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Undiagnosed Symptoms (Expert Forum)
abdominal and lower back pain, headache, neck pain
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Undiagnosed Symptoms forum are answered by Dr. Kevin Pho. Topics covered include breathing difficulties, feeling cold, cough, diarrhea, dizziness, fainting, fever, indigestion, itching, nausea, numbness, pain (chronic), paralysis, rash, sweating, swelling, urination problems, and vomiting.
abdominal and lower back pain, headache, neck pain
by nancy m, Mar 12, 2007 12:00AM
2/12/07 I had sudden onset of abdominal pain and lower back pain
I had eaten a small meal an hour before
Since this time, I have had nausea in the morning, dry heaves and a feeling something is stuck in my throat
I have also experienced constipation followed by diarhea
I have been given Nexium, Zegerid and Prevasid which work for about 2 days and symptoms return
My meals have consisted of scrambled eggs, toast, yogurt and my appetite is minimal at best
I have had an abdominal cat scan with no blockage found and an IVP for blood found in the urine It was not found a 2nd time but a cystology is scheduled for later April
I am scheduled for a endoscopy April 26
The pain is constant with me taking hydrocodone on Saturday I also tried bentyl It seems to alleviate overnight but with daily movement , pain increases during the day
I am a survivor of breast cancer (2005) and am worried this may be ob/gyn rather than gastro
I can not tolerate the constant pain and the unknowing
I do not have a temp
I am able to sleep
I am afraid to eat
I had eaten a small meal an hour before
Since this time, I have had nausea in the morning, dry heaves and a feeling something is stuck in my throat
I have also experienced constipation followed by diarhea
I have been given Nexium, Zegerid and Prevasid which work for about 2 days and symptoms return
My meals have consisted of scrambled eggs, toast, yogurt and my appetite is minimal at best
I have had an abdominal cat scan with no blockage found and an IVP for blood found in the urine It was not found a 2nd time but a cystology is scheduled for later April
I am scheduled for a endoscopy April 26
The pain is constant with me taking hydrocodone on Saturday I also tried bentyl It seems to alleviate overnight but with daily movement , pain increases during the day
I am a survivor of breast cancer (2005) and am worried this may be ob/gyn rather than gastro
I can not tolerate the constant pain and the unknowing
I do not have a temp
I am able to sleep
I am afraid to eat
Doctor's Answer
by Kevin Pho, MD, Mar 12, 2007 12:00AM
, Mar 12, 2007 12:00AM
Possible GI causes of the symptoms could include GERD, an ulcer, inflammation of the upper digestive tract, or gastroparesis.
I would consider an upper GI series or upper endoscopy to comprehensively evaluate the stomach, esophagus and small bowel. A blood test for H Pylori can be considered as well - this is a bacteria that is associated with ulcers or inflammation.
If negative, a gastric emptying scan can be considered to rule out gastroparesis. Blood tests for diabetes or thyroid function can also be done.
Regarding the blood in the urine, I agree with the cystoscopy. An ultrasound of the kidneys can also be done to exclude intrinsic kidney disease.
These options can be discussed with your personal physician. Appropriate referrals to a GI physician or urologist can also be considered.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
I would consider an upper GI series or upper endoscopy to comprehensively evaluate the stomach, esophagus and small bowel. A blood test for H Pylori can be considered as well - this is a bacteria that is associated with ulcers or inflammation.
If negative, a gastric emptying scan can be considered to rule out gastroparesis. Blood tests for diabetes or thyroid function can also be done.
Regarding the blood in the urine, I agree with the cystoscopy. An ultrasound of the kidneys can also be done to exclude intrinsic kidney disease.
These options can be discussed with your personal physician. Appropriate referrals to a GI physician or urologist can also be considered.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
I am 53 and menopausal , with the help of Aromasin , treating the return of breast cancer
good luck to you.