chronic naseau and pain - please I need reassurance and insight -
Hi there
I am a 19 year old male. I have posted before and if you would like to see a detailed writeup please read my prior post which is 2 pages back titled "chronic abdominal pain, polyps and more." Basically in a nutshell I have been suffering from chronic naseau and a overall queasy feeling everyday for 4 years now. I suffer pain too when I eat that begins pretty much as soon as I start eating and can last for any time ussually an hour or longer, getting worse and then coming down to a more tolerable level. Its really hard to describe because the naseau is such a large component and always present to a degree and the pain and naseau go hand and hand and its hard to seperate the pain from the naseau when both are so bad after eating. The pain seems to crop up only after eating something. I get real hungry too, especially eating low fat, which makes the naseau even worse because it is now hunger pangs and naseau and when I eat I am no longer hungry but the hunger is replaces with pain and increased naseau. It seems at times that as soon as the pain comes down I start getting hungry again and must eat. Can anyone out there relate to the hunger aspect where hunger seems to make things worse, eating helps the hunger and you feel temporarily marginally relieved till the pain and increased naseau kick in? Its hard to explain to people bacause they would say "I thought eating makes things worse", and it does, but hunger is just as bad at times, eating certainly doesn't make things better, only different. The pain seems to radiate from the middle of my upper abdomen the area around and below where the sternum starts, from where the ribs start and up. The pain seems to goes all the way up to the middle of my breasts. It also feel the naseau in my throat sometimes almost like something stuck there or on its way up so I constantly find myself swallowing as to keep something down that is not there. The naseau, pain and discomfort basically radiate from the ribs up but in the centre. Stomach acid didn't used to be a component but more recently it has been upon occasion on top of the pain and naseau. I have eliminated it out of fear of being told I just have stomach acid which I know is not the case. I know what stomach acid feels like and I have eliminated it by taking losec and now prevacid. I have a strong history of gallbladder disease in the family and I have had ultrasounds that show a polyp which is 5.5mm in size. I have had a body mri scan which didn't show anything except a possible small gallstone which I assume was the polyp. I have recently found a new family doctor that I went to in another city elsewhere in the province, though not the specialist I may see in a few months time. He seems to take me and my suffering seriously and appears to be able to do things. Unfortunatley due to my visit being only a week he could only do certain tests in such a short time, especially considering this was the initial consultation. He had me do an ultrasound. I have had a ultrasound recently that showed a solitary polyp. This doctor wanted to do one with a fatty meal and one fasting to see if he could see any blockages. First I did the fasting one and then came back for another ultrasound after having a fatty meal (the first one in a couple of months since I started a low fat diet.) The meal brought on pain and plenty of quesy naseau but no major long lasting attack as I had feared. He said they didn't see any blockages and the gallbladder contracted partially so its working to a degree, but to what degree is my question. In 2000 I had a hida scan without cck that showed a ejection fraction of 35%. I had a regular non-medical milkshake before the test and that was that. Even if they weren't going to use cck as a stimulant but use a milkshake wouldn't one be given the milkshake in the middle of the examination not at the beggining? As far as I can tell a hida scan without cck is useless to show anything but complete obstruction, i could be wrong but would a hida scan's ejection fraction without cck even be valid? The technician even told my mother without cck it was irrelevent, though in canada it doesn't appear cck is widely used or recognised. And that was 4 years ago and things are worse now. I am now pushing and hoping to get a hida scan with cck for I am at the end of my rope. The other tests my new doctor mentioned getting in the new year were an MR cholangiogram and an ercp. I am afraid of the ercp because of the invasive nature and high incidence of problems associated with it. I just want my cck hida scan first if possible. It is not in my nature to cry but latley I have been. After these last two ultrasounds failed to show anything definitive, though i expected that to be the case, I was so distraught I broke down in tears as soon as I left the doctors. I cannot imagine a living a life in constant misery. I have been becoming deeply depressed and withdrawn. I am increasingly thin and tired and just want some inner peace. I am starting to lose all hope, even though I know this doctor will do his best to figure it out I am still so afraid they will never find anything. This feeling of hopelessness stems from not getting real resuts for four years and by being told by other doctors to basically get on with my life. They don't get it...THIS IS MY LIFE. Is there any hope for me or any suggestions. Please respond and offer me something to go on. Does my symptoms seem consist with chronic inflammation of the gallbladder (chronic cholestistis). Anyone out there who has had similar symptoms or can relate, or anyone with the same hunger/pain dillema? Are there any other trees I should be barking up? Any suggestions are welcome.
Thanks
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