Given my symptoms I have had it for over 15 years and am still

going strong. Your husbands symptoms sound very similar to mine, I throw up a

lot, belch a lot, my urine is orange. I am going through a bout of weight loss

right now. The fatigue, oh my what can I say. Your husband may have PSC and UC

or Crohns they often run together.

SOme one else gave you the links to some of the literature, please read them and

ask us and the doctors a lot of questions.

The people on this site are really great.

Dawn

>

> hello

> My husband was recently diagonesed with psc about a month ago.  I have alot of

questions for one before we got the diagonisis he was first diagonesed, with

chrohns, then they took that back and said he had ulcerative colonitis, then

they took that back now he has psc.  The symptons were within the past year he

dropped about 4o pounds, now i have been with my husband for 14 years and he has

always been itching, so they said his enzymes were up we never thought much of

the itching all these years.Another thing that makes our situation complicated

is that as a child he was born with an enlarged liver and he was really sick

from the age of 6 till about ten he used to throw up couldnt eat or anything

then he was treated with predisone and everything stopped we cannot get hold of

these earlier records because they did not keep records back then we are relying

on his mom's memory so now during the past year his urine went from regular

color to orange to that

> dirty color he had pancretis about 2 months ago so they removed his

gallbladder, then they gave him and ercp they said the removed stones and slush

and that's what caused the pancreatis, we came home only two weeks later and he

was still throwing up and still sick we went back to the hospital and they did

another ercp and said they had left some gallstones in there. The thing i don't

understand is they say he has had liver disease for about 15 years but i thought

you cannot survive past ten years. They have him on uradosil, pentanasa,

cholestraynamine, asocal.  He is always tired and he can only eat so much if he

eats too much he throws up, and if he is not throwing up he is puping everything

he ate he is weak he cannot gain any weight. Now his ankles, knees are swollen I

dont know we go back to his doctor on the 17th of april, but i dont think they

are getting right, i have made another appointment with another liver doctor, i

would appreciate any

> suggestions or any feedback. My husband is 44 years old.

>  

> lost and confused

>

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