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Gastroenterology (Expert Forum)
What could my problem be?
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.
What could my problem be?
by ingoditrust68@hotmail.com, Dec 29, 2004 12:00AM
I am 48 yo white woman. I had CT scan of abd. and pelvic area. CT showed enlarged pancreas and duodenal thickening. I have recurrent bouts of abd. pain. When I'm in the shower and leaning over to wash my hair I get it. But when I stand up or lean against something it goes away. I have no weight loss and have a healthy appetite. My md is sending me to GI Dr. for upper endoscopy. What does it sound like I have ? Sometimes I get nausea too.
Also I will get pain when I walk sometimes for a distance.
Sometimes it even feels like pelvic pain. I do not get this pain when I am just sitting or laying down.
Also I will get pain when I walk sometimes for a distance.
Sometimes it even feels like pelvic pain. I do not get this pain when I am just sitting or laying down.
Doctor's Answer
by Kevin Pho, MD, Dec 29, 2004 12:00AM
, Dec 29, 2004 12:00AM
Tough to say without examining you. Duodenal wall thickening can be suggestive of inflammation, and the upper endoscopy would be the appropriate test to evaluate this.
Regarding the enlarged pancreas, you may want to consider an ERCP or MRCP to evaluate the bile ducts to see if there are any blockages leading to the enlargement.
Another thing to consider would be a colonoscopy to evaluate for things like inflammatory bowel disease, colitis, or colonic masses.
If all the GI tests are negative, then you may want to pursue the cardiac route. Any type of discomfort that is associated with exertion should be ruled out for heart disease.
These options can be discussed with your personal physician.
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.
Medical Weblog:
kevinmd_b
Regarding the enlarged pancreas, you may want to consider an ERCP or MRCP to evaluate the bile ducts to see if there are any blockages leading to the enlargement.
Another thing to consider would be a colonoscopy to evaluate for things like inflammatory bowel disease, colitis, or colonic masses.
If all the GI tests are negative, then you may want to pursue the cardiac route. Any type of discomfort that is associated with exertion should be ruled out for heart disease.
These options can be discussed with your personal physician.
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.
Medical Weblog:
kevinmd_b
