I agree with the CT scan, which can evaluate the pancreas, liver and gallbladder.
At this time, I would further evaluate the upper digestive tract. An upper endoscopy can evaluate the esophagus, stomach and small intestine, looking for ulcers or inflammation.
A more specialized test would be a 24-hr pH study to exclude GERD.
I would advise seeing a GI specialist to perform this next step.
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.
www.kevinmd.com
An upper endoscopy, or esophagogastroduodenoscopy (EGD) only can only view a very tiny portion of the small intestine, the Duodenum which is ~26 cm (9.84 in) in length, compared to a total average length of the other two portions, the Jejunum 2.5 m (8.2 ft) and the Ileum 3.5 m (11.5 ft). The small intestine makes up 75% of our digestive system, according to the National Institutes of Health, and these measurements came from there also.
I say this in reference to your above statement, and I quote you:
"An upper endoscopy can evaluate the esophagus, stomach and small intestine, looking for ulcers or inflammation."
To me this is extremely relevant when you missed the EGD test coverage by almost 28 feet.
Hi Zeda2008:
How is your brother-in-law doing?
Good luck and Godspeed!