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701581 tn?1279139638

chronic stomach issues/kidney stones/migraines/ +ANA

Hello and thank you in advance for your reply/thoughts.  I am a 35 year old female who has had stomach issues (vomiting, diarrhea, constipation, stomach painetc) since I was a child.  As a child I was diagnosed with Lactose Intolerance and then as a teen IBS and anemia.  As an adult I have had several bad bouts of stomach problems usually when it gets really bad I get a kidney stone.  I have had two workups-one which showed inflammation but biopsy was negative(13 years ago) next showed slight hiatal hernia but nothing else.(7 years ago).  Presently,  I am having stomach pain every time I eat-daily bloating sometimes vomiting, diarrhea, or constipation with alot of mucous and traces of blood in the mucous. I also have migraine headaches several times a week with alot of vomiting/diarrhea and muscle pains (just also diagnosed with arthritis in my neck).  Recieved MRi-results were negative.  Most of the time I have bad stomach cramps but can not go to the bathroom.  Because of my headaches muscle pains and some fever/chills I have been having the Dr. ran some tests and found I have a positive ANA titer.  More tests were ran by a rheumatologist who said I do not have lupus but still have a postive ANA and my C3 and C4 where a little low.  At his suggestion I am seeing a GI doctor to be evaluated again.   Also, it may be important to note my brother was diagnosed with Ulcerative Colitis twenty years ago-but had surgery and is doing well.

Sorry this is so long but I have two questions:

1. Do you think  I need to do another work-up again?  I am having difficulty with my insurance and they may not cover it so I want to make sure it is necessary.  Or does this sound like IBS with migraines.

2. Can a positive ANA and low C3, C4 have anything to do with intestinal issues?

thank you so much for your time.
4 Responses
Avatar universal
1. Blood in stool rules out IBS. Look for other causes like IBD.

2. Vasculitides have positive ANA and low C3 C4 and they may involve intestines.
The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.

- Ratnakar Kini M.D.
681148 tn?1437665191
I have a complicated problem.  I'm at a loss for what to do to treat my migraines that won't cause more problems with my kidneys.  I had renal failure recently--it was only in September.  My kidneys have slowly gotten better, but at my last blood test the nephrologist said that they were still not normal.  Almost, but they're still sluggish.  The creatin was still a little too high.

Okay, so we know that NSAIDS are not an option for migraines.  But, I can't take any narcotic pain medicines either.  They're not an option.  They actually cause fierce headaches and nausea.  That's the last thing I need, too.  Nausea is what led me to the e.r. to discover that I was in renal failure.  And, opiates aren't going to do me one bit of good if they actually cause the headaches to begin with.

I have an appointment for an EEG Monday afternoon.  I was hoping I could figure out a safe way to treat this never ending migraine.  I know that the usual pain medications are out of the question.
701581 tn?1279139638
What about meds like Imitrex and Maxalt?  I definitley am not sure as this is not an area I have looked into-but those give me the most relief.
701581 tn?1279139638
Thank you for taking the time to give me your input. It is much appreciated
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