Onset stomach and R epigastric pain, lower right abdominal pain usually with some reflux. Occurs about 2 hrs after eating. 196# to 175# weight loss in 2 months with fatigue. Was tx for L temporal HA and dizziness with 14 days of doxy developed watery pale diarhhea, that ws tx with 2 wks of flagyl - upper abdominal pain evolved with rapid weight loss, nausea exacerbated by fat intake. Labs cpk been elevated about a year 310 monocytes slight elevation cbc otherwise normla, ALT slight elevation 44, 2 pts above ref creange, c reactive protein normal, autoimmune essay Normal, CT abdomen near normal small 1.3 cm cyst, abdom US normal. Lipase normal, Real panel is normal near high end bilirubin. Plan egd, colonoscopy, HIDA. Not sure if muscle pain is related. I am nondrinker nonsmoker active previously. Blood sugars normal no DM mild htn and proton blockers apparently exacerbate the problem and cause yellow diarhhea. Bowel habits have changed with increased frequency, occ diarrhea especially if any fat ingested, history of ulcer when younger - no blool or wbc or pathogen in stool noted.
Persisting SX: wt loss rapid, nausea hours after eating, fatigue, and upper epigastic and R sided and L upper gi pain with some lower umbilicus level pain (to the right) with R upper abdom tenderness.
Could Flagyl have contributed to this had terrible muscle tenderness and fasiculations and then GI pain developed. The original diarrhea had very little pain involved? Any ideas - this is probably more a pro level question.