Hello dear doctor. my mother had a issue about her abdomen.it has been 1 or maybe nearly 2 month she is felling an unusual pain in the abdomen Which is accompanied by bloating and severe intestinal gas. we saw an expert doctors.one of them said The gallbladder is oily after After seeing the result of the ultrasound and another doctor said The bile duct is dilated and due that he recommend us to take MRCP image and we did that and recieve images but due to corona virus outbrteak and especially my mother age which is 54 years old we afraid to go to hospital and show that to the doctors which recommend us to do MRCP and we cant make online contact with him. maybe to be helpful and For more information, my mother has been using opium for 25 years.i will realy appericiate if you help us. Thank you for your attention. Best Regard
Dear, Great to meet you, welcome. I reviewed the history and MRCP report of your mother. Oily liver or gall bladder is not an issue.Her Biliary ducts are dilated but ther e is no obvious cause of dilatation.There is no stone or tumor in it.It may be secondary to chronic use of opium but It will needs further evaluation by endoscopic procedure called ERCP but in my opinion that is not an emergency. Meanwhile start using following treatment and it will help out in her symptoms. Opium/ Periampullary lesion ERCP LFTs CBC Periampullary lesion Opioid induced Opioid Induced SOD Dysfunction Tab.Levosulphride 25mg three times before meals.  Tab.Rifixamine 550mg two times after meals  PEG Sachet 1 at night time. Use these medication till you follow your consultant. Meanwhile do the advised laboratory tests and let me know, I will guide you about ERCP needs