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What Causes Severe Swelling In Abdomen In A GERD Patient?

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Posted on Thu, 14 Jul 2016
Question: I'm a bit anxious whether my new doctor is leaping to a single diagnosis when there may be a bit more complexity. My sister died of non-hodgkins lymphoma, as did my grandmother. Two more blood relatives (niece and nephew) have been treated successfully for non-hodgkin lymphoma. So I admit to paranoia. I have GERD. This new doctor is assuming that the fairly large change in swelling of my belly is due to suddenly worsening GERD. I think certainly this is possible. I've been tested for pylora, and that is negative. However, I have asymmetric tonsils, I definitely have weakened quite a bit over the past 6 months, to the point that my activities are much reduced, and now I have found out my dog may have giardia, so now I'm being paranoid about multiple things! I also have mild tachycardia. I can still work, but have had to battle to make sure my employer understands that I can no longer work 50+ hours a week. I guess, in essence, my questions are: (1) How do I get this new doctor to take me seriously? And at the least tell me why she thinks it's a waste of time to not rule out other issues. (2) Would this sudden swelling (no pain, and not a lot of passing of gas, or anything) be caused by something other than GERD? And if so, what could rule out other issues? (64 year old female, science writer. So it's not like I can't understand a detailed medical explanation.)
doctor
Answered by Dr. Ralf Von Seckendorff (4 hours later)
Brief Answer:
Other causes may be possible, Ultrasound and blood work recommendable

Detailed Answer:
Dear Patient,

i don't mean to cause any panic according to lymphoma. But GERD is not the only possible cause for swelling in the abdomen. In a case like yours i would usually recommend an ultrasound of the abdomen, and a generell blood test for signs of inflammation. If you have any diarrhea some stool test for bacteria may also be an option, even though that sounds less likely since you did not mention that.

If the ultrasound and blood test is ok you can be more relaxed, this may also be stress related. Working less hours is advisable if possible with your employer.

Best regards

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Ralf Von Seckendorff (9 hours later)
Thank you. I'll push for future testing.
doctor
Answered by Dr. Ralf Von Seckendorff (48 minutes later)
Brief Answer:
Glad i could help

Detailed Answer:
All the best,
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Ralf Von Seckendorff

General & Family Physician

Practicing since :2009

Answered : 535 Questions

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What Causes Severe Swelling In Abdomen In A GERD Patient?

Brief Answer: Other causes may be possible, Ultrasound and blood work recommendable Detailed Answer: Dear Patient, i don't mean to cause any panic according to lymphoma. But GERD is not the only possible cause for swelling in the abdomen. In a case like yours i would usually recommend an ultrasound of the abdomen, and a generell blood test for signs of inflammation. If you have any diarrhea some stool test for bacteria may also be an option, even though that sounds less likely since you did not mention that. If the ultrasound and blood test is ok you can be more relaxed, this may also be stress related. Working less hours is advisable if possible with your employer. Best regards