What do my lab test reports indicate?
Just curious about something...
If I've been experiencing RUQ pain for two years now, in which it started after a meal and has not gone away. It is typically aggravated after eating or drinking anything that isn't just water. Sometimes it'll hurt with no eating at all. It has also recently started to hurt on the middle-left of my back/abdomen. I've had an MRI, endoscopy, and a few blood tests.
If these all came back normal (amylase, lipase, trypsin, MRI, etc), is there a chance of this still being cancer or just simply a digestive issue?
Gastritis is not always apparent on endoscopy.
Thanks for query dear patient,
Have gone through your details and i appreciate your concerns.
As per your query answers are-
No it can't be cancer or a precancerous state if MRI and endoscopy are normal.
However yes it can be gastritis.As said by you pain is directly related to food intake so most likely it can be due to a inflammation along the gastric mucosa.Endoscopy is used to rule out possibility of peptic ulcers,However gastritis(inflammation) is not always apparent and is not necessary that we can appreciate inflamed area in every patient of gastritis.
A better way in your case is to see how your pain responds to acid inhibitors(clinical diagnosis).
I would suggest you take omeprazole 40 mg twice daily an hour before having heavy meals along with an antacid syrup for few days and see if pain responds to it.
Secondly get a 2d echo of heart done.Some times post parandrial pain in upper abdomen with normal gut investigations can be suggestive of angina.
A 2d echo would rule out possibilities of angina.
Hope i was helpful.
Warm regards and feel free to follow up.
Follow up answer.
In that case i would suggest you to go for a stool test to see parasitic or helminthic infestation in intestines.
If that test also turns up to be normal i would suggest you to take probiotic and a antispasmodic like dicyclomine for a few days and to see if it helps.
As of now as tests are normal just on the basis of history its difficult to conclude things.
If there is some residual infection in gut then on taking food peristalsis increases pain starts,Antispasmodic could slow down contractions of peristalsis hence could help.
Follow up answer.
Hi again ,
Pancreatic condition are rarely related with of and on pain,Usually pain is very severe in most of the cases.
So I dont feel its pancreatic.Secondly MRI is a very sensitive test and would have reflected pancreatic pathology.
For parasite if you don't want to take albendazole go for a stool routine test most of the times parasites are reflected in it.
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