Preparing for your appointment

Start by seeing your primary care doctor if you have signs or symptoms that worry you. If your doctor suspects you may have primary sclerosing cholangitis, you may be referred to a liver specialist (gastroenterologist or hepatologist).

Because appointments can be brief and because there's often a lot of ground to cover, it's a good idea to be well-prepared. Here's some information to help you get ready and what to expect from your doctor.

What you can do

  • Be aware of any pre-appointment restrictions. When you make your appointment, be sure to ask if there's anything you need to do in advance, such as restrict your diet.
  • Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.
  • Write down key personal information, including any major stresses or recent life changes.
  • Make a list of all medications, as well as any vitamins or supplements, that you're taking.
  • Consider taking a family member or friend along. Sometimes it can be difficult to remember all the information provided during an appointment. Someone who accompanies you may remember something that you missed or forgot.
  • Write down questions to ask your doctor.

Your time with your doctor is limited. You may feel less rushed if you make a list of questions you want to ask at your appointment. Here are some possible questions about primary sclerosing cholangitis:

  • Can you explain my test results to me?
  • Will I need more tests?
  • How far has my primary sclerosing cholangitis progressed?
  • How severe is the damage to my liver?
  • Can you estimate when I may need a liver transplant?
  • What treatments can relieve my signs and symptoms?
  • What are the potential side effects of each treatment?
  • Should I be tested for inflammatory bowel disease?
  • What signs and symptoms signal that my condition is worsening and I need to make another appointment?
  • Are there any restrictions that I need to follow?
  • Should I see a specialist?
  • Are there any brochures or other printed material that I can take with me? What websites do you recommend?

In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions that come up during your appointment.

What to expect from your doctor

Your doctor is likely to ask you a number of questions. Being ready to answer them may allow more time later to cover points you want to address. Your doctor may ask:

  • When did you begin experiencing symptoms?
  • Have your symptoms been continuous or occasional?
  • How severe are your symptoms?
  • What, if anything, seems to improve your symptoms?
  • What, if anything, appears to worsen your symptoms?
  • Do you have frequent bouts of diarrhea?
  • Have you noticed blood in your stool?
July 07, 2017
References
  1. Lazaridis KN, et al. Primary sclerosing cholangitis. New England Journal of Medicine. 2016;375:1161.
  2. Kowdley KV. Primary sclerosing cholangitis in adults: Clinical manifestations and diagnosis. http://www.uptodate.com/home. Accessed Nov. 11, 2016.
  3. Lindor KD, et al. ACG clinical guideline: Primary sclerosing cholangitis. American Journal of Gastroenterology. 2015;110:646.
  4. Primary sclerosing cholangitis (PSC). American Liver Foundation. http://www.liverfoundation.org/abouttheliver/info/psc/. Accessed Nov. 11, 2016.
  5. Longo DL, et al. Diseases of the gallbladder and bile ducts. In: Harrison's Principles of Internal Medicine. 18th ed. New York, N.Y.: The McGraw Hill Companies; 2012. http://www.accessmedicine.com. Accessed Nov. 11, 2016.
  6. Kowdley KV. Primary sclerosing cholangitis: Epidemiology and pathogenesis. http://www.uptodate.com/home. Accessed Nov. 11, 2016.
  7. Kowdley KV. Primary sclerosing cholangitis: Management. http://www.uptodate.com/home. Accessed Nov. 11, 2016.
  8. Beuers U, et al. Pruritus in cholestasis: Facts and fiction. Hepatology. 2014;60:399.
  9. Poupon R. Pruritus associated with cholestasis. http://www.uptodate.com/home. Accessed Nov. 11, 2016.
  10. Brown A. Allscripts EPSi. Mayo Clinic, Rochester, Minn. Nov. 3, 2016.
  11. Jopson L, et al. Understanding and treating fatigue in primary biliary cirrhosis and primary sclerosing cholangitis. Clinical Liver Disease. 2016;20:131.
  12. Primary sclerosing cholangitis (PSC). American College of Gastroenterology. http://patients.gi.org/topics/primary-sclerosing-cholangitis-psc/. Accessed Nov. 16, 2016.
  13. Liver health and wellness. American Liver Foundation. http://www.liverfoundation.org/abouttheliver/liverhealth/. Accessed Nov. 16, 2016.
  14. Medications and the liver. American College of Gastroenterology. http://patients.gi.org/topics/medications-and-the-liver/. Accessed Nov. 16, 2016.
  15. Picco MF (expert opinion). Mayo Clinic, Rochester, Minn. Nov. 20, 2016.