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Gastroenterology (Expert Forum)
What to ask about during upcoming appt. w/Gastro
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 to ask about during upcoming appt. w/Gastro
by Stevemilller, Mar 19, 2008 10:12PM
Hi Dr. Pho,
Meeting with Gastro tomorrow. Could you list conditions I should ask about?
Male
Age: 33
Moderate drinker 5-6 beers/ night, 2-3 night/s week, 10 years
No past health conditions
Symptoms (Started December 22/08 after a night of heavy drinking)
Clay colored stool sometimes- usually formed, sometimes unformed (soft). Not Steaoreah
Extreme flatulence
Fatigue
Mild pains front left abdomen under ribcage
Mild pain mid-back left, left shoulder blade
Occasional soreness in left arm, elbow, left jaw
Tests taken so far
Ct scan: unremarkable
Ultrasound: unremarkable
72 hour fecal test: fat fibers found
2 Amylase test: 1/2/08- Score 57
1/16/08- Score 75
Lipase test 1/2/08- Score 7
Heliobacter- Negative
Minor blood found in stool.
Thanks
Meeting with Gastro tomorrow. Could you list conditions I should ask about?
Male
Age: 33
Moderate drinker 5-6 beers/ night, 2-3 night/s week, 10 years
No past health conditions
Symptoms (Started December 22/08 after a night of heavy drinking)
Clay colored stool sometimes- usually formed, sometimes unformed (soft). Not Steaoreah
Extreme flatulence
Fatigue
Mild pains front left abdomen under ribcage
Mild pain mid-back left, left shoulder blade
Occasional soreness in left arm, elbow, left jaw
Tests taken so far
Ct scan: unremarkable
Ultrasound: unremarkable
72 hour fecal test: fat fibers found
2 Amylase test: 1/2/08- Score 57
1/16/08- Score 75
Lipase test 1/2/08- Score 7
Heliobacter- Negative
Minor blood found in stool.
Thanks
Doctor's Answer
by Kevin Pho, MD, Mar 20, 2008 07:11PM
, Mar 20, 2008 07:11PM
You have had a comprehensive evaluation thus far.
Clay colored stools can be indicative of a blockage of the biliary tree. An MRCP or ERCP can be considered to further evaluate this.
More specialized tests can be done with a gastric emptying scan or 24 hr pH study to evaluate for gastroparesis and GERD respectively.
An increase in gas can be due to malabsorption. Sending the stool off for culture and analysis, as well as blood tests to exclude celiac disease, can be considered for further 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 patients education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
www.kevinmd.com
Clay colored stools can be indicative of a blockage of the biliary tree. An MRCP or ERCP can be considered to further evaluate this.
More specialized tests can be done with a gastric emptying scan or 24 hr pH study to evaluate for gastroparesis and GERD respectively.
An increase in gas can be due to malabsorption. Sending the stool off for culture and analysis, as well as blood tests to exclude celiac disease, can be considered for further 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 patients education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
www.kevinmd.com
