what iswrong with me

[dingysammie]

i have had stomach pain for months now it started with nausea i ended up dehydrated and in the hospital and had my galbladder removed but it didnt help then i had a cat scan the head of my pancreas was swollen so i had a ercp  they found stones and removed them but it didnt help i cont.to have stoamach pains sharp at times but most of the time my constant pain is on the right upper side of my stomach the sharp pains i get make my chest hurt and arms tingle they can last 5 minutes to 1 hour i have had dark stools that turn the toilet water a bedadine color my resent pain hurt so bad i thought i was going to pass out it was diffrent than the pancreas pain ive been having and i have had blood work cat scan x rays and they say everything looks good well if thats the case why do i hurt all the time im tired and weak most of the time i yawn all the time why does all the test come back ok are my doctors over looking something im scared i have kids to raise and i fell like something  is seriously wrong can you have pancreatitis and your lipase and amylase not be elevated should i request a liver biopsy and cardiac work up?

[Kevin Pho, MD]

Stomach pain associated with dark stools are certainly concerning for a bleeding ulcer or inflammation of the upper GI tract.  

An upper endoscopy would be the test to obtain now.  This is a comprehensive test to evaluate for ulcers or inflammation.  I would also test for H Pylori, which is a bacteria associated with ulcers or inflammation.  

If the upper endoscopy is negative, then testing amylase or lipase for the pancreas may be reasonable.  Before considering a liver biopsy, you may want to consider looking at the liver enzymes to see if they are elevated first.  If the liver enzymes are normal, then it is unlikely that a biopsy would be helpful.  

I would certainly discuss the possibility of an endoscopy 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

[SMSIRL]

Note any relationship between eating time and pain as this can be useful in identifying mesenteric angina etc.

[pololv]

When I start eating and drinking I am constantly burping up food and liquids after 10 minutes this will continue on during the day. I also have flem (phlegm) caught in my throat constantly.  What is wrong with me.  It is driving me crazy.

[yoshi]

you need to start a new thread to get doc to respond.
have you tried any of the OTC medication before you eat??