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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Stomach ache, fat body in stool, headache, nausea, muscle ache

Hi 3 weeks ago I had stomach ache and lower bake ache suddenly at morning and then diarrhea till afternoon and at night 38.5 fever. From that day until now, I m seek and have weakness ,dyspnea( I can t breath deeply), headache. nausea, loss of appetite bone and muscle ache. In first stool exam(16 days ago) oval fat body reported , but in second not seen. i see jellylike things in stool. my bowel filled withe the sound of intestines growl in first laboratory test (16days ago) : FBS 82 , BUN 11.4 , Creatinine 0.9 BUN/Creatinine 13 , Triglycerides 92 cholesterol 200(always was upper than) , LDL 88.5 ( always was upper than 130). HDL 77( always was fewer than 35) , Ca 8.2 ( always was ok and I take enough dairy), P 3.1 , Na 140 , k 3.5 , S.G.O.T 31 , S.G.P.T 30 , Phosphatase Alkaline 122 , amylase 69 , Lipase 59 , ESR 25 , PT-Patient- time 12.5 , PT - Activity 920.1 INR 1.1 , PT0CONTROL 12 , WBC 5.6 .Neut 64.2 . Lymp 25.3 ( always was 40-43) Mono 8.9( always was 1-2) , Eos 1.3 , Bas 0.3 , RBC 4.66 , HGB 14.2 , Hct% 43.7 RDW% 13 ..... Stool : soft , brown , oval fat body were seen , mucus not seen( but I see jellylike ) rbc 0-1 . wbc 1-2 , ova of parasite not seen , cyst & trophozoit not seen , un digested food not seen , Occult blood negative second laboratory exam (10 days ago) : WBC 5.53 Neu 71.2 % , Lymp 20,6 Mono 6.9 , EO 0.06 , Baso 0.01 , ESR 14 , RBC 4.77 . HGB 15, HCT46.2, platelet 279 , HDL 76 , Cholesterol/HDL 2.8 , LDL 96 , LDL/HDL1.3 , SGOT 15 , SGPT 14 , Alkalin phosphatase 114 , Gamma GT 11 .... 4 weeks ago a CFL s bulb break in my hand when i was replacement it. I m 47 years old. Thank you t
Thu, 21 Mar 2019
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General Surgeon 's  Response
Hi,

There is a possible issue with micelle formation at the intestine level, which can be possible with narrated reports.

A colonoscopy is recommended strongly at this juncture to proceed further for the definite diagnosis and precise care rather than looking for empiric therapies.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Stomach ache, fat body in stool, headache, nausea, muscle ache

Hi, There is a possible issue with micelle formation at the intestine level, which can be possible with narrated reports. A colonoscopy is recommended strongly at this juncture to proceed further for the definite diagnosis and precise care rather than looking for empiric therapies. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon