Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Hi, Since January 27 I Have Been Sick. That Is
Question: Hi, since January 27 I have been sick. That is 4 weeks tomorrow. I have lost 20 pounds and I still have zero appetite and when I do eat it is very little crackers. I get extreme stomach cramps and diarrhea. I have had ct scan which was normal besides contracted gallbladder. I had an endoscopy and colonoscopy on Tuesday the doctor said I had a small hernia, irritation and inflammation. He said he will let me know next week what else he finds from the many biopsies he took. I am in pain and unable to enjoy my days because I feel miserable. If I have to walk a great deal my stomach starts hurting and I have to sit down. I have no desire to eat anything at all. I am concerned about what could be wrong. I feel like 4 weeks is along time to be going with out answers and help from my medical community.
Brief Answer:
Need few more details dear.
Detailed Answer:
Hello and thank you for choosing "Ask a Doctor" service for your query,
Have seen your details and I appreciate your concerns.
First point is that onset of problem was sudden i.e from 27 January and was not gradual.
Secondly there were spasms and diarrhea.
As per the details given by you all big names( tests) have been done to rule out complex diseases but before answering the question I would like to know if a simple stool test and it's culture was done?
Was fecal calprotectin test done to rule out inflammation in intestines due to infection?
Which test was done to rule out infection?
Were you given any antispasmodics with antibacterial and anti protozoal's?
The old school rule of medicine is that often we miss out common diseases and get involved in hi-fi stuff.
Please provide details
waiting!
Need few more details dear.
Detailed Answer:
Hello and thank you for choosing "Ask a Doctor" service for your query,
Have seen your details and I appreciate your concerns.
First point is that onset of problem was sudden i.e from 27 January and was not gradual.
Secondly there were spasms and diarrhea.
As per the details given by you all big names( tests) have been done to rule out complex diseases but before answering the question I would like to know if a simple stool test and it's culture was done?
Was fecal calprotectin test done to rule out inflammation in intestines due to infection?
Which test was done to rule out infection?
Were you given any antispasmodics with antibacterial and anti protozoal's?
The old school rule of medicine is that often we miss out common diseases and get involved in hi-fi stuff.
Please provide details
waiting!
Above answer was peer-reviewed by :
Dr. Prasad
Hi, it suddenly began on the 27 and has graddually gotten worse. i have pain at the top of my stomach and at the bottom. i will get intense cramps all ocer ecer so often. i get really bad cramps when walking. i had a stool test that tested for bacteria and it was negative.
however i have a new dog that has tested positive for coccidea. I have not been tested for this.
however i have a new dog that has tested positive for coccidea. I have not been tested for this.
Brief Answer:
Golden rule of medicine is common things first and hi-fi stuff in last.
Detailed Answer:
Hello again,
Stool test in not a very accurate test. I would suggest you to go for a test called fecal calprotectin. This test would help to rule out the intensity of inflammation in intestines.
Along with deworming by Albendazole tablets i would suggest you to ask your doctor to treat you with Ofloxacin and metronidazole along with anti spasmodic like dicyclomine for 5 days.
Many times patient is treated symptomatically(when all tests are normal).
I would like you to discuss this with treating doctor,
Follow ups are welcome.
Thank you!
Golden rule of medicine is common things first and hi-fi stuff in last.
Detailed Answer:
Hello again,
Stool test in not a very accurate test. I would suggest you to go for a test called fecal calprotectin. This test would help to rule out the intensity of inflammation in intestines.
Along with deworming by Albendazole tablets i would suggest you to ask your doctor to treat you with Ofloxacin and metronidazole along with anti spasmodic like dicyclomine for 5 days.
Many times patient is treated symptomatically(when all tests are normal).
I would like you to discuss this with treating doctor,
Follow ups are welcome.
Thank you!
Above answer was peer-reviewed by :
Dr. Yogesh D
ok, I just got this report about my liver
IMPRESSION:
1. 1.3 x 1.1 x 1.1 cm hyperechoic liver lesion. Differential
considerations include liver hemangioma versus angiomyolipoma less
likely malignancy in this 33-year-old non cirrhotic individual
without a history of malignancy.
IMPRESSION:
1. 1.3 x 1.1 x 1.1 cm hyperechoic liver lesion. Differential
considerations include liver hemangioma versus angiomyolipoma less
likely malignancy in this 33-year-old non cirrhotic individual
without a history of malignancy.
Brief Answer:
Follow up answer.
Detailed Answer:
Hi there,
Sorry to hear about the report of liver,Dont panic.
Very likely the doctor is going to perform biopsy of the area(ultrasound guided).
Once biopsy is performed they would take out a small sample of tissues which would be studied under a microscope.
A 100% sure shot comment could be given only after biopsy.
However as mentioned malignant cancer is very unlikely in small age patients.
Follow ups are welcome,
Thank you!
Follow up answer.
Detailed Answer:
Hi there,
Sorry to hear about the report of liver,Dont panic.
Very likely the doctor is going to perform biopsy of the area(ultrasound guided).
Once biopsy is performed they would take out a small sample of tissues which would be studied under a microscope.
A 100% sure shot comment could be given only after biopsy.
However as mentioned malignant cancer is very unlikely in small age patients.
Follow ups are welcome,
Thank you!
Above answer was peer-reviewed by :
Dr. Yogesh D
what does this mean exactly?
: Sections show benign esophageal squamous mucosa with active inflammation and reactive changes (mucosal capillary ectasia, hyperplasia of the
squamous epithelium, and rare ballooning). No goblet cell metaplasia is identified. No dysplasia is identified.
thank you for taking the time to help me. I have a terrible stomach ache have lost 20 pounds and i am barely able to eat. i am trying to find a new doctor and get answers.
: Sections show benign esophageal squamous mucosa with active inflammation and reactive changes (mucosal capillary ectasia, hyperplasia of the
squamous epithelium, and rare ballooning). No goblet cell metaplasia is identified. No dysplasia is identified.
thank you for taking the time to help me. I have a terrible stomach ache have lost 20 pounds and i am barely able to eat. i am trying to find a new doctor and get answers.
Brief Answer:
Follow up answer.
Detailed Answer:
Hi there as discussed earlier,
Metaplasia means a change of one type of cell into another. It's a protective phenomenon adopted by the body to prevent degeneration of the esophagus by acid refluxed from the stomach but if not treated properly in long runs increases the chances of Adenocarcinoma by 10%.
The esophagus is the food pipe, lined by a type of cell called squamous cells (they are not acid-resistant). This pipe is connected to a bag called the stomach. Now the stomach contains Columnar cells which are acid-resistant.
In patients with uncontrolled/Improperly treated reflux disease Squamous cells are replaced by Columnar cells(acid resistant) this process is called Metaplasia.
In long runs, if left untreated dysplasia can occur which is a precancerous stage.
So in short untreated Metaplasia results in Dysplasia (Lay man's language cancerous cells).
Goblet cells are found in the stomach and as per reports they are not seen in your esophagus which means that your case is in initial phases and can be controlled by the use of proper antacids with prokinetic drugs.
Reactive changes plus other terms used in the report in lay man's language mean that if not treated properly your body is getting ready to replace squamous cells with Columnar cells in the future which could be resulting in Adenocarcinoma in 10% cases.
Hope I was easy to understand,
Follow-ups are welcome.
Thank you
Follow up answer.
Detailed Answer:
Hi there as discussed earlier,
Metaplasia means a change of one type of cell into another. It's a protective phenomenon adopted by the body to prevent degeneration of the esophagus by acid refluxed from the stomach but if not treated properly in long runs increases the chances of Adenocarcinoma by 10%.
The esophagus is the food pipe, lined by a type of cell called squamous cells (they are not acid-resistant). This pipe is connected to a bag called the stomach. Now the stomach contains Columnar cells which are acid-resistant.
In patients with uncontrolled/Improperly treated reflux disease Squamous cells are replaced by Columnar cells(acid resistant) this process is called Metaplasia.
In long runs, if left untreated dysplasia can occur which is a precancerous stage.
So in short untreated Metaplasia results in Dysplasia (Lay man's language cancerous cells).
Goblet cells are found in the stomach and as per reports they are not seen in your esophagus which means that your case is in initial phases and can be controlled by the use of proper antacids with prokinetic drugs.
Reactive changes plus other terms used in the report in lay man's language mean that if not treated properly your body is getting ready to replace squamous cells with Columnar cells in the future which could be resulting in Adenocarcinoma in 10% cases.
Hope I was easy to understand,
Follow-ups are welcome.
Thank you
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
