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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Abdominal Discomfort, Belching, Indigestion. Hida Scan To Be Done. Can Cancer Be Ruled Out?

Hi, im 33 years old i have mild, reoccuring upper right abdominal discomfort. along with increased belching , gurgling stomach and lots of undigested vegetables in my stool. I was on aciphex for years because of gerd but was switched to dexilant for gastritis . I have had the belching and gurgling for about 4 months and the upper stomach pain for almost 2 months. i am very regular with my bowel movements (once a day) so i dont see how it could be ibs. these are the tests i have done so far: chest xrays (normal), ekg, cbc, liver and pancreas enzyme blood tests (all normal), upper gi series (showed some thickening of rugal folds), upper endoscopy with biopsy (mild gastritis and gerd, negative on celiac and h pylori), gallbladder ultrasound (normal), ct scan of abdomen and pelvis with contrast (normal), and colonoscopy (normal). I am scheduled to have a hida scan with cck this week. My question is with the tests i have had can i safely rule out any cancer of the organs in my abdomen (pancreas, stomach, liver ect). thank you
Fri, 3 Aug 2012
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Internal Medicine Specialist 's  Response
Dear friend, welcome to HCM.
yes, with these extensive testing, cancer is ruled out macroscopically.
you have gastritis, not much helped by current meds. have you changed eating practices and checked if it works?
your current medication is a good one for acid suppression. may add a gastrokinetic. if not helping, should consult a gastorenterologist for rare dyspeptic syndromes.

Take care and pl. keep me posted on your progress.
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Abdominal Discomfort, Belching, Indigestion. Hida Scan To Be Done. Can Cancer Be Ruled Out?

Dear friend, welcome to HCM. yes, with these extensive testing, cancer is ruled out macroscopically. you have gastritis, not much helped by current meds. have you changed eating practices and checked if it works? your current medication is a good one for acid suppression. may add a gastrokinetic. if not helping, should consult a gastorenterologist for rare dyspeptic syndromes. Take care and pl. keep me posted on your progress.