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What causes diarreaha, vomiting, palpations and altered BP?

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Posted on Tue, 10 Jun 2014
Question: I do not know what is wrong with me - I have episodes about two or three times a month of flushing, diarreaha, vomiting, palpations and either elevated blood pressure or low blood pressure with the episode - afterward I feel very tired and weak. The symptoms disappear about 1-2 hours.
dont have any idea what kind of doctor to see
doctor
Answered by Dr. Shailja Puri (44 minutes later)
Brief Answer:
Symptoms suggestive of carcinoid.

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.
The symptoms of fluctuating blood pressure along with vomiting, diarrhea and palpitation are suggestive of release of certain chemical in blood which is responsible for all these symptoms.
These symptoms are characteristically seen in a neoplasm of neuroendocrine cells- carcinoid.
A carcinoid can arise in different sites like gastrointestinal tract, lungs, etc.
However, certain investigations are needed to confirm the diagnosis.
The symptoms of carcinoid is caused by presence of chemical called serotonin.
Investigations consists of determination of this chemical in blood.
You need to consult a physician for clinical assessment, investigations and management.
Management consists of surgical removal of the tumor depending on the site of the tumor.

If you have more queries, I will be glad to answer.
Dr Shailja P Wahal
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Shailja Puri (27 minutes later)
we did a 24 hour urinalysis to show where any tumors might be....the urinalysi was negative and showed nothing....what would be the next step for diagosis?
doctor
Answered by Dr. Shailja Puri (19 minutes later)
Brief Answer:
If bladder lesion suspected-cystography

Detailed Answer:
Hello and welcome again.
Absence of cells on urine analysis rules out malignant cells in the bladder.
However, certain malignancies do not shed malignant cells in urine.
In case bladder lesion is suspected, a cystography can be done.
Consult your doctor for surgical procedure.

Thak and take care
Dr Shailja P Wahal

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
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Dr. Shailja Puri

Pathologist and Microbiologist

Practicing since :2006

Answered : 8128 Questions

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What causes diarreaha, vomiting, palpations and altered BP?

Brief Answer: Symptoms suggestive of carcinoid. Detailed Answer: Hello, Thanks for posting your query on HealthcareMagic. The symptoms of fluctuating blood pressure along with vomiting, diarrhea and palpitation are suggestive of release of certain chemical in blood which is responsible for all these symptoms. These symptoms are characteristically seen in a neoplasm of neuroendocrine cells- carcinoid. A carcinoid can arise in different sites like gastrointestinal tract, lungs, etc. However, certain investigations are needed to confirm the diagnosis. The symptoms of carcinoid is caused by presence of chemical called serotonin. Investigations consists of determination of this chemical in blood. You need to consult a physician for clinical assessment, investigations and management. Management consists of surgical removal of the tumor depending on the site of the tumor. If you have more queries, I will be glad to answer. Dr Shailja P Wahal