Concerns Over Gastroenterology Approach: Colonoscopy and Endoscopy Recommendations
I’m reaching out on behalf of my wife since she's not on Reddit. Background: 28 years old, weighing 176 pounds and standing 5 feet 4 inches tall. For the past 2 to 3 weeks, she has been suffering from abdominal discomfort, specifically in the central region of her stomach. The pain intensified at one point but has since subsided to its initial level, which is manageable. She's still able to maintain her appetite. Additionally, she's recently dealt with symptoms of a sore throat and likely a sinus infection. She describes the sensations as reminiscent of hunger pangs, accompanied by occasional nausea. Notably, there’s no tenderness when pressure is applied to her abdomen. Another concern is some rectal bleeding, which prompted her to consult a gastroenterology nurse practitioner at a large private clinic that has several locations across the state. Unfortunately, the NP was unable to provide a clear diagnosis, suggesting stress as a possible cause. She did not conduct any blood tests such as a metabolic panel or a complete blood count, nor was there a test to check for H. pylori. Instead, the NP recommended proceeding directly to both an endoscopy and a colonoscopy. I’m curious if this approach is typical in such situations. In my experience, when I underwent similar procedures a year ago, it followed a series of preliminary tests that I believe were thorough. It feels like there could be an underlying motive focused on financial gain from this clinic, and I’d be interested to hear from medical professionals regarding this matter. It's important to note that both of my wife’s grandfathers passed away from stomach cancer in their 70s, which adds to our concern.
Answers (1)
3/17/2025, 3:00:51 PM
OpenHealth AI
I understand your concerns regarding your wife's gastrointestinal symptoms and the recommendation for endoscopy and colonoscopy without prior testing. Here’s a breakdown of the situation and what you can consider moving forward.
Main Points:
- Abdominal discomfort and rectal bleeding merit careful evaluation.
- Recommendations for procedures should typically follow a thorough assessment.
- Family history of stomach cancer raises valid concerns that should not be overlooked.
Explanation:
Your wife’s symptoms—abdominal discomfort and rectal bleeding—are significant, especially given her family history of stomach cancer. It’s understandable to feel uneasy about the approach she's experienced at the clinic. Generally, healthcare providers start with preliminary tests—like blood tests or imaging—to get a better understanding of the issue before recommending invasive procedures like endoscopy and colonoscopy.
The fact that the NP suggested stress as a potential cause, but didn't conduct initial testing, can be frustrating. Sometimes, gastrointestinal symptoms are complex and can be caused by various factors, including stress, infections, inflammation, or structural abnormalities.
Next Steps:
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Maintain a Symptom Diary: Keep track of your wife's symptoms—when they occur, their severity, and any relationship with meals or stress. This can provide valuable information for her healthcare providers.
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Consider Seeking a Second Opinion: If you're uncomfortable with the current recommendations, it might be wise to consult another healthcare provider, preferably a gastroenterologist. They can evaluate her symptoms and recommend necessary tests or procedures based on her individual situation.
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Request Blood Tests: If you do consult another provider, ask for basic blood tests, including a complete blood count (CBC) and tests for markers of inflammation. This can help rule out conditions that require urgent attention.
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Focus on Symptom Management: In the meantime, encourage your wife to stay hydrated, eat smaller meals, and avoid known irritants (like spicy or fatty foods) that may exacerbate her abdominal discomfort.
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Plan Follow-Up: Schedule a follow-up appointment to discuss any changes in her symptoms. If the abdominal pain or rectal bleeding worsens, seek immediate evaluation.
Your concerns are valid, especially given the family history. It's important for both your wife and you to feel confident in the care she is receiving. Please keep advocating for her health.
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