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Suffering from Acid peptic disease and Vaginal infection - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi It started 3 months ago with dark tarry stool, dirrehea, vaginal yeast infection, very gases, burping, burning and fullness sensation in upper middle chest. the above went on four 6 weeks, then constipation begin, soreness in middle chest, still vaginal yeast infection, yellow urine no matter how much water I drink(no vitmains taken at this time), very acidy, gases, and pain on right side when I have a bowel movement. I had my pancrease, liver enzymes and blood work(cbc) all came back normal. I had a ct scan and it showed a 2.1 cm dominate follicle or small cyst involving right ovary, 1.3 cm rounded hyperdense focul or lesion in the dome of the right hepatic lobe that may represent small enhancing hemangioma or focal nodular hyperplasis. What is going on with me and how do I get my body back to normal health?
Doctor :   Let me read your query for few minutes to be able to have a good discussion here.
User :   what do you think all this could mean?
Doctor :   I am reading
User :   ok
Doctor :   Ok, the symptoms you have can be grouped under three entities
Doctor :   First it would be Acid peptic diesease
Doctor :   you have to get to know its severity by getting an Upper GI endoscopy
Doctor :   since you having black tarry stools , it gives a clue about a bleeding gastric ulcer
Doctor :   there is treatment for bleeding gastric ulcer , and its done during the endoscopy itself
User :   i only had black tarry stools twice about 2 and a half months ago no more since.
Doctor :   and the next would be Hemangioma in the liver, know about it and its effects on the liver by getting LFT ( liver function tests ) if the test is normal then need not worry about it
Doctor :   one episode too suggests of a bleeding ulcer
Doctor :   i mean about the black stool
Doctor :   do not neglect
User :   I had my liver function blood test and it came back normal
Doctor :   as there is good cure if noticed in initially
Doctor :   good , if the LFT is good then there is no need to worry about the lesion in the liver , only that have to keep an eye on it by getting scan or LFt every 6 months or yearly once
User :   my ggtnew, altnew,astnew,alpnew, tbili, tp, albnew, and all was normal range.
Doctor :   very good then
User :   is the ggtnew etc. liver function test?
Doctor :   and about the ovarian cyst ( small ) its nothing to worry about
Doctor :   GGT is Gama glutamyl transpeptidase test and yes , its a liver function test
Doctor :   and the ovarian dominant follicle is a normal thing
Doctor :   (2.1cm ) one
User :   i have an endoscopy upper gi scheduled for feb. 25 this month. how do I determine acid petic disease?
User :   yes cyst size is 2.1 cm just one
Doctor :   they will take photographs you will be shown if any ulcer or acid related inflammation ( gastritis )
Doctor :   the ovaries according to the scan are perfectly normal
User :   ok
Doctor :   and about vaginal infection
User :   if there is acid related nflammation then is that an acid petic disease?
Doctor :   have you taken any medication for the same , and may i know what they are ?
Doctor :   yes, it means Gastritis and its a type of acid peptic disease
User :   I took antibotic for the yeast infection and monstat 7 it went away and came back each time and I still have it, no burning or itching just vaginal white dischare.
User :   I do not take birth control pills.
Doctor :   Have you tried vaginal tablets ?
Doctor :   i mean for yeast infection
User :   I feel like my body is out of balance, what is vaginal tablets?
User :   no I do not think I have taken them.
Doctor :   these are the tablets placed inside the vagina by a applicator by yourself at nights , they are very effective against recurrent yeast infections
User :   how do I get them. can low stomach acid cause a yeast infection and acid peptic disease?
Doctor :   no there is no relation to the low stomach acid and yeast infection
User :   what about my urine why is it always yellow all I drink is water 8-12 glasses aday
Doctor :   ask your gynecologist she will help you getting the vaginal tab for yeast infection , it needs prescription
Doctor :   you have to increase your water intake
User :   I have had a yeast infection before in my 20's and it had burning,itching and clear discharge. this one does not feel the same and I am 37 now.
Doctor :   i see no cause for abnormal urine coloration , its the concentrated urine you passing
Doctor :   taking excess water will cure it
User :   in the past before all this happened my urine would be clear after 8-10 glasses of water.
User :   why now is it yellow?
Doctor :   may be you need more water now as it also depends on the type of food , place , environment , and many more factors
Doctor :   yellow urine can be expected in jaundice in starvation and dehydration
User :   i am eating vegetables and fish, chiken daily, and the yellow urine appear constant a couple of days ago, make no sense to me?
Doctor :   jaundice cannot be a chance in you as the LFT is normal
Doctor :   just have more water. Do not worry its just due to water imbalance . other main cause ( jaundice ) is ruled out in you
User :   why is water imbalance occuring now and never had it before?
User :   Before it turn yellow all the time I could drink warm wate and peppermint tea and it would turn the urine clean but now it stays yellow constantly.
Doctor :   as i said there are many natural factor which influence that , like temperature , weather , humidity, medictions like multivitamins
User :   taking no multivitamins
Doctor :   ok, i still see no abnormal cause in you for the yellow colored urine
Doctor :   as the LFT and the blood tests are normal
Doctor :   it rules out major common pathological causes for yellow urine
User :   ok it just makes no sense to me for the change when I haven't changed anything, yes lft and blood test normal. I understand
Doctor :   still a urine routine microscpy can help
User :   how do I do a urine routing microscopy?
Doctor :   ask for it in a lab, or your GP can help to get one done
User :   would acid petic disease cause me to be rumbling with gas and very acidic. ok I will ask thanks for info.
Doctor :   yes,
User :   i read on the internet that low stomach acid (hcl) cause excess gas is that true and will the Gi doctor check for low stomach HCL when doing the upper Gi endscopy?
User :   i am taking probiotic.
Doctor :   yes, any difference in the acid levels can cause gas
Doctor :   but its high acid levels which is always associated with gas
Doctor :   no , endoscopy will not help in knowing the acid levels
Doctor :   there are other tests to know the acid out put like Pentagastrin test , its done by a gastro doctor
User :   had a stool test and it showed alpha hemolytic streptococcus rare and gamma hemolytic streptococcus in stool what is that? no yeast in stool found.
User :   what is a pentagastrin test and how is it done, is it expensive?
Doctor :   these are the stains which can cause desentry
User :   also on stool test chymotrypsin was abnormally low what does that mean?
Doctor :   and they are found even when there is no actual disease
User :   what is desentry?
User :   oh ok
Doctor :   desentry is loose stools with fresh blood stain in it
Doctor :   occurs due to infection of the intestines
User :   does that mean I have an infection in my intestines as well?
Doctor :   low chymotrypsin is good , as higher levels are seen in infections of the intestine
User :   I feel so messed up and want to be normal, but don't how when everything comes back normal but i am haveing all these symptoms.
Doctor :   NO,both absence desentry and low chymotrypsin rules out intestinal infection
Doctor :   do not worry
User :   but it was abnormally low
Doctor :   after going through your history i consider the main problems you have to concentrate are acid peptic disease and yeast infection
User :   will the liver lesion go away and did my dark tarry stool cause it or what do you think caused it?
User :   i read a hemangioma can occur because of inflammation occurs somewhere in the body is that true?
Doctor :   the cause of the liver lesion can not be determined, but for sure its not due to black stool
User :   what is the best way to make sure it is benign?
Doctor :   yes it can occur in severe inflammatory diseases , but rare
User :   could severe inflammatory disease be my stomach?
Doctor :   the progress in its size and its effect on the liver ( LFT ) are two good indicators to rule out its malignancy
Doctor :   yes stomach problem, could be a chance
User :   what do you recommend be do to ease my symptoms till my gi appointment and gyneocolgy?
User :   my mom had lung cancer that spread to the liver and her liver function test stayed normal is that normal?
Doctor :   Go for antacids like TUMS, consume more water , restrict high protein and high fat food , and have timely meals
Doctor :   a scan can pick it up , May i know how was the liver spread made out in her ?
User :   it does'nt burn or feel fullness after I eat now, I just have a sore feeling in upper chest.
User :   what do you mean how was the liver spread made out in her? It was on her right heptic lobe and she had surgery for its removal but came back again in the liver.
Doctor :   I mean to ask which diagnostic test confirmed the liver involvement , was it the scan ?
User :   what is a pentagastrin test
User :   yes it was a pet scan.
Doctor :   Pentagastrin is a hormone which is injected and acid collected from the stomach by aspiration and measured
Doctor :   and there is a normal range for the acid secretion
Doctor :   after pentagastrin
Doctor :   as i said if the LFT do not pick the liver disease then scan will surely pick it up
User :   is that with the upper gi endscopy done at same time to collect acid from stomach?
Doctor :   hence do not worry, as your scan shows only hemangioma and the rest is ok
User :   What scan would you recommend and should I have it done now or when?
Doctor :   It depends on the gastro doctor
Doctor :   A MRI scan is the best
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