@ anon939983 - I don't know what date you posted this, but hopefully you will return to see my reply. I am a retired nurse and hopefully you have been able to find a doctor that can give you answers to the pain your Mother is in. Can I assume, you meant "bile" duct enlargement, instead of pile?
If your Mom is having left side pain, why would the doctors say she has bile duct enlargement? The bile ducts, coming from the liver, gallbladder, etc. are all on the right side of the upper abdomen. If she was having problems, due to bile duct dilatation, then her pain should be under the right rib cage and often the pain extends into the mid back region. The reason I say this, is I do have both intrahepatic and extrahepatic bile duct dilatation and am undergoing tests to see the cause for it. I am scheduled to have a consult next month with a gastroenterologist and then an ERCP.
If your Mom is having severe left side pain, I would look at other reasons for the pain. There can be many causes for her to be having left abdominal pain, including heart, bowel, spleen, the end part of the pancreas, part of the stomach, the left part of the liver, left kidney, left adrenal gland, a portion of her ureter, part of the left lung, ribs on the left side, aorta and muscles. Any problems with any of these organs/bones/muscles could directly cause upper left abdominal pain.
The most common causes of left, upper abdominal pain are acute pancreatitis, enlargement of spleen (which can be due to several reasons, such as viral, bacterial or parasitic infections, leukemia and cirrhosis of liver). However if she had cirrhosis, you should notice yellow skin or eyes.
Other reasons for the pain could be due to gastroenteritis, kidney infection, pneumonia, polycystic kidney disease, food poisoning and even excessive gas.
Does she have any other symptoms, such as diarrhea, constipation (other than when she was on morphine drip), elevated temp, loss of appetite, etc.
Common symptoms other than abdominal pain include, nausea, vomiting, dehydration, diarrhea and a loss of appetite. Irritable Bowel Syndrome, or IBS, affects the lower intestinal tract and causes extreme bowel discomfort. It can be characterized by extreme cases of diarrhea or constipation and affects people of all ages, with the most common group being adolescent women.
If you haven't done so, I would schedule an appointment with a gastroenterologist. You can use several websites to check out the doctors before scheduling an appointment. Most of the websites will allow patients to give reviews of the doctor. I do this myself, before seeing any doctor, because believe it or not, even as a former nurse, I have had my fair share of lackadaisical physicians. I personally use websites to check what other patients say about a doctor before making an appointment.