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Gastroenterology  (Expert Forum)
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First Presentation of Symptoms
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.

First Presentation of Symptoms

by hackman, Dec 03, 2002 12:00AM
Help if you have some thoughts.  42 yr old overweight male. My symptoms first presented as unilateral gynecomastia last May.  I had mammo and u/s of right breast.  Diagnosis was gynecomastia. Moved to a new state and took a new job in August. Beginning in September I had strong lymph response in chest and arm pits to something.  Pain in groin too.  Went to urologist who ordered u/s of testicles.  It was ok.  PCP did blood work up and liver panel.  All was ok except sed rate was slightly elevated.  Developed headaches.  CT and MRI of brain showed nothing. In the meantime PCP referred me to endocrinologist.  His blood work up shows slightly low testosterone.  Wasn't sleeping well, so PCP gave me Amytriptaline (50 mg) to help sleep.  Last week noticed slight yellow tint in whites of my eyes.  Went back to PCP who ordered u/s of gallbladder and another liver panel.  Yesterday he called and said liver panel was abnormal (still waiting on results from gall bladder ultrasound).  AST was 41;  ALT was 74.  Could amytriptaline have caused abnormal liver panel?  Can hep present first as gynecomastia?  Any suggestions?  PCP wants to refer to gastroenterologist.  I think PCP has been worthless.  I fear either HEP C or male breast cancer that has mets to liver.  Any thoughts?  Sorry for the looooooong post.  Am scared to death.  Wife thinks its all psycho and is encouraging a visit to a psychiatrist.  I can tell something serious is wrong.

Member Comments

by Suziepie, Dec 04, 2002 12:00AM
First of all you're wife sounds like she might need assistance for NOT believing you.  Have you looked up the symptoms of Hep C?  You need to do a search on your symptoms.  When I was trying to decifer my daughter's situation I put the symptoms in the search and read all of the links.  If you have two symptoms type them in together.  Such as, pain in right chest and earache.  You can include the medication you were taking too.
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