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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes abdominal pain along with diarrhea and nausea?

Seeking any advice! I am a twenty year old female with long history of various symptoms. Let s paraphrase & start at the beginning: I have always had a weak immune system, constantly getting infections or bronchitis as a child. Around age 18, my health began to weaken substantially. At this point my biggest symptoms were exhaustion, ruptured ovarian cysts ( pain so bad putting me at the ER) and the beginning of my GI problems (will elaborate later). In the summer of 2015 at age 19, after an episode of syncope, shortness of breath and constant dizziness, I went to a PC and they forwarded me to cardiology. After extensive testing, they found I had a sporadic tachycardia (reaching 189 bpm at rest) and started me on beta blockers (metoprolol) which eliminated those symptoms. In the beginning of 2016, I visited the PC again after finding a mass in my collarbone area, joint pain and spiking of digestive problems: no appetite (only eating one meal a day), nausea, abdominal pain, constant diarrhea, and blood in stool. After testing they found I had high protein & calcium in my blood and a calcified lung nodule. I was referred to a rhemotologist at the possibility of having lupus or another autoimmune problem, she tested and found high Immunoglobins E and referred me to GI as she said she could do nothing else. I was so thankful for the GI doctor I got, as he apologized for having been passed around so much. Began testing, first colonoscopy/endoscopy, finding irritation and a precancerous polyp but no celiac or crohns. Tested gallbladder, was normal. Did elimination diet to test for food allergies, no significant findings. Have recently had a SIBO breath test and abdominal CT and waiting on results. I am currently taking pantoprazole, IB &FD gard, Carafate, ranitidine, probiotics as well as ondansetron and diclocymine as needed. My condition flares and ceases consistently, and currently the biggest problems are the digestive mentioned above, extreme fatigue (can sleep 11 straight hours, wake up, and three hours later I am exhausted) , cold intolerance, and cough. My family history includes crohns disease, graves disease, heart defects and skin cancer. We are struggling to find an answer and my body is growing tired. Any ideas are appreciated!
Tue, 18 Dec 2018
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  Anonymous's Response
's  Response
Hello,

By the calcification, I remind the parathyroid. Through their secretion of parathyroid hormone (PTH), the parathyroid glands are primarily responsible for maintaining extracellular calcium concentrations.

Hyperparathyroidism is a disease characterized by excessive secretion of parathyroid hormone, an 84–amino acid polypeptide hormone.

The secretion of parathyroid hormone is regulated directly by the plasma concentration of ionized calcium.

The cold intolerance , the fatigue it is caused sometimes by thyroid,so you need some thyroid examination. At least I think you need an endocrinologist and immunologist consult.

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

Take care

Regards,
Dr Sonela Suxho, Pathologist and Microbiologist
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