A chronic cholestatic liver disease causing inflammation and multifocal bile-duct strictures, often associated with IBD. Symptoms alone do not establish the diagnosis; a targeted clinical assessment is needed.
What is it?
A chronic cholestatic liver disease causing inflammation and multifocal bile-duct strictures, often associated with IBD.
Similar symptoms can occur in different digestive disorders, so online information cannot provide a diagnosis. Duration, triggers, weight change, medicines, family history and previous tests are considered together.
Symptoms and reasons to seek care
- Persistent or recurrent digestive symptoms
- A change from your usual eating, swallowing or bowel pattern
- Abnormal blood tests, imaging or endoscopy findings
Diagnostic pathway
Her test her hastaya gerekmez. Amaç en az yükle, klinik soruyu gerçekten yanıtlayan doğru sırayı kurmaktır.
- Focused history and physical examination
- Targeted laboratory or stool tests when appropriate
- Endoscopy, imaging, functional testing or biopsy only when indicated
Treatment options
- Treating the confirmed cause rather than the symptom alone
- Medicine, nutrition and lifestyle measures where evidence supports them
- Endoscopic, radiological or surgical treatment for selected findings
- A written follow-up plan with measurable goals
How to prepare for your visit
Keep a symptom record
Note timing, relation to meals, night symptoms, bowel changes, weight change and medicines already tried.
Bring complete records
Bring previous endoscopy, pathology, imaging, blood results and a current medicine list.
Know your family history
Report gastrointestinal cancers, polyps, coeliac disease, inflammatory bowel disease and liver disease.
Write down questions
Ask what diagnoses are being considered, why each test is proposed, alternatives and follow-up.
When should I seek urgent help?
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- Severe or rapidly worsening pain
- Vomiting blood, black stool or heavy rectal bleeding
- New jaundice, fever or chills
- Fainting, confusion or breathing difficulty
- Persistent vomiting, dehydration or rapid deterioration
Doctor video guides
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Frequently asked questions
How is the diagnosis confirmed?+
The pathway depends on the condition. History and examination may be supported by laboratory, endoscopy, imaging, functional tests or pathology.
Does every symptom mean this condition?+
No. Digestive symptoms overlap, so duration, warning signs and test results must be considered together.
Is endoscopy always required?+
No. The decision depends on age, warning signs, family history, prior results and the suspected diagnosis.
How long does treatment take?+
It ranges from a single intervention to longer-term medicine, nutrition and surveillance depending on the cause.
Last medical review: 2026-09-12
Doç. Dr. Süleyman Günay onayı bekleniyor
