Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
176 Doctors are Online

Cough, yellow stools, white tongue. Hisory of duodenal bleeding and edema at the duodenum entrance. Concerned

Hi, I am a 29 year old male with duodenal bleeding history (twice - the first, 7 years ago, the second 2 year ago - not very serious). Last endoscopy conducted in October 2011 found some edema and deformation at the duodenum entrance and a little bit of h. pylori. They were treated with Nexium and antibiotics. Since January this year I have had some yellow stools, particularly when I am stressed and have excessive coffee/tea consumption. This was added with a white coating on tongue with furs, and a little bit of cough. The front part sometimes clears but the back is persistent and have some bumps. I got tested for Candida, HIV, full blood test, parasites: all came back negative and normal. Last three four days I have had some acid reflux, so the GP put me back on Nexium again. However, the GP couldn't spot anything as yet; I am concerned if this could be a major problem with the duodenum, or the gallbladder. Thank you.
Asked On : Sun, 14 Apr 2013
Answers:  2 Views:  82
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics
Gastroenterologist 's  Response
Hello, hastinger,
Thank you for your quiery. You have had recurrent duodenal ulcers.
You have been treated appropriately with a PPI, Nexium. You were
also tested and treated for H.Pylori which is also very appropriate.
There are a number of cases where H.Pylori can come back even
after successful therapy. I would like you to be re-tested for the
same. You can have a H.Pylori stool antigen test or a breath test.
The one condition that causes recurrent ulcers or multiple ulcers
is called "Zollinger-Ellison Syndrome". This is associated with a
tumor in the pancreas that produces gastrin which causes excess
acid and ulcers.
The way to diagnose this is by doing Fasting Gastrin levels in the
blood at least on three separate occasions. Increased level of
"Chromogranin A is a marker for these type of tumors. There
are also Secretin stimulation test and acid measurement that
can help with the diagnosis. Get your blood calcium levels checked.
I hope you can discuss these with your doctor.
I wish you well.
Answered: Sun, 14 Apr 2013
I find this answer helpful
Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

H.pylori can be eradicated easily...

Stress, abuse of Non Steroidal Anti Inflammatory Drugs, gastrin secreting tumours - and so on should be evaluated if the ulcer is recurrent. Smoking? A gastro-enterologist must see...

That may not be candida - there are huge papillae especially in the back of tongue, which can look like that. Get it confirmed by your doctor...

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Thu, 18 Apr 2013
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor