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Gastroenterology (Expert Forum)
Innumeralbe low density on spleen. pain/nausea
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
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.
Innumeralbe low density on spleen. pain/nausea
by homboss1, Sep 03, 2005 12:00AM
CT revealed small "innumerable" (less than 3 mm) areas on spleen but none on liver. had pain to pelvic/low abd for abt 3 months, with nausea and infrequent emesis. also, episodes fo mid back with gnawing feeling thru to abd, that was intense and unrelieved by prositioning and lasted 30 min to abt 2 hours. at recent er visit was dx with vaginitis and the pain to left pelvic area has resolved with flagyl. i had an MRI, gallbladder ultrasound, and UGI and have tenderness along the rib area on the right. why didn't the CT show liver disease? also change in bowels in last 3 months. what will these later tests reveal. does it sound like metastatic disease. also on CT scan small areas (abt 5mm on base of each lung) along with a right kidney cyst. I haven't felt "right" in forever and now it will be days (with holiday) before i get the probable bad news. what do you think? i eat out of habit but am seldom hungry and the right lower abd to right pelvic pain has increased especially if i sit up for a period of time. thank you. deb (I am menopausal move than 10 years, hx ovarian cyst and other cyst is atrophied).
Doctor's Answer
by Kevin Pho, MD, Sep 05, 2005 12:00AM
, Sep 05, 2005 12:00AM
Difficult to say without examination.
It sounds like comprehensive imaging tests were already done. If there was evidence of metastases, it would have been appropriate evaluated with the tests you have already had.
If there are areas of suspicion or concern, then a biopsy can be considered for a more definitive diagnosis.
As for further testing of your symptoms, you can consider an upper endoscopy to evaluate the causes of nausea and vomiting. An obstruction, mass, GERD, ulcers, or inflammation of the upper digestive tract can all lead to the symptoms you have described.
These options can be discussed with your personal physician, or in conjunction with a GI evaluation.
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.
http://www.straightfromthedoc.com
It sounds like comprehensive imaging tests were already done. If there was evidence of metastases, it would have been appropriate evaluated with the tests you have already had.
If there are areas of suspicion or concern, then a biopsy can be considered for a more definitive diagnosis.
As for further testing of your symptoms, you can consider an upper endoscopy to evaluate the causes of nausea and vomiting. An obstruction, mass, GERD, ulcers, or inflammation of the upper digestive tract can all lead to the symptoms you have described.
These options can be discussed with your personal physician, or in conjunction with a GI evaluation.
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.
http://www.straightfromthedoc.com
Member Comments (1)
by homboss1, Sep 03, 2005 12:00AM
Also, alkaline phosphatase was 236 and then 183 the next week. Hx of hepatis C antibodies (dx 2 yrs ago) but further testing revealed no active disesase. thanks again. deb
