Feeling unwell and lost 6kgs unwillingly, should I worry?

[Stoil]

Hello, I am a 20-year-old male, 2 years smoker, been heavy since my early childhood but my overall health has been good nevertheless. Two and a half months ago, I gradually started feeling "out of it", constantly slightly dizzy and not having the energy I used to have. Also had a globus throat feeling. I recently (2 months approx.) had an upper endoscopy due to persistent reflux, and it showed nothing particularly dangerous - it showed IM in the antrum and gastritis with some atrophy - by the words of my gastroenterologist, conditions which were very common. Also had an AFP test, it showed only slight raise with 5,36, the upper norm being 5,0 UI/ml. He alarmed me though, for what he thought was base of the tongue polyps, and I became worried that I have cancer. I went to an ENT specialist, had a laryngoscopy and was told that it is just that my lingual tonsil is slightly swollen and irritated. I was relieved, but soon after that I noticed that I'm feeling particularly unwell, and got stressed about it. It didn't help when I discovered that I have lost 5 kg in the past TWO WEEKS, 155 to 150,1 kg (haven't lost so much weight even with a month of dieting!) without changing my eating habits. Week and a half ago I started having episodes of light nausea, and a slight, burning discomfort or pain in my upper abdomen/lower chest. Went to the ER, they did a full blood count, everything was normal, only my creatinine level was lower than normal (even though I eat plenty of protein). Following the advice of my relative who is a nurse, I also had a chest X-ray which, to my relief, showed no tumors, but calcifications in the hiluses, as well as slightly enlarged heart and raised right diaphragm. I also recently saw a great reduction in my appetite, which may or may not be, due to the stress. The past few days I further lost 1,5 kg despite trying to eat a lot to see whether it's from limited food intake and my symptoms continue.

I am extremely worried since my web researches strongly point to liver or pancreas cancer, even though it's not statistically likely that I have such a disease. Often, this stress further aggravates some of my symptoms.

Could it just be that I'm feeling unwell and rapidly losing weight due to stress, or is it likely that I may have a dangerous disease?

[SassyLassie]

Hello~

Your symptoms could be stress related, also, I am thinking "Hiatus" hernia. I would definitely seek the opinion of another doctor, the one you are seeing is not taking you seriously and he/she needs to.

[Londres70]

The Upper GI would have dectected a Hiatus Hernia if present.

[Londres70]

That relative whose a nurse..........can't she recommend another GP for you?

[Stoil]

Not really, she lives in a city 500 km away from me, needless to say it's inconvenient to travel that much for a regular checkup or a prescription. Nevertheless I have appointed a doctor's visit with a local gastroenterologist. Hope it goes well and it's not cancer, but rather something less dangerous, combined with stress getting the best of me.

[Londres70]

Well, are you able to find another GP?  It's not ideal to have a GP whose not taking anything you say seriously.

[Londres70]

Sounds like a GI problem to me.  Any imaging or tests of your gallbladder or pancreas?  

[Stoil]

Nope. My GP doesn't take me seriously and probably thinks I'm making up symptoms, so he wouldn't refer me to a specialist. In fact, all of the tests besides the upper endoscopy I requested and paid for myself, according to the instructions of a relative who works as a nurse.