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Having bloating, gas, cough, shortness of breath. Advised to do endoscopy, chemical stress test of heart. What is wrong?

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Gastroenterologist, Surgical
Practicing since : 1989
Answered : 883 Questions
hi there :) name is XXXX and my step dad is in his 70's and is having symptoms of bloating and gas and has expressed his belly button feels like it is on fire and has expressed pain on his left side...he has 3 bowel movements in the morning and says that relieves things..but if he has 3 meals a day his symptoms return at night and he has to start all over with the suffering..he went to the dr and they said he needs a colonoscopy, chemical stress on his heart (which his heart is good) and an endoscope..he is also coughing up phelm and is coughing and he has shortness of breath...his b/p is fever
Posted Mon, 16 Sep 2013 in Digestion and Bowels
Answered by Dr. Ketan Vagholkar 27 minutes later
Brief Answer:
Need for further investigations.

Detailed Answer:
Thanks for writing in.
From the description which you have given there could be quite a few possibilities.
1. Gall stone disease.
2. Diverticular disease of the colon.
The investigations advised would be
a. ultrasound of examination.(for gall stone disease)
b. colonoscopic evaluation of the colon.(for diverticular disease and malignancy)
c. complete blood count.(for infection due to diverticular disease)
d. stool examination.(occult blood or XXXXXXX blood suggests ulcerated lesions)
e. CEA levels in the blood.(suggestive of malignancy)
For the chest problem he requires evaluation by chest xray and pulmonary function test followed by specific treatment.
I hope this answers your doubt.
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