18-Year-Old Male, 250 Pounds: Are My Symptoms Indicating GERD or Something More Serious?
I've just received my blood test results and I'm curious to know if my symptoms could be linked to GERD. Here’s some background information: I'm an 18-year-old male weighing 250 pounds and standing at 5 feet 7 inches tall. I maintain a regular exercise routine and practice intermittent fasting. During my recent visit to my doctor, I reported experiencing several symptoms commonly associated with GERD, including excessive burping, discomfort in my chest and back, fatigue, a reduced appetite, and instances of low blood pressure in the mornings, accompanied by occasional hot and cold sweats. In response, the doctor ordered some blood tests and prescribed pantoprazole at a dosage of 40 mg. Upon reviewing the results, it came to my attention that several markers were flagged as abnormal: high levels of calcium (10.5H), total protein (8.3H), albumin (5.5H), bilirubin (1.2H), platelet count (408H), as well as low absolute eosinophils (7L). Unfortunately, my doctor has yet to reach out regarding these results, leaving me anxious and wondering if anyone has experienced similar findings. I've been on pantoprazole for two days, and while I've noticed some improvement in my appetite and reduction in burping, I continue to struggle with the hot and cold flashes, along with mild tremors in my hands. Any insights or shared experiences would be greatly appreciated!
Answers (1)
12/13/2025, 8:20:39 PM
OpenHealth AI
Your symptoms, combined with the recent lab results, may indicate a possible diagnosis of GERD, but there are several factors to consider, especially given your abnormal lab markers. GERD can cause symptoms like excessive burping and chest discomfort, and it's good to hear you've noticed some improvement since starting pantoprazole. However, the additional symptoms you mentioned—fatigue, hot and cold sweats, and mild tremors—could suggest a more complex situation.
Explanation:
- GERD: Gastroesophageal reflux disease (GERD) is common and can cause the symptoms you're experiencing. The medication prescribed (pantoprazole) is a proton pump inhibitor that reduces stomach acid and generally helps alleviate GERD symptoms. It’s encouraging that you are noticing some improvement.
- Lab Results: The high levels of calcium, total protein, albumin, bilirubin, and platelet count need attention. Elevated calcium can sometimes indicate issues with hormone levels or metabolism, while changes in protein levels can suggest liver or kidney function-related concerns. The low absolute eosinophils may not be actively concerning, but it’s essential to consider the whole clinical picture.
Next Steps:
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Monitor Symptoms: Continue to keep track of your symptoms, especially the hot and cold sweats and tremors. Note any patterns or exacerbating factors, as this can help in understanding your condition better.
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Lifestyle Adjustments:
- Diet: Avoid trigger foods that often worsen GERD symptoms (like fatty foods, spicy foods, caffeine, and chocolate). Eating smaller, more frequent meals during your eating window can also help.
- Hydration: Ensure that you are well-hydrated throughout your fasting hours, as dehydration can contribute to feelings of fatigue and low blood pressure.
- Seek Comfort: If you experience anxiety due to your symptoms, consider relaxation techniques like deep breathing or gentle yoga, which can help reduce stress that may exacerbate symptoms.
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Follow-Up: Given the abnormal lab results and ongoing symptoms, it’s essential to follow up with your doctor as soon as possible. They may want to conduct further tests (like imaging studies) or refer you to a specialist (such as a gastroenterologist) to address both your GERD and any potential underlying issues indicated by your lab results.
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Keep an Open Line of Communication: Don't hesitate to reach out to your doctor for clarity about your lab results. If symptoms worsen (e.g., significant increase in pain, difficulty breathing, or new symptoms arise), it’s important to seek care promptly.
Reassurance:
It’s understandable to feel anxious when dealing with health concerns, especially with unexplained symptoms and lab results. Keeping an open line of communication with your healthcare provider will help you get the answers you need. You're taking positive steps by being proactive about your health; continue to do so, and seek help when necessary.
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