10 year enigma

  Sorry this is so lengthy but there's a lot to say.  I'm a 29 year old male with a 10 year, persistent problem that has not been diagnosed.  Ten years ago, my initial symptoms were severe cold chills, with uncontrollable body shakes lasting a half an hour to approx. 1 hour.  Also with the chills I felt extremely tired and fatigued, foggy in the head with general aches and pains.  When the body shakes finally subsided I would get a painful, pressure-like headache on the entire top half of my head.  These attacks continued this way every couple months or so.  Then, I began experiencing extreme abdominal pain (left-side, just underneath rib-cage), diarrhea, vomiting, fatigue and yellowing of skin along with the body chills and other symptoms.  These attacks come and go on an average of every two weeks.  Over the years I was under the care of a Gastroentorologist who performed numerous tests

[HFHSM.D.-rf]

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Dear CLC,
I too am puzzled by the episodic nature of your symptoms.  Usually, when we are presented a story of an intermittent complicated problem that involves multiple different body parts, we think of conditions in which hormones are released into the body that affect multiple body parts.  Conditions that can present thios way include carcinoid syndrome ( a condition in which symptoms of abdominal pain, diarrhea,sweating and flushing can be precipitated by alcohol) and pheochromocytome ( a condition of the pancreas in which adrenaline is released).  I assume that these diagnoses would be excluded by the blood, urine and CT scan tests.
Pancreatitis can present with abdominal pains but would not cause the symptom complex that you describe.  
You may wish to return to ypour physician for a repeat evaluation.
This information is presented for educational purposes.  Ask specific questions to yourr personal physician.
HFHSM.D.-rf
*keywords: pancreatitis, carcinoid syndrome
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