What causes constant lower abdominal pain, poor appetite and extreme weight loss?
Hello and Welcome
I appreciate your concern
The abdomen needs to be examined for localizing the pain and/or tenderness in the region. Based on your description, diverticulitis needs to be looked for. Diverticulitis involves inflammation of diverticular pouches due to herniated mucosa of the colonic wall. Rest, clear liquid diet and an antibiotics course such will help in resolution of mild to moderate diverticulitis. Also make sure to avoid NSAID intake. If the weight loss is significant then a sinister cause like malignancy should be ruled out. GI bleed should be worked up and endoscopy can then be planned accordingly in consult with a gastroenterologist.
Wishing you best of health
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Dr. M.S. Khalil
--already taking insulin for diabetes--I have always asked for extensive blood work
but not very happy with the lack of tests being done-- Is there a name for a specific blood test that would encompass all the different results that I should being looking for? There must be a name for a specific type of blood work!
There is no single investigation panel that includes every test. A basic metabolic panel including LFTs and RFTs can be advised along with a complete blood count.
Enzyme-linked immunosorbent assay (ELISA) test/ lyme serology can be done initially. Treatment can be started without waiting for investigation if a clinical suspicion is there and the area is endemic for Lyme.
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