Struggling with Digestive Distress
Hello once more. I’m a 24-year-old individual weighing 210 pounds and standing at 5 feet 7 inches tall. My only previous surgical procedure was the removal of my gallbladder nearly 13 years ago, and I have also given birth to a child. • At the end of November, I began to notice some discomfort in my left upper quadrant, though it wasn't particularly intense. I consulted a physician who referred me to a gastroenterologist. The gastroenterologist performed an endoscopy, which yielded normal results, and an ultrasound of my liver revealed fatty liver, as a result of my elevated liver enzyme levels. • By early December, I encountered symptoms of constipation for the first time in my life, as I have always experienced diarrhea and loose stools in the past. • On January 13th, I underwent blood tests for CA 19-9, CEA, and CA 125, and all results fell within normal limits. • Around February 26th, I had a CT scan with contrast, both orally and via IV, to investigate my constipation. The scan returned normal findings aside from the presence of fatty liver. • Starting in March, I began to experience significant pain intermittently in my right rib area, which is more pronounced in my back and radiates toward my shoulder blades. There are occasions when the discomfort seems to be felt in my chest as well. • The gastroenterologist prescribed Linzess for my symptoms, and I took my final dose a week ago. • Last evening, I noticed what appears to be thick white mucus in my stool. • For several months, I have been plagued by a persistent unpleasant taste in my mouth. • Additionally, my monocyte levels have shown slight elevation recently, at 0.7, while the reference range should be between 0.11 and 0.59, which I've learned could potentially be associated with pancreatic conditions. • My stools have become unusually large and thick, sometimes appearing pale and at other times normal dark brown in color. • My concerns: I am profoundly anxious about the possibility of pancreatic cancer, especially since my intense pain began following the CT scan. I'm left wondering what other conditions could be causing these symptoms, particularly given that I no longer have a gallbladder.
Answers (1)
3/28/2025, 8:10:44 PM
OpenHealth AI
I understand that you're going through a challenging time with these digestive issues and the anxiety surrounding them, especially with your concern about pancreatic cancer. You’ve experienced multiple symptoms and tests have shown some abnormalities, which makes it natural to feel anxious. Let’s break this down and focus on what you can do moving forward.
Key Points:
- You have a history of digestive distress, recent constipation, and pain in the right rib area.
- Your tests so far have returned normal results, but you’re concerned about pancreatic cancer.
- You’ve noticed changes in stool consistency and have had persistent unpleasant taste.
Explanation:
Your set of symptoms could stem from a few different causes, especially considering your history of gallbladder removal. While you have understandably high anxiety about cancer, normal lab results and imaging are encouraging and often rule out serious conditions.
- Fatty Liver: This is common and can contribute to digestive problems. Weight management through diet and exercise is important here.
- Gastrointestinal Function: The recent constipated symptoms may also relate to dietary changes, medication side effects, or stress, which can affect your digestion.
- Mucus in Stool: This can occur due to irritation in the digestive tract. Even stress can contribute to such changes.
- Monocyte Levels: Slight elevation may indicate inflammation but are not specific to any single disease, particularly pancreatic cancer.
Next Steps:
- Dietary Modifications: Focus on a high-fiber diet including fruits, vegetables, and whole grains to support healthy digestion and alleviate constipation.
- Hydration: Ensure you're drinking plenty of water, which can help with stool consistency and overall digestion.
- Track Symptoms: Keep a detailed log of your symptoms, dietary intake, and any stressors to present to your healthcare provider. note changes in stool color, consistency, any pain patterns, and any factors that trigger or relieve symptoms.
- Stress Management: Consider relaxation techniques such as deep breathing, meditation, or yoga to help with anxiety and potentially improve digestive health.
- Follow-up Appointment: Although you have been through several tests, it’s essential to discuss your ongoing symptoms with your gastroenterologist. Share your concerns regarding pancreatic health, and consider asking about further evaluation if symptoms persist or worsen.
Remaining vigilant about your health while addressing your concerns with a professional can provide peace of mind. Please take these steps and monitor your symptoms closely, and remember you’re not alone in this — health practitioners are there to help you every step of the way.
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