dont know what to do

[emacno]

Ive had diarrhea for about 3 months with stomach pain, i use to nave nausaue with it, but it has gone away. I lost over 30 pounds in a months time.  Ive been going to the doctor for the past 2 months taking test.  He took stool samples, blood test, ct scan and a colonoscopy and found nothing. When i eat i get cramps as soon as the food goes to my stomach.  I have foot spasms in my left foot. Im always gassy now. .  I also had my last hiv test done .   It would make it 15 weeks for the vaginal sex and at 13 weeks  for the oral.. it was neg.  Do you think i should continue to go get tested for hiv, im thinking about taking it again at 16 weeks or just continue with my GI?  For the past few days my diarrhea has stopped, but still worried?

[Jaybay]

My brother had this problem for literally years, and had every test possible run on him with nothing wrong ever found.  It turned out that it was all due to stress and anxiety.  He started taking an anti-depressant, lexapro, for entirely different reasons, and the diarrhea and cramping completely resolved.  Is it even remotely possible that you're so stressed out about the possibility of HIV that the result is diarrhea?  It's worth speaking to your doctor about it. What do you have to lose?  :-)

[emacno]

thanks jaybay i will consider that.

[emacno]

They checked for celiac and found nothing.  The doctor said he wanted to take another x ray, i thought the ct scan would have been good enough.  Thanks doctor i will ask him for an endoscopy and to test for Gerd.

[Kevin Pho, MD]

You have had a pretty comprehensive evaluation thus far.

Further tests can be done to evaluate for upper GI causes.  This can include a gastric emptying scan to exclude gastroparesis, as well as 24-hr pH study to look for GERD.  I would also consider an upper endoscopy to more comprehensively evaluate the stomach and esophagus.  

Stool tests can be done to exclude malabsorption, as well as blood tests to look for celiac disease.  

These options can be discussed 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 patients education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
www.kevinmd.com