Did My Father Conceal the Extent of His Illness Before He Died?
Age: 64 Gender: Male Weight: 95kg before September; 63kg at the time of death Long-term smoker and alcohol user Suffered from pheochromocytoma; prescribed lithium and sertraline. In September 2023, my father suffered two unexplained episodes of losing consciousness. One incident resulted in five fractured ribs, which landed him in the hospital for a fortnight. Medical professionals recommended he undergo MRI and CT scans with a neurology specialist, but he unfortunately ended up on a waiting list. I presume the hospital conducted blood tests to rule out any internal bleeding due to the rib fractures. After his discharge, he was home for less than two weeks before he passed away. The death certificate indicated the cause was gastrointestinal hemorrhage stemming from a chronic duodenal ulcer. The report detailed that the duodenum had dark, altered blood and identified a chronic ulcer 25 x 15 mm in size with a depth of up to 8 mm on the back wall of the first part of the duodenum. Clot remnants were found at the ulcer's base, while the rest of the duodenum appeared normal. If this ulcer had existed for a long time and was actively bleeding, how did it slip through routine blood tests? Was this information potentially communicated to my father? He seemed to have been preparing his affairs, as a will along with bills was found neatly arranged on a card table in the living room. I consider the size of the ulcer to be critical. While the report does not mention it affecting an artery, I suspect it would still lead to significant internal bleeding. Evidence of melena was noted throughout the bed and on him. My father had a strong aversion to hospitals and medical procedures, which complicates my understanding of the situation.
Answers (1)
9/10/2025, 1:40:49 AM
OpenHealth AI
I'm really sorry to hear about your father's passing and the difficulties leading up to it. It's completely understandable to have questions and concerns regarding his illness and the circumstances surrounding his death. Let’s break down your concerns to help clarify things.
Main Points
- Chronic Duodenal Ulcer: It’s possible that your father was unaware of the severity of his ulcer, especially if he had no symptoms prior to his collapse.
- Blood Tests and Clinical Oversight: While some blood tests can indicate internal bleeding, they may not always detect hidden ulcers or the extent of gastrointestinal issues.
- Communication and Preparedness: His aversion to hospitals may have influenced his decisions regarding health care, but the preparation you noted could suggest he had some understanding of his health.
Explanation
Chronic duodenal ulcers can develop without overt symptoms, and they can remain undetected until they cause significant complications, like bleeding. The presence of melena (dark, tarry stools) is a sign of gastrointestinal bleeding, which your father may have been unaware of or attributed to something else. Routine blood tests often look for signs of bleeding like changes in hemoglobin levels, but they might not always indicate that a serious ulcer is present, especially if other symptoms were absent.
Patients sometimes do not fully understand the implications of their health conditions or the potential risks involved, particularly if there is anxiety around medical interventions. Your father's organization of personal affairs might indicate he had concerns or foresight, but it’s difficult to ascertain what he fully understood about his health status.
Next Steps
- Reflect on Symptoms: Consider any changes in your father's behavior or health that might have hinted at his awareness of his condition. Were there any complaints of discomfort, indigestion, or weight loss prior to his collapse?
- Discuss with Family: If you feel comfortable, talk with other family members who might share insights into his health or feelings about medical care at that time.
- Seek Clarity from Medical Records: If you haven’t already, request a full copy of his medical records from the hospital. This can provide further insights into the care he received and any tests performed.
- Emotional Support: Losing a parent is incredibly difficult. In addition to seeking answers, consider talking with a counselor or a support group for those who have lost loved ones.
If you have more specific concerns or need further information about his medical conditions or testing processes, please let me know. Your feelings and questions are valid, and it’s important to take time for yourself during this period.
Related Questions
Struggling with Fatty Liver Despite Significant Lifestyle Changes
At 40 years old, I am a woman grappling with fatty liver disease, which has become notably inflamed. I have been managing high blood pressure and elevated cholesterol with medication while also making considerable adjustments to my lifestyle. These changes have led to a weight loss of 49 pounds, which I am proud of. For the past year, I have completely eliminated sugar from my diet and haven’t indulged in chocolate—something I once enjoyed—over the past several months. I avoid dining out, refrain from takeout, and have never consumed alcohol or smoked. My approach to food is rather conservative; I incorporate a low-fat, low-carb regimen into my meals. I commit to daily walks and keep my beverage choices limited to only black coffee and water. I’ve also largely removed red meat from my diet, as it’s not my preference, and I primarily consume chicken. Despite these substantial efforts, adherence to my prescribed medications, and a genuine commitment to my well-being for more than a year, the condition of my liver has not improved—if anything, it seems to have deteriorated. Recently, an ultrasound indicated that further investigation is needed, and a doctor has recommended an MRI to evaluate the liver's condition. I am curious about what the MRI will reveal and if there are additional steps I can take beyond continuing to lose weight. What could be the reasons behind my liver not improving? If anyone has insights or suggestions, I would greatly appreciate your guidance!
Inflamed Toe Concern
Inflammation in my toe - 35F For several years now, I’ve dealt with a fungal infection on one of my toenails, despite having consulted two different doctors and having the nail scraped. Unfortunately, I have not been able to afford the necessary treatment. The affected nail has become notably thick, rigid, and quite fragile. Recently, I injured my toe, which caused considerable pain for a few days, but thankfully, that discomfort has subsided. However, I've observed that the fungus-affected toe has become red and swollen today. Thankfully, it doesn’t feel warm or painful to the touch, though I do experience a mild itch. Could this condition indicate an infection, a spread of the fungus, or possibly a combination of both? I decided to apply betadine to it, and while doing so, I felt a slight burning tingling sensation underneath the nail for several seconds and some minor itchiness. Currently, it’s improving, even though I hadn’t noticed the issue at first.
Considering an MRI: Anxiety or Underlying Issues?
Hello, healthcare professionals. I’m a 21-year-old female weighing 120 pounds and I'm contemplating whether I ought to ask for an MRI or some other diagnostic imaging. A couple of years back, I experienced a significant slip and fell hard on my head against a concrete surface. Although I sought medical attention at the time, I did not undergo any imaging or detailed examination. Since that incident, I have been experiencing a range of persistent symptoms: nausea, diminished appetite, dizziness, confusion coupled with occasional memory lapses, brief episodes of vision impairment, and recurring pressure headaches that are predominantly focused at the back of my head. These symptoms seem to intensify whenever I have a headache. Furthermore, I am currently prescribed Adderall, and while I am aware that some of these symptoms might stem from medication side effects, nutritional deficiencies, or even anxiety, I can't shake the feeling that there might be an underlying issue considering my history of head trauma and the longevity of my symptoms. Do you think it would be advisable for me to pursue an MRI or another type of imaging study?
Seeking Recommendations for CRPS Specialists in the Philadelphia Area
Residing just north of Philadelphia, PA, I am on the lookout for recommendations for physical therapists, occupational therapists, or other healthcare professionals in the vicinity who have experience treating Complex Regional Pain Syndrome (CRPS). Any leads would be greatly appreciated! About me: I am a 51-year-old woman, standing at 5'5" and weighing 184 lbs. I am currently prescribed Neurontin and Cymbalta, have never smoked, and have a history of injury to my right knee.
Seeking Advice on Ankle Discomfort
Hello everyone, I'm unsure if this is the appropriate place to seek help, but I'm in need of some guidance. After attending a wedding on Saturday while wearing high heels—something I don’t typically do—I’ve been suffering from significant pain in my ankle along with noticeable swelling. Although I am able to walk, the discomfort is quite intense. Has anyone else gone through something similar? How can you differentiate between a simple sprain and a more serious issue like a stress fracture? For reference, I’m a 22-year-old female, standing at 5 feet 4 inches tall. Generally, I maintain good health; however, I did experience Covid recently, which I suspect may be contributing to the inflammation.