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Have Weight Loss, Nausea, Vomiting, Diarrhea And Muscle Aches. All Test Normal, Except Low Vitamin D. Suggest?
Hello,
I am Dr.Omer and I am here to help you with your query.
As you have said that you are a male 51 year old , weight loss of 25 pounds , nausea , vomiting and diarrhoea , joint pain for 4 months , all tests including stool test are normal .
First of all you are losing lot of weight in very less time of 4 months , loose stool causing less time for food to absorb and joint pain indicate an autoimmune disease.
As you are a young male of 26 years all these symptoms lead to MALABSORPTION SYNDROME .
Malabsorption Syndrome includes.
CELIAC disease , usually starts in this age group ( 20-30 ) , with excessive weight loss , joint pain.
In celiac disease there are antibodies against your intestine , and the food containing antigens like ( oats , flour , meat , custard ....etc) cause your body to get rid of it fast , joint pain are also common , and fat soluble vitamins cannot get absorbed like vitamin D , which need slow food movement to absorb.
Stool test are also normal in this disease.
The other cause of malabsorption could be inflammatory bowel disease like crohns or ulcerative , but in these bloody stool sometimes occur.
The next best plan of action would be testinfor above disease by anti transglutaminase antibodies , and antiendomysial bodies.
With gastroenterologist review for endoscopic biopsy or brushing of duodenal ( intestine ) wall and if possible ileal biopsy , dont worry iit is pain less procedure , as this will be the best test to distinguish all causes of malabsorption like( worms , cystic fibrosis , and other causes I discussed ).
Finding the cause of your symptoms are important as you are young , and can be treated earlier.
Follow what I said and you will find your problem.
Your feedback is important to us.
TAke care
I am Dr.Omer and I am here to help you with your query.
As you have said that you are a male 51 year old , weight loss of 25 pounds , nausea , vomiting and diarrhoea , joint pain for 4 months , all tests including stool test are normal .
First of all you are losing lot of weight in very less time of 4 months , loose stool causing less time for food to absorb and joint pain indicate an autoimmune disease.
As you are a young male of 26 years all these symptoms lead to MALABSORPTION SYNDROME .
Malabsorption Syndrome includes.
CELIAC disease , usually starts in this age group ( 20-30 ) , with excessive weight loss , joint pain.
In celiac disease there are antibodies against your intestine , and the food containing antigens like ( oats , flour , meat , custard ....etc) cause your body to get rid of it fast , joint pain are also common , and fat soluble vitamins cannot get absorbed like vitamin D , which need slow food movement to absorb.
Stool test are also normal in this disease.
The other cause of malabsorption could be inflammatory bowel disease like crohns or ulcerative , but in these bloody stool sometimes occur.
The next best plan of action would be testinfor above disease by anti transglutaminase antibodies , and antiendomysial bodies.
With gastroenterologist review for endoscopic biopsy or brushing of duodenal ( intestine ) wall and if possible ileal biopsy , dont worry iit is pain less procedure , as this will be the best test to distinguish all causes of malabsorption like( worms , cystic fibrosis , and other causes I discussed ).
Finding the cause of your symptoms are important as you are young , and can be treated earlier.
Follow what I said and you will find your problem.
Your feedback is important to us.
TAke care
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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