Conversation: The conversation between human and AI assistant.
[|Human|] I had ERCP a week ago. That was my second ERCP due to stones in my bile duct. After the second one, I still felt weak and had dark eye circles. Im on antibiotic right now. I dont feel any pain now except for a slight dull pain on my right rib cage. My stools are normal and I dont eat fatty foods right now. I just eat fish as my protein source. Why do I still feeling weak?
[|AI|]  Hello, One week back 2nd ERCP was done for you. Indication should be Common bile duct obstruction due to stone/s leading to jaundice. Any jaundiced person may feel weak because of indigestion and restricted diet and the thin skin around the eyes may be yellowish. Prior to ERCP because of stone and obstruction some amount of cholangitis might have been there in the liver. You have not detailed about your gall bladder status. Were there any stones already. The tiredness and weakness may be due to the recent jaundice. Dark eye circles (usually due to melanin pigmentation) may be associated with cholangitis disturbing the liver functions.ERCP itself can produce some amount of inflammation around the area in duodenum and some time pancreatitis. The pain on the Right side rib area may be due to cholangitis. AS ERCP was done 2 times, and even though the stone in the common bile duct need not originate from gall bladder it is better to remove the gall bladder by laparoscopy. Continue antibiotic till cholangitis gets settled. Do investigations for pancreatitis also. Once everything comes under control (periodic liver function test) the dark color around the eye will get cleared Best wishes for a speedy recovery