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Re: PSC liver disease

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Dave,

Your fevers and chills are likely to be bacterial cholangitis -

infections of the bile ducts that can become life threatening. You

should go to a doctor or ER to treat the infections, not wait until

October. See the section on cholangitis in the FAQ -

http://www.psc-literature.org/FAQ.htm

I have to admit that when I first had cholangitis attacks 16 years ago

I did not immediately seek treatment. I went through several cycles of

attacks (several months) before seeking treatment. Antibiotics quickly

resolved the fevers but ongoing treatment could have been either

continuous antibiotics or a rapid response to the first signs of an

attack. I went with option 2 as the better course for me. Others here

go the continuous antibiotic treatment route.

Regards,

Tim R, ltx 1998, recurrent PSC 2002, listed 2005

> i am 45 years old and have PSC liver disease. they are treating me

> with the drug URSO for the past 2 years ... i have been getting

fever and chills for the

> past 4 months and last for about 3-5 days.

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Dave,

Your fevers and chills are likely to be bacterial cholangitis -

infections of the bile ducts that can become life threatening. You

should go to a doctor or ER to treat the infections, not wait until

October. See the section on cholangitis in the FAQ -

http://www.psc-literature.org/FAQ.htm

I have to admit that when I first had cholangitis attacks 16 years ago

I did not immediately seek treatment. I went through several cycles of

attacks (several months) before seeking treatment. Antibiotics quickly

resolved the fevers but ongoing treatment could have been either

continuous antibiotics or a rapid response to the first signs of an

attack. I went with option 2 as the better course for me. Others here

go the continuous antibiotic treatment route.

Regards,

Tim R, ltx 1998, recurrent PSC 2002, listed 2005

> i am 45 years old and have PSC liver disease. they are treating me

> with the drug URSO for the past 2 years ... i have been getting

fever and chills for the

> past 4 months and last for about 3-5 days.

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Share on other sites

Dave,

Your fevers and chills are likely to be bacterial cholangitis -

infections of the bile ducts that can become life threatening. You

should go to a doctor or ER to treat the infections, not wait until

October. See the section on cholangitis in the FAQ -

http://www.psc-literature.org/FAQ.htm

I have to admit that when I first had cholangitis attacks 16 years ago

I did not immediately seek treatment. I went through several cycles of

attacks (several months) before seeking treatment. Antibiotics quickly

resolved the fevers but ongoing treatment could have been either

continuous antibiotics or a rapid response to the first signs of an

attack. I went with option 2 as the better course for me. Others here

go the continuous antibiotic treatment route.

Regards,

Tim R, ltx 1998, recurrent PSC 2002, listed 2005

> i am 45 years old and have PSC liver disease. they are treating me

> with the drug URSO for the past 2 years ... i have been getting

fever and chills for the

> past 4 months and last for about 3-5 days.

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thank you Tim for your insight. I think that I will take you up on this

suggestion.

it sounds like this is the problem from my symptoms. I will keep you posted on

my results.

I hope everything is going okay with you and your PSC.

Dave

________________________________

From: on behalf of Tim Romlein

Sent: Tue 9/12/2006 7:19 PM

To:

Subject: Re: PSC liver disease

Dave,

Your fevers and chills are likely to be bacterial cholangitis -

infections of the bile ducts that can become life threatening. You

should go to a doctor or ER to treat the infections, not wait until

October. See the section on cholangitis in the FAQ -

http://www.psc-literature.org/FAQ.htm <http://www.psc-literature.org/FAQ.htm>

I have to admit that when I first had cholangitis attacks 16 years ago

I did not immediately seek treatment. I went through several cycles of

attacks (several months) before seeking treatment. Antibiotics quickly

resolved the fevers but ongoing treatment could have been either

continuous antibiotics or a rapid response to the first signs of an

attack. I went with option 2 as the better course for me. Others here

go the continuous antibiotic treatment route.

Regards,

Tim R, ltx 1998, recurrent PSC 2002, listed 2005

> i am 45 years old and have PSC liver disease. they are treating me

> with the drug URSO for the past 2 years ... i have been getting

fever and chills for the

> past 4 months and last for about 3-5 days.

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Hi Dave, My husband was diagnosed with PSC six years ago. Like you, he takes URSO (250mg - 8 tabs a day) and it seems to be helping him to a point. The fevers and chills you are referring to sounds like you are having cholangitis attacks. When this happens to my husband, they give him Cipro for a week and monitor his blood. In most cases, cholangitis requires a hospital stay whereas you are administered antibiotics intravenously. You really need to discuss this with your doctor. My husband also goes for an ERCP once a year for the brushings and has bloodwork every 4 to 6 months. I think it is a good idea that you are going to the Mayo Clinic. I heard they are very thorough. My husband goes to a local gastro physician and also to the HUP in Philadelphia where he is seen annually by the transplant team. I wish you the best of health and welcome to the

support group! Janicedvdcaito wrote: hello everyone,i am 45 years old and have PSC liver disease. they are treating me with the drug URSO for the past 2 years and this is keeping all of my liver enzymes in range. i have been getting fever and chills for the past 4 months and last for about 3-5 days. i do not know if this is being caused by the PSC or not. is anyone else having these symptoms?i am going next month 10/10 to the MAYO clinic in

arizona and have them do a complete check up of my liver etc..... i had a ERCP about 2 years ago and the bile ducts had some stones and needed to cleaned.at that time i was a level 1 on a scale of 1 to 5 to which 1 was the least serious of stages. i am new to this site and hope to share information with everyone and hope i can hear from you.thanks,dave

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Hi Dave, My husband was diagnosed with PSC six years ago. Like you, he takes URSO (250mg - 8 tabs a day) and it seems to be helping him to a point. The fevers and chills you are referring to sounds like you are having cholangitis attacks. When this happens to my husband, they give him Cipro for a week and monitor his blood. In most cases, cholangitis requires a hospital stay whereas you are administered antibiotics intravenously. You really need to discuss this with your doctor. My husband also goes for an ERCP once a year for the brushings and has bloodwork every 4 to 6 months. I think it is a good idea that you are going to the Mayo Clinic. I heard they are very thorough. My husband goes to a local gastro physician and also to the HUP in Philadelphia where he is seen annually by the transplant team. I wish you the best of health and welcome to the

support group! Janicedvdcaito wrote: hello everyone,i am 45 years old and have PSC liver disease. they are treating me with the drug URSO for the past 2 years and this is keeping all of my liver enzymes in range. i have been getting fever and chills for the past 4 months and last for about 3-5 days. i do not know if this is being caused by the PSC or not. is anyone else having these symptoms?i am going next month 10/10 to the MAYO clinic in

arizona and have them do a complete check up of my liver etc..... i had a ERCP about 2 years ago and the bile ducts had some stones and needed to cleaned.at that time i was a level 1 on a scale of 1 to 5 to which 1 was the least serious of stages. i am new to this site and hope to share information with everyone and hope i can hear from you.thanks,dave

Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls. Great rates starting at 1¢/min.

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Hi Dave, My husband was diagnosed with PSC six years ago. Like you, he takes URSO (250mg - 8 tabs a day) and it seems to be helping him to a point. The fevers and chills you are referring to sounds like you are having cholangitis attacks. When this happens to my husband, they give him Cipro for a week and monitor his blood. In most cases, cholangitis requires a hospital stay whereas you are administered antibiotics intravenously. You really need to discuss this with your doctor. My husband also goes for an ERCP once a year for the brushings and has bloodwork every 4 to 6 months. I think it is a good idea that you are going to the Mayo Clinic. I heard they are very thorough. My husband goes to a local gastro physician and also to the HUP in Philadelphia where he is seen annually by the transplant team. I wish you the best of health and welcome to the

support group! Janicedvdcaito wrote: hello everyone,i am 45 years old and have PSC liver disease. they are treating me with the drug URSO for the past 2 years and this is keeping all of my liver enzymes in range. i have been getting fever and chills for the past 4 months and last for about 3-5 days. i do not know if this is being caused by the PSC or not. is anyone else having these symptoms?i am going next month 10/10 to the MAYO clinic in

arizona and have them do a complete check up of my liver etc..... i had a ERCP about 2 years ago and the bile ducts had some stones and needed to cleaned.at that time i was a level 1 on a scale of 1 to 5 to which 1 was the least serious of stages. i am new to this site and hope to share information with everyone and hope i can hear from you.thanks,dave

Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls. Great rates starting at 1¢/min.

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Thank you Janice for the info.

Dave

From:

[mailto: ] On Behalf Of Ima Winner

Sent: Tuesday, September 12, 2006

10:20 PM

To:

Subject: Re: PSC

liver disease

Hi Dave,

My husband was diagnosed with PSC six years ago. Like you, he

takes URSO (250mg - 8 tabs a day) and it seems to be helping him to a

point. The fevers and chills you are referring to sounds like you are

having cholangitis attacks. When this happens to my husband, they give

him Cipro for a week and monitor his blood. In most cases, cholangitis

requires a hospital stay whereas you are administered antibiotics

intravenously. You really need to discuss this with your doctor. My

husband also goes for an ERCP once a year for the brushings and has bloodwork

every 4 to 6 months. I think it is a good idea that you are going to the

Mayo Clinic. I heard they are very thorough. My husband goes to a

local gastro physician and also to the HUP in Philadelphia where he is seen annually by the

transplant team.

I wish you the best of health and welcome to the support group!

Janice

dvdcaito

<dcaitotriadmfg> wrote:

hello everyone,

i am 45 years old and have PSC liver disease. they are treating me

with the drug URSO for the past 2 years and this is keeping all of my

liver enzymes in range. i have been getting fever and chills for the

past 4 months and last for about 3-5 days. i do not know if this is

being caused by the PSC or not. is anyone else having these symptoms?

i am going next month 10/10 to the MAYO clinic in arizona and have

them do a complete check up of my liver etc..... i had a ERCP about 2

years ago and the bile ducts had some stones and needed to cleaned.

at that time i was a level 1 on a scale of 1 to 5 to which 1 was the

least serious of stages. i am new to this site and hope to share

information with everyone and hope i can hear from you.

thanks,

dave

 

Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls. Great

rates starting at 1¢/min.

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Share on other sites

Thank you Janice for the info.

Dave

From:

[mailto: ] On Behalf Of Ima Winner

Sent: Tuesday, September 12, 2006

10:20 PM

To:

Subject: Re: PSC

liver disease

Hi Dave,

My husband was diagnosed with PSC six years ago. Like you, he

takes URSO (250mg - 8 tabs a day) and it seems to be helping him to a

point. The fevers and chills you are referring to sounds like you are

having cholangitis attacks. When this happens to my husband, they give

him Cipro for a week and monitor his blood. In most cases, cholangitis

requires a hospital stay whereas you are administered antibiotics

intravenously. You really need to discuss this with your doctor. My

husband also goes for an ERCP once a year for the brushings and has bloodwork

every 4 to 6 months. I think it is a good idea that you are going to the

Mayo Clinic. I heard they are very thorough. My husband goes to a

local gastro physician and also to the HUP in Philadelphia where he is seen annually by the

transplant team.

I wish you the best of health and welcome to the support group!

Janice

dvdcaito

<dcaitotriadmfg> wrote:

hello everyone,

i am 45 years old and have PSC liver disease. they are treating me

with the drug URSO for the past 2 years and this is keeping all of my

liver enzymes in range. i have been getting fever and chills for the

past 4 months and last for about 3-5 days. i do not know if this is

being caused by the PSC or not. is anyone else having these symptoms?

i am going next month 10/10 to the MAYO clinic in arizona and have

them do a complete check up of my liver etc..... i had a ERCP about 2

years ago and the bile ducts had some stones and needed to cleaned.

at that time i was a level 1 on a scale of 1 to 5 to which 1 was the

least serious of stages. i am new to this site and hope to share

information with everyone and hope i can hear from you.

thanks,

dave

 

Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls. Great

rates starting at 1¢/min.

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Share on other sites

Thank you Janice for the info.

Dave

From:

[mailto: ] On Behalf Of Ima Winner

Sent: Tuesday, September 12, 2006

10:20 PM

To:

Subject: Re: PSC

liver disease

Hi Dave,

My husband was diagnosed with PSC six years ago. Like you, he

takes URSO (250mg - 8 tabs a day) and it seems to be helping him to a

point. The fevers and chills you are referring to sounds like you are

having cholangitis attacks. When this happens to my husband, they give

him Cipro for a week and monitor his blood. In most cases, cholangitis

requires a hospital stay whereas you are administered antibiotics

intravenously. You really need to discuss this with your doctor. My

husband also goes for an ERCP once a year for the brushings and has bloodwork

every 4 to 6 months. I think it is a good idea that you are going to the

Mayo Clinic. I heard they are very thorough. My husband goes to a

local gastro physician and also to the HUP in Philadelphia where he is seen annually by the

transplant team.

I wish you the best of health and welcome to the support group!

Janice

dvdcaito

<dcaitotriadmfg> wrote:

hello everyone,

i am 45 years old and have PSC liver disease. they are treating me

with the drug URSO for the past 2 years and this is keeping all of my

liver enzymes in range. i have been getting fever and chills for the

past 4 months and last for about 3-5 days. i do not know if this is

being caused by the PSC or not. is anyone else having these symptoms?

i am going next month 10/10 to the MAYO clinic in arizona and have

them do a complete check up of my liver etc..... i had a ERCP about 2

years ago and the bile ducts had some stones and needed to cleaned.

at that time i was a level 1 on a scale of 1 to 5 to which 1 was the

least serious of stages. i am new to this site and hope to share

information with everyone and hope i can hear from you.

thanks,

dave

 

Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls. Great

rates starting at 1¢/min.

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Dave, you are so welcomed! Stay in good health. JaniceDave Caito wrote: Thank you Janice for the info. Dave From: [mailto: ] On Behalf Of Ima WinnerSent: Tuesday, September 12, 2006 10:20 PMTo:

Subject: Re: PSC liver disease Hi Dave, My husband was diagnosed with PSC six years ago. Like you, he takes URSO (250mg - 8 tabs a day) and it seems to be helping him to a point. The fevers and chills you are referring to sounds like you are having cholangitis attacks. When this happens to my husband, they

give him Cipro for a week and monitor his blood. In most cases, cholangitis requires a hospital stay whereas you are administered antibiotics intravenously. You really need to discuss this with your doctor. My husband also goes for an ERCP once a year for the brushings and has bloodwork every 4 to 6 months. I think it is a good idea that you are going to the Mayo Clinic. I heard they are very thorough. My husband goes to a local gastro physician and also to the HUP in Philadelphia where he is seen annually by the transplant team. I wish you the best of health and welcome to the support group! Janicedvdcaito <dcaitotriadmfg> wrote: hello everyone,i am 45 years old and have PSC liver disease. they are treating me with the drug URSO for the past 2 years and this is keeping all of my liver enzymes in range. i have been getting fever and chills for the past 4 months and last for about 3-5 days. i do not know if this is being caused by the PSC or not. is anyone else having these symptoms?i am going next month 10/10 to the MAYO clinic in

arizona and have them do a complete check up of my liver etc..... i had a ERCP about 2 years ago and the bile ducts had some stones and needed to cleaned.at that time i was a level 1 on a scale of 1 to 5 to which 1 was the least serious of stages. i am new to this site and hope to share information with everyone and hope i can hear from you.thanks,dave Talk is cheap. Use

Yahoo! Messenger to make PC-to-Phone calls. Great rates starting at 1¢/min.

All-new Yahoo! Mail - Fire up a more powerful email and get things done faster.

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Dave, you are so welcomed! Stay in good health. JaniceDave Caito wrote: Thank you Janice for the info. Dave From: [mailto: ] On Behalf Of Ima WinnerSent: Tuesday, September 12, 2006 10:20 PMTo:

Subject: Re: PSC liver disease Hi Dave, My husband was diagnosed with PSC six years ago. Like you, he takes URSO (250mg - 8 tabs a day) and it seems to be helping him to a point. The fevers and chills you are referring to sounds like you are having cholangitis attacks. When this happens to my husband, they

give him Cipro for a week and monitor his blood. In most cases, cholangitis requires a hospital stay whereas you are administered antibiotics intravenously. You really need to discuss this with your doctor. My husband also goes for an ERCP once a year for the brushings and has bloodwork every 4 to 6 months. I think it is a good idea that you are going to the Mayo Clinic. I heard they are very thorough. My husband goes to a local gastro physician and also to the HUP in Philadelphia where he is seen annually by the transplant team. I wish you the best of health and welcome to the support group! Janicedvdcaito <dcaitotriadmfg> wrote: hello everyone,i am 45 years old and have PSC liver disease. they are treating me with the drug URSO for the past 2 years and this is keeping all of my liver enzymes in range. i have been getting fever and chills for the past 4 months and last for about 3-5 days. i do not know if this is being caused by the PSC or not. is anyone else having these symptoms?i am going next month 10/10 to the MAYO clinic in

arizona and have them do a complete check up of my liver etc..... i had a ERCP about 2 years ago and the bile ducts had some stones and needed to cleaned.at that time i was a level 1 on a scale of 1 to 5 to which 1 was the least serious of stages. i am new to this site and hope to share information with everyone and hope i can hear from you.thanks,dave Talk is cheap. Use

Yahoo! Messenger to make PC-to-Phone calls. Great rates starting at 1¢/min.

All-new Yahoo! Mail - Fire up a more powerful email and get things done faster.

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Dave, you are so welcomed! Stay in good health. JaniceDave Caito wrote: Thank you Janice for the info. Dave From: [mailto: ] On Behalf Of Ima WinnerSent: Tuesday, September 12, 2006 10:20 PMTo:

Subject: Re: PSC liver disease Hi Dave, My husband was diagnosed with PSC six years ago. Like you, he takes URSO (250mg - 8 tabs a day) and it seems to be helping him to a point. The fevers and chills you are referring to sounds like you are having cholangitis attacks. When this happens to my husband, they

give him Cipro for a week and monitor his blood. In most cases, cholangitis requires a hospital stay whereas you are administered antibiotics intravenously. You really need to discuss this with your doctor. My husband also goes for an ERCP once a year for the brushings and has bloodwork every 4 to 6 months. I think it is a good idea that you are going to the Mayo Clinic. I heard they are very thorough. My husband goes to a local gastro physician and also to the HUP in Philadelphia where he is seen annually by the transplant team. I wish you the best of health and welcome to the support group! Janicedvdcaito <dcaitotriadmfg> wrote: hello everyone,i am 45 years old and have PSC liver disease. they are treating me with the drug URSO for the past 2 years and this is keeping all of my liver enzymes in range. i have been getting fever and chills for the past 4 months and last for about 3-5 days. i do not know if this is being caused by the PSC or not. is anyone else having these symptoms?i am going next month 10/10 to the MAYO clinic in

arizona and have them do a complete check up of my liver etc..... i had a ERCP about 2 years ago and the bile ducts had some stones and needed to cleaned.at that time i was a level 1 on a scale of 1 to 5 to which 1 was the least serious of stages. i am new to this site and hope to share information with everyone and hope i can hear from you.thanks,dave Talk is cheap. Use

Yahoo! Messenger to make PC-to-Phone calls. Great rates starting at 1¢/min.

All-new Yahoo! Mail - Fire up a more powerful email and get things done faster.

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  • 2 weeks later...

> > i am 45 years old and have PSC liver disease. they are treating

me

> > with the drug URSO for the past 2 years ... i have been getting

> fever and chills for the

> > past 4 months and last for about 3-5 days.

>

hi tim,

thank you for the information and it sounds like that is what i was

going through. they gave me Cipro for 7 days 1,000mg per day.

i am going into the hospital on wend. 9/27 for a ERCP. i had my

first one 2 years ago and that is when i found out that i had PSC.

since i had that many fevers/chills in the past 4 month's they want

to see what is going on with the liver. thank you again for the help.

it really did help out and also mentally with not knowing what was

causing my fevers/chills.

dave

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