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Constant pain, but no evidence of anything wrong...
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Constant pain, but no evidence of anything wrong...

32 year old female. Recently gave birth (oct 13,2013) and have lost roughly 95 pounds in the last 6 months. I only gained 75-80 during the pregnancy.
Let me start at the beginning. I went to the doctor for excessive sweating, thinking it was hormones or something since I had given birth AND had tubes tied 3 months prior. The doctor ran tests and came back with elevated creatinine levels (about 1.6). I didn't start having any symptoms until about 2 days after that test. It started in my back on the right side, seemingly where my right kidney is. I stopped my excessive workouts and lowered my protein since I teach fitness class AND started taking Crossfit 4 weeks prior. I assumed my muscles breaking down too quickly and no recovery was too much on my kidneys. I went back for follow up testing a week later and my levels were back to normal. Great! But I still had pain. Ultrasound a week later showed nothing. Urine tests showed nothing. 2 catscans showed nothing. Bloodwork showed nothing, But the pain started spreading...starting in my back on the right, coming around to the front right above my hip bone, and eventually moving further and further up til its destination now (underneath my right rib cage behind my right breast). Nothing helps the pain, nothing causes the pain to be worse. No food, no rest. Abdominal exercises bother it as Im doing them. Its taken roughly 3 months for the pain to spread and my pain scale raises about 1-2 numbers every few weeks. It started at about a 2-3. Now its a 7-8. I cant sit right. I have to lean to the left. It feels like something is pushing out on my ribs. After more bloodwork and another ultrasound and HIDA Scan, everything is still normal. My doctor is sending me to a general surgeon. Sigh.....
2827584_tn?1340583296
By normal HIDA I assume a normal ejection fraction and no pain with the CCK. The fact that position makes a difference and food doesn't makes one think of musculoskeletal sources such as a bulging disc pinching a nerve root. An MRI of the back would generally rule this out. I appreciate the lymphoma concern with the night sweats but would point out that there is no blood test that would rule this out. I also have no idea what crystal ball your physician had to predict this disease on a timeline. Some basic tests like an erythrocyte sedimentation rate would be helpful as well.
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5439428_tn?1367983424
One thing to mention is Ive had periodic night sweats. I mean, I had to change my clothes, my bedding. They seem to happen 2 weeks before my period.....And I have changed the way I sweat. I am very active and fit, but anymore I work up a abnormally excessive sweat after little exertion. I had bloodwork done prior to all of this to check for lymphoma as a doctor stated a few years ago that "I present like someone that would develop lymphoma in 5-10 years". But all the bloodwork and catscans came back fine.
Please, I need help. I know something is seriously wrong, and I just don't want it overlooked and causing more damage. I'm young, fit, eat right, drink water and maybe 1-2 cups of coffee a day and an occasional beer. I have 3 kids and my business is fitness and its starting to affect it badly. I don't know what else to do.
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5439428_tn?1367983424
OK. I had my son 10/11/12. Its late and Im tired. :/
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5439428_tn?1367983424
Im not sure what normal HIDA means for me. He said it was negative. For what? Not sure.
I agree about the lymphoma timeline. I had 2 lymph nodes taken out of my neck just anterior to my spine and posterior to my scm. They were palpable with no signs of illness. They were enlarged and mangled when they were removed. The other side of my neck has been palpable for years without illness.
I will look through my tests to see if I received an erythrocyte sedimentation rate test and let you know. Thanks for your response!
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5439428_tn?1367983424
Oh, and I am light headed all of the time AND haven't been able to completely empty my bladder since I gave birth. I have to push it out with medium effort....
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2827584_tn?1340583296
This is sounding far more complex than just a gallbladder problem. Although frustrating, a thorough and thoughtful evaluation by a good Internist would be in order.
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