#Bile duct Stone

[drsrivatsangurumurthy]

All you need to know about Bile duct Stone

Bile duct stones, medically known as choledocholithiasis, are a common yet serious health issue that can affect anyone. These stones may obstruct the bile duct, which leads to discomfort and possible health complications. If you’re looking for reliable information about bile duct stones and their treatment options, you’re at the right place. Dr. Srivastn, a specialist associated with GEM Hospital in Chennai, is renowned for diagnosing and treating bile duct stones effectively. Here’s everything you need to know.

What Are Bile Duct Stones?

Bile duct stones are solid concretions formed in the bile duct, usually of cholesterol or bile pigments. Some form within the bile duct itself, while others migrate from the gallbladder. If left untreated, these stones can cause severe complications such as infections or blockages.

Causes of Bile Duct Stones:

Several factors may contribute to the formation of bile duct stones, such as:

Post-surgical issues: Stones are often found after a cholecystectomy.

Diet and lifestyle: High cholesterol and fatty foods are risk factors.

Background medical conditions: Liver diseases, infections, or intrinsic abnormalities of the bile ducts.

Risk factors due to genetics and aging: Risk is higher among the elderly and people with a family history of bile duct stones.

General Signs of Bile Duct Stones:

The severity of signs and symptoms for bile duct stones can vary, but the most common signs are:

Abdominal pain that feels sharp in the upper region

Nausea and vomiting

Jaundice, an indication by yellowish color on the skin and eyes

Fever and chills, which are associated with infection

Urine is dark-colored and stools are light-colored

Detection of Bile Duct Stones:

Detection in the early stages helps avoid complications. Modern imaging devices like MRCP can be used to detect bile duct stones. Through these non-invasive images, a view can be obtained of the bile duct and an obstruction may be localized.

Treatment for Bile Duct Stones:

Treatment for bile duct stones is given based on their size and severity. The common treatments include:

Endoscopic approaches: ERCP (Endoscopic Retrograde Cholangiopancreatography) is a very effective procedure for removing stones.

Surgical options: Surgery might be needed for more complex cases.

Medications: To manage symptoms and decrease the risk of infection.

Can bile duct stones pass on their own? Some small stones might pass, but larger stones need medical intervention. Dr. Srivastn will approach the treatment according to his expertise for the best results.

Tips to Prevent Bile Duct Stones:

Prevention is better than cure and can prevent complications from bile duct stones. Some tips are given below:

Healthy diet: Avoid excessive intake of high-fat and cholesterol-containing foods.

Stay hydrated: Drink plenty of water daily to support bile flow.

Regular follow-up: Keep a check on your health, especially if you have had gallbladder problems.

Exercise: Maintain a healthy weight with regular physical activity.

Conclusion:

Bile duct stones can be managed effectively if diagnosed and treated in time. Early recognition of symptoms can prevent serious complications. Whether you require bile duct stone removal or advice on lifestyle changes to avoid them, Dr S. Srivatsan Gurumurthy is available at GEM Hospital and SS Surgical Clinic In Chennai to provide expert care. Do not wait any longer to seek medical attention. Schedule an appointment with S. Srivatsan Gurumurthy today to begin the path toward improved health and healing.

[tchaikovskym]

I don't know any of the celebrities you're talking about. Like oh, mactobert hanged out with lakyshakte? It was iconic? Hm yeah okay. If you say so.

[drdhaivat]

What is Biliary Surgery? Best Biliary Surgery Surgeon Doctor Ahmedabad

Biliary Surgery Doctor Ahmedabad – Experiencing gallstone pain? Dr. Dhaivat Vaishnav, a renowned Biliary Surgery Surgeon Doctor in Ahmedabad, offers expert treatment for gallstones, bile duct stones, and other biliary issues. Consult Gastro Surgeon Gujarat for advanced biliary surgery.

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[drkumaragurubaran1]

Understanding Alcohol-Induced Liver Disease (ALD)

Alcohol-induced liver disease (ALD) is a serious condition that results from prolonged excessive alcohol consumption. It encompasses a range of liver disorders, including fatty liver, alcoholic hepatitis, and cirrhosis. ALD can have severe consequences for liver function and overall health, making it essential to understand its causes, symptoms, and treatment options.

Causes of ALD:

The primary cause of ALD is excessive alcohol consumption over an extended period. Alcohol is metabolized by the liver, and chronic alcohol abuse can lead to inflammation, scarring, and damage to liver cells. Factors that increase the risk of developing ALD include:

Heavy and prolonged alcohol consumption Genetics Poor nutrition Obesity Hepatitis C infection Gender (women are more susceptible to ALD) Symptoms of ALD:

The symptoms of ALD can vary depending on the severity of the liver damage. In the early stages, individuals may not experience any noticeable symptoms. However, as the disease progresses, symptoms may include:

Fatigue Jaundice (yellowing of the skin and eyes) Abdominal pain and swelling Nausea and vomiting Loss of appetite Weight loss Easy bruising and bleeding Swelling in the legs and ankles Confusion and cognitive impairment Treatment Options for ALD:

The treatment of ALD depends on the stage of the disease and the extent of liver damage. Treatment goals typically include:

Abstinence from Alcohol: The most critical aspect of managing ALD is to stop drinking alcohol completely. This can help prevent further damage to the liver and may even reverse early stages of the disease. Nutritional Support: A healthy diet rich in vitamins, minerals, and antioxidants can support liver health and promote healing. In some cases, nutritional supplements may be recommended. Medications: Medications may be prescribed to manage symptoms, reduce inflammation, and improve liver function. These may include corticosteroids, pentoxifylline, or medications to address complications such as fluid retention or infections. Liver Transplant: In severe cases of ALD, where the liver is severely damaged and non-responsive to other treatments, a liver transplant may be necessary. Consult the Best Gastroenterologist in Chennai:

If you or someone you know is struggling with alcohol-induced liver disease, it's crucial to seek expert medical care from a qualified gastroenterologist. Dr. Kumar Gurubaran, the best gastro doctor in Chennai, specializes in the diagnosis and treatment of liver disorders, including ALD. With his expertise in gastrointestinal health and advanced treatments such as laparoscopic surgery, Dr. Kumar Gurubaran provides comprehensive care to patients in Chennai and beyond.

Don't let ALD compromise your liver health and overall well-being. Take the first step towards recovery by consulting with Dr. Kumar Gurubaran, the leading gastroenterologist in Chennai, today.

[mando-abs]

Silently cursing the er doctor that released me that one night weeks ago. I’m in so much pain right now. My surgery is in a couple of days but it can’t come soon enough.

[soumyafwr]

Pancreatic and Bile Duct Stone Management Market 

[drpriya]

Gallbladder cancer can spread beyond the gallbladder to other parts of the body. When cancerous cells invade nearby tissues or spread to distant organs, it is called metastasis.

Gallbladder cancer is often diagnosed at an advanced stage because it may not cause noticeable symptoms in its early stages. By the time it is detected, it has often spread beyond the gallbladder. The most common sites of metastasis for gallbladder cancer include nearby lymph nodes, the liver, and nearby organs in the abdominal cavity.

The extent of spread and the prognosis depend on the stage of cancer at the time of diagnosis. Treatment options and outcomes are affected by how far the cancer has spread. Early detection is essential for better treatment outcomes, so it's essential to seek medical attention if you experience any concerning symptoms or risk factors related to gallbladder cancer.

It's essential for patients with advanced gallbladder cancer to work closely with a multidisciplinary medical team, which may include medical oncologists, radiation oncologists, surgeons, and palliative care specialists. The treatment plan will be personalized based on the patient's overall health, the extent of cancer spread, and the goals of treatment (e.g., curative vs. palliative). Additionally, supportive care and addressing the patient's emotional well-being are crucial components of managing metastatic gallbladder cancer.

There are best gastroenterologists in Mumbai like Dr Amit Maydeo who is associated with H N Reliance hospital Mumbai. Dr Amit Maydeo is specialised in diagnosing and treating disorders of gall bladder, pancreas and other stomach related organs. He is one of the best gastroenterologists in India, who can give you best advise on gall bladder cancer and its treatments.

[drforambhuta]

Complications Linked to Bile Duct Stones:

Cholangitis: Bile duct stones can induce an infection within the bile ducts, causing cholangitis. This condition is characterized by the inflammation and swelling of the bile ducts, leading to symptoms such as fever, abdominal pain, jaundice, and a general sense of illness. Untreated cholangitis can be life-threatening, potentially resulting in sepsis and liver abscesses.

Pancreatitis: Bile duct stones can obstruct the pancreatic duct, leading to inflammation of the pancreas, a condition known as pancreatitis. Pancreatitis is marked by severe abdominal pain, nausea, vomiting, and elevated levels of pancreatic enzymes in the bloodstream. Severe cases of pancreatitis can result in organ failure and necessitate intensive medical care.

Biliary Stricture: A bile duct stone can cause scarring and narrowing of the bile ducts, giving rise to biliary stricture. This narrowing can obstruct the flow of bile, resulting in jaundice, recurring infections, and liver damage. Biliary strictures often require additional interventions, such as endoscopic or surgical procedures, to restore proper bile flow.

Gallbladder Inflammation and Infection: Bile duct stones can lead to inflammation of the gallbladder, referred to as cholecystitis, which causes severe abdominal pain, fever, and tenderness in the upper right abdomen. In some instances, the gallbladder may become infected, resulting in a condition called empyema. Gallbladder empyema necessitates urgent medical attention and often requires surgical removal of the gallbladder.

It is important to consult a good gastroenterologist at the earliest if you have any gastric problems. Dr. Amit Maydeo is considered to be one of the best gastroenterologists in Mumbai, who can help in the early diagnosis and treatment of bike duct stones. He currently provides consultation at HN Reliance Hospital, Mumbai, which is considered to be one of the best hospitals in the country.

[diseaseinfohub]

Floating Gallstone in the Toilet

Finding a floating gallstone in the toilet can be unexpected and alarming. Gallstones are hardened deposits that form in the gallbladder. They can vary in size and composition, with cholesterol and pigment stones being the most common types. Gallstones can be caused by factors such as obesity, a high-fat diet, rapid weight loss, and certain medical conditions. Symptoms can include abdominal pain, bloating, nausea, and jaundice.

If a gallstone becomes lodged in the bile ducts, it can lead to severe pain, inflammation, or infection. Treatment options include medication to dissolve the stones, surgical removal of the gallbladder, or nonsurgical techniques like endoscopic removal.

While finding a floating gallstone in the toilet may cause concern, it's important to consult a healthcare professional for a proper diagnosis and appropriate treatment. They can evaluate symptoms, perform diagnostic tests such as ultrasound or blood tests, and provide guidance based on the individual's condition.

In conclusion, finding a floating gallstone in the toilet may indicate gallstone-related issues. Seeking medical advice is crucial to determine the cause, assess risk factors, and explore treatment options to manage and prevent complications associated with gallstones.

[foone]

My hobby is finding Moon Moon names that don't seem to be that because of the languages used.

Today's discover: Amber Bernstein.

"Bernstein" is German for "burn stone", which is the German name for amber (the fossilized tree resin).

Random etymology fun fact: "amber", the English word, dates back to Middle Persian "anbar", but it meant what we now call Ambergris: which is some waxy secretions of sperm whale bile ducts that wash up on beaches. The "gris" was added in Old French, because they called it "Grey amber", while what we normally call amber was "ambre jaune": yellow amber. Eventually we just called yellow amber "amber", while "Grey amber" kept the name, entering English as ambergris.

[callofdudes]

CW: Vomit, bodily fluids, angst, poisoning, zombies, dead bodies, the whole kit and caboodle. Not beta read. Made this while in the car. I was gonna make it worse.

It's hard to get dirt out from under your fingernails, it's even worse when it's stuck on your tongue. Seeping into your tastebuds like mold and infesting the back of your jaw. When you swallow every instinct within you tells you to throw up, and so you do.

He digs his blunt nails into the dirt again. His head is spinning, his vision unfocused and his eyes and bloodshot from the teargas that he'd been surrounded by. His lungs struggled to function, the sting in the air carried the scent of death, rot, and his own vomit.

Kyle shifted sideways, bile stung his throat and he could smell it coming before anything else. It rose in his throat, stinging the walls of his muscles and he retched onto the ground.

He'd heard Ghost's horror stories about how the dirt stains, and the chemicals burn, but two at once, both on his tongue, unable to see, only guided by the smell...

God, he wished he didn't laugh at those crude descriptions Ghost always gave around a table of grinning idiots, including himself.

He planted his palms against the ground, finding stone within the blurry canvas of dirt and grass.

"Captain-" he retched, vomit pouring between the cracks of the stonework and onto his jeans.

He continued to try and blink away the pain in his pupils, the sting that made his vision slow and body tremble with flashes of clashing temperatures.

"Sir-!" He tried to call out, searching the ground for his gun, for a weapon of any kind. He wasn't sure there was danger, but he'd been taught to find a weapon. Find something sharper than his tongue. His father always told him that his tongue couldn't defend him forever.

"Fuck-" The back of his jaw went fuzzy, like a connection between his brain and his stomach cut out, only to kick back in when it hurt.

His chest heaves, forcing his legs to draw up under him, knees pushing to his chest, struggling up onto the soles of his boots. He doesn't wipe the dirt from his hand when he drags it down his face in an attempt to clear his pupils.

He shuffled forward, breathing heavy, and trying to listen to the world around him. He blinked away some of the pain, fresh tears stinging across his tear ducts and spilling down his cheeks. The blurry image of black and white comes into focus enough that he can make out shapes in front of him.

He forces his legs forward, his head still spinning with each step. The world spins rapidly and it takes everything in him not to throw up again. Still he pursues forward along the cold ground beneath him.

"Captain..." He inhaled the cold air, the warmth tainting the air starting to clear out. "Captain..." He repeated again, hoping that Price would come to his aid.

His hands, bare of any weapons, search the air for any support or body nearby between the blurry delay of his spinning vision.

He shuffled forward, his next step blocked by something warm, and big. He gasped, tripping over the obstruction and hitting the ground, his palm cutting open on the rock. "Fuck-" He grimaced, shifting and pulling himself up onto his elbows.

He looked back at what he tripped on, and laying in the path was a body. Kyle tried to squint, his vision spacing out and making the object more unrecognizable.

He sat up onto his knees, sucking in more cool air to soothe his stomach, and moved over to the body. His hand hesitantly touched the leathery skin of the body, pushing their shoulder and getting a look at their face.

His heart filled with dread when he finally pieced together glimpses of the face.

"Suds?"

Soap's face barely looked recognizable, whether it be the fault of his own eyes or Soap's condition. The leather skin had gone grey, and his blue eyes were red and glazed over with milky white. As if mold had crept into his tear ducts and spread across the expanse of his face.

Kyle choked on throw up, managing to swallow it down, though it stung his insides. His hands shook, rigidly patting Soap's gear and getting back up.

"Captain!" He yelled, everything around him spinning and his heart pumping. If he could get back to Kate he could get some answers. Who or what poisoned them, and what was in that tear gas- fuck.

But he wasn't anywhere near Kate, as far as he knew he was on his own. Soap was dead, were Ghost and Price also gone?

He rubbed his face again, the smell of death filling his lungs again. He paused, listening to his surroundings, footsteps started in the distance. Fuck, what if it was one of the guys? Or, what if it wasn't.

The clouds overhead thickened and the gas traveling through the air clung to every tree, blade of grass and cracked temple of cobblestone. Kyle's footsteps scraped across the old stone, calling to John and Simon.

The shuffle of feet grew louder, and Kyle could make out a large, dark figure in front of him. The man's- he assumed it was a man- gait was like that of his lieutenant's.

"Ghost??" He called out, hopeful.

The familiar sound of bone snapping filled his ears, and the figure looked over at him. Kyle felt the oxygen in his lungs wither away.

He couldn't make him out fully, but Ghost was definitely watching him, and the expression made his skin crawl before he could see it.

"Lieutenant...?" Kyle put his hands up. "Blue."

Ghost's gait swung awkwardly, his knee bending and tilting him to the left a bit. His head hung awkwardly and the sound of blood gurgling out from a wound followed his steps.

"Ghost, talk to me." Kyle said warily, taking a step back, his hands slowly lowering as he did. "Where's Price?"

Something was wrong. And Kyle knew that.

His vision started to clear up as he stared down against Ghost.

His heart thunders, his feet turning and carrying him down the stone. Ghost made a disgusting noise, his heavy footsteps thudding in Kyle's ear, getting louder.

Kyle ran, as fast as he could he ran. His hands balled into fists, his lungs reaching for oxygen he didn't have, and he could hear Ghost coming up on him.

And then he tripped.

His heart froze when he fell, slamming to the ground, scraping his face against the ground. He trembled, breathing hard, looking over at where Soap's body still lay below him.

Ghost's shadow loomed over him, and Kyle went deathly still. He tried to hold his breath, brows twitching when Ghost got closer.

The lieutenant dug his heels into the ground, his bad leg scuffing the ground, and a hand planted in the ground. He kneeled over Kyle, his masked face leaning close enough that Kyle could feel Ghost's warm breath.

Kyle shook, doing his best trying not to move. Ghost sniffed him, warm breath fanning across Kyle's face and neck. The dirty, wet mask pressed against his nape, and then he stood up.

Ghost huffed, scuffing his feet and wandering over to Soap. He smelled him, breathing along his corpse, and then trudged off.

Kyle exhaled, blunt nails digging into the dirt. He was in the same position, his stomach was churning, his eyes stung, the visions around him clearing up. You can't get the taste of dirt off your tongue, and you can't get dirt out from under your fingers.

Kyle slowly pulled himself up, looking back at Ghost who wandered back to his spot. It was then he noticed Ghost had been standing over something. He squinted, blinking away the pain.

And his blood ran cold.

Ghost bent down over the body, retching and snarling as he dug into his meal again. Kyle shakily brought a hand to his nape, wiping away where Ghost's mask touched his neck. His fingerprints were stained in red.

[hauntinq-6]

Any updates? Did you have your surgery? I'm wishing you the best.

Also, I know how terrifying it is to have a major surgery for the first time. Funny enough, I wasn't much older than you when it happened either. I was 24. I've had two brain surgeries, and for the first one I was literally freaking out. Then I woke up, and everything was fine.

You got this, friend! I'm hoping for the best for you! 💝

Oooh my god I am SO SORRY for disappearing after dropping all those bombs💀💀💀

So! Imma try to give you a summary of what happened.

I had surgery the day after they admitted me into the hospital, but unfortunately it was not the surgery I was waiting for🫠

Essentially, a stone went down into my bile duct and was pretty much suffocating my gallbladder, which would've made it impossible to remove my gallbladder safely because it was getting all inflamed.

So, they instead opted to remove the stone that was obstructing the bile duct so that, you know, my blood values could start going back to normal and such.

The surgery itself was rather quick and it went well. . . Buuuuuuuut there were some itty bitty complications🥲

The stone had descended reeeal low and was very close to my pancreas, and when that happens there can be some not very fun side effects to the surgery.

Long story short, the surgery gave me very bad pancreatitis and I have been in pain for a whole week by now lmao.

Oh, well, now I feel better, but recovery is still a bit far from reach. The first two days were absolutely excruciating and they had to give me two rounds of morphine just to get me to sleep through it and recuperate. Now I can sit up, breathe, walk, eat. VERY slowly and with A LOT of effort, but it's already so much more than I could do, say, four days ago.

Now it's mostly a matter of waiting for the inflammation to go down and the fluids to kinda fuck off from where they don't belong aaaaand while we are at it try to understand why the fuck I am always running a fever even on paracetamol.

So essentially, I am doing better! Not well, but better. And I thank you for checking in on me!❤️

Also, brain surgery sounds terrifying. And at 24?? What a trooper!

[calliecat93]

I’ve made it through surgery and am gallbladder free~!

I’m tired and it stings, but otherwise I’m doing okay. I was in so much pain before guys, more than I’d EVER been in. I couldn’t eat it was so bad. But that pain is gone now and this can’t happen ever again. Now a gallbladder stone apparently DID get in my bile duct, so they have to do another procedure (NOT an invasive one) and hopefully after that I can finally go home and get things running on here again. Thank you all for all the support~

[drdhaivat]

Bile Duct Blockage Ahmedabad? Get Expert Help Dr. Dhaivat Vaishnav At Gastro Surgeon Gujarat

Bile Duct Blockage in Ahmedabad – Biliary Surgery Doctor Ahmedabad, Experiencing pain in your upper right abdomen? It could be a sign of a bile duct blockage. If you’re in Ahmedabad, seeking the expertise of Dr. Dhaivat Vaishnav at Gastro Surgeon Gujarat can provide the treatment you need.

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[dragonbleps]

We left the waiting room for multiple reasons after mom learned about the (typical) 2 hour wait time. She was in pain and exhausted, and was worried we'd run into the 6-8pm shift change where no visitors are accepted, my eye was really starting to give me a headache, etc etc.

When we got home, Mom spoke to the nurse who gave her the new room to see him in, possibly tomorrow. Dad made it through surgery fine and they had no issues reversing the anesthesia :) Apparently before the surgery he was almost entirely pain-free, so the pancreatitis is well on its way to healing! He has a wound in his side now, that's going to be sore because they had to go through muscle and such. But he's conscious and doing well, recovering.

Now, for what the doctor said about his gall bladder--

In front of the stomach, liver, and intestines, wrapping around them is a fatty, curtain-like organ called the omentum (there's Greater and Lesser, and more, but specifics aren't important). It plays a role in immune response. When things get inflamed--say, a liver--the omentum clings to those structures and aids in healing.

His pancreatitis had been so severe in affecting other organs it was challenging to maneuver around the omentum to get to the gall bladder. He ended up having to snip away some omentum, but said that dad has so much, it's not going to cause any harm.

What he did was snip the bulbous end of the gall bladder and begin scooping gall stones out. He said dad had at least a hundred stones. A HUNDRED, BB-to-pea-sized gall stones in his gall bladder!!! I thought the nurses had said no scans found any but??

Anyway, so he scoops them all out and then snips as much of the gall bladder out as possible. He wasn't able to remove as much as he usually does, mostly because the omentum was blocking vision so much and they don't want to risk nicking the Common Bile Duct because that'd cause a major complication and require a re-routing procedure, it just wasn't worth the risk. So there's technically still a risk of gall stones forming in the tiny funnel shape that's left at the end of the duct, but it's still safer.

He said dad was very lucky he came in when he did, that this was a very serious case of pancreatitis that could've caused multiple organ failure if left to progress. But the pancreas is now healing and the inflammation has gone down.

They're of course going to keep a close eye on him while the surgical wound heals, and monitor his liver numbers to make sure they didn't miss a stone or see that he's forming more.

He sent both the bit of amputated omentum and the gall bladder off to Pathology just to be sure, but he didn't see anything during surgery that looked tumorous.

They still wanna figure out what the fluid backup is and where it's coming from, but other than that, he should be on the road to recovery!

[cleocatrablossy]

Bill Cipher dissection!

[The following is a passage taken from Stanford Pine’s notes dated September 8th 198X]

Eye - No further damage could be done to it, the most I was able to achieve was removing it from my Muse’s body. I must assume the presence of rods and cones in the back of it as Cipher is known to see colors. Attaches to the back of his eye socket alone, with the fat surrounding it seemingly acting as cushioning instead of any sort of connective tissue.

Tissue layers: Cipher has an epidermis, as well as a subcutaneous layer underneath it. However the presence of a serous membrane between the subcutaneous tissue and muscle as seen in his ‘hat’ and ‘tie’ implies that a serous membrane does not only line his (for a lack of a better term or the appearance of a ventral or dorsal- likely due to two dimensional origins) major cavity but every part of his body. The reason for this remains unclear to me, perhaps due to the fact that his bones would otherwise lay directly against the subcutaneous tissue so that they don’t puncture his skin. Bones and skeletal muscle in his ‘hat’ and ‘tie’ imply the possibility of moving them at will- simply hypothesis as I have never witnessed this.

Large spots of luciferase, the enzyme associated with bioluminescence. Luciferin likely diffuses through the subcutaneous membrane to the large spots of luciferase allowing my Muse to glow.

Teeth and ‘lashes’: Four teeth line the upper and lower eye lid each, with a similar structure to a cat’s claw allowing them to retract and extend at will. The slits through which the teeth protrude create the appearance of ‘eyelashes’. It appears that the eye’s resilience has removed the need for actual eyelashes.

Reflective lenses: found posterior the eye and lateral(both left and right) the base of the optic nerve reflective lenses focus light into lasers. Implies the eye and connecting fat to be semi-transparent.

Sea cucumber(?): it appears to be a sea cucumber. Its movement also directly correlates to my Muse’s ability to levitate. It may be functioning as a swim bladder but for air. Why marine life is the form that such a thing has taken baffles me, especially concerning Cipher’s seeming disdain for it.

Multiple appendixes: The appendix is already practically useless, simply a vestigial organ. Why my muse seeming has them running all along his large intestine is a mystery. I’d hate to know what appendicitis would be like for him.

Traditional organs: several organs appear to be the exact same as they appear in humans. These are the liver, pancreas(though location has been changed), small and large intestines, stomach, kidneys, lungs and bile ducts.

Diaphragm: presses down on the lungs from the top and sides, as well as shielding them from other organs.

Brain and antennae: while it appears normal at first, the brain has two metal antennae poking out of it. These antennae function similarly to that of a radio, but instead of picking up on electromagnetic waves the antenna of Cipher’s brain pick up on thought waves. Seemingly this is how he can enter and alter the mindscape.

Time dial: works as a pressure sensor attached to his lungs, the higher the pressure in his lungs the slower time progresses. The slower time is, the further clockwise the major vein in the ‘dial’ shifts.

The gall-stone: Where the gall of Cipher comes from, supposedly. It does tend to move and change shape slightly the moire outrageous my Muse is. When making a deal it appears to grow slightly, I’d hazard to guess that the more impactful a deal is the larger it grows. (It must be said that to test this, my Muse had to be conscious and so it was among my first courses of action. And for reference, the deal made was that if I purchased and wore a shirt of his choosing Cipher would join me in a game of Dungeons, Dungeons, and more Dungeons)

The ‘screen’: the layers of tissue covering it can be pulled back at will and into different shapes and sizes. The screen can then project an image that Cipher chooses. Seemingly uses the brain antenna as a way to receive this information.

The black hole(?): Appears to be a tiny black hole used to remove waste in place of excretion.

Multiple hearts: Only one(the inferior/medial heart) actively pumps blood, but upon severing the aorta the superior/lateral-left heart begins to pump blood while the inferior heart is quickly blocked off. Seemingly just a safety precaution against any issues or damage to his heart.

Note: Cipher is capable of regeneration given enough time, allowing this to be preformed more like a vivisection than a dissection. Though I do worry that despite my Muse’s reassurances that the scalpel ‘tickled’ and that my cutting of his various organs and tissues was ‘funny’ I may have actually done him harm. I can’t imagine the sensation of being cut open while not under any anesthetics could be pleasant, and without any sign of nervous injury that could limit the pain felt it is almost certain to have been rather painful. We will see if he is still willing to speak with me tonight. Hopefully my Muse understands the importance of cataloging his current physical condition so that if any changes occur once the portal is completed they can be noted and handled with the concern necessary.