We were on our way to Kedah. We somehow managed to leave the house as planned, 5.30am. It was a restless night before, as Min Ser was constantly uncomfortable, tossing and turning, walking around, he said it was his gastric, and it was uncomfortable to lie down.
We were seriously considering canceling our trip and checking him into hospital. Once we saw the traffic on the NKVE we thought no way he can survive the traffic or the trip. We entered into Kota Damansara and headed to Sime Darby Medical Centre.
Upon arrival, we headed straight to the ER. Doc's conclusion after all our explanation and looking at his symptoms was... jaundice. Now we just have to discover the cause.
He was on a wheelchair and wheeled for ultrasound and X-ray. The gastroenterologist we were referred to was Dr Sharmila. She presented the most likely cause to be gallstones obstructing the bile duct. To know for sure an ERCP needs to be done. Without further delay, has was prepared for the procedure.
His hepatic ducts were very dilated due to the obstruction and high bilirubin levels. There was no obvious stone discovered, but his bile duct was very tight, it was difficult, but they managed to place a plastic stent inside his bile duct. With stent in place his liver functions should return to normal over the next couple of weeks.
An ulcer was also found in his duodenum. The suspicious part is that it isn't a clean ulcer. There are lumpy parts on the outer parts of the circumference, a sample of the area was taken for biopsy. Nothing more can be done, and a CT scan is scheduled for tomorrow.
Min Ser was placed in the ward for recovery, but he experienced extreme pain in his abdomen (pain level 8). He was given a dose of pethidine to relief the pain.