What is the treatment for primary sclerosing cholangitis?

Health Description
Health Consultation Description: What is the treatment for primary sclerosing cholangitis (PSC)?


Expert Reply

Condition analysis:
At present there is no specific treatment which either cures or slows the progression of PSC. Treatments aim to improve symptoms and also to manage any complications which may arise.

Treatment of symptoms
Itching of the skin can be difficult to treat but is usually eased with a medicine called colestyramine. Other medicines may be tried if this is not effective.

Medical treatment
There is no effective medical treatment apart from using medicines to ease symptoms. Vitamin supplements may be advised.

Treatment of complications
Antibiotics will be given if you have an episode of infective cholangitis. If your cholangiogram shows that you have an obstruction to the bile duct outside your liver, it may be possible for a doctor to place a small drainage tube (a stent) or use a very small balloon to open up the blockage.

Liver transplant
If your liver is affected badly then you may be considered for a liver transplant. Outlook following a liver transplant is good. However, PSC recurs in around a fifth of cases following a liver transplant.

Instructions:
Beneficial Foods: Many types of foods can help patients with primary sclerosing cholangitis, according to Cabot. She recommends eating as much raw food as possible and drinking raw vegetable juices that contain a combination of apples, beets, broccoli, carrots and celery. Cruciferous vegetables such as broccoli, cabbage and cauliflower support liver function and detoxification. Eating foods high in sulfur has an effect on toxins that makes them easier to excrete. These foods include eggs, garlic, legumes and onions. Rely on fresh or canned fish and organic poultry as good protein sources. Chicken and turkey should be free range and raised without growth hormones or antibiotics. In addition, drink 2 liters of water every day.



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