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Old 04-26-2008, 11:14 AM   #1
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Question Diagnose: Sweat breakout after fatty food ? Ultrasound

HELP, Can someone please help diagnose this problem? I just had the Abdominal Ultrasound done on Friday and it's the weekend and I have nowhere else to turn to.

For 5+ years I have experienced a weird phenomenon. Randomly, after having a relatively fatty meal, I will breakout a cold sweat before the end of the meal. The sweating will not stop for a few minutes. This wasn't really an issue of concern until recently.

During the years, I will occasionally (every 6 ~ 9 month) experience a period of awakening at night with extreme thirst, and urinate often. My family doctor would say they may have been caused by stress or allergy, give me a blood test then tell me it's all fine since I look so young. The blood tests all have a high Total Bilirubin (2.0, normal is 0.2 ~ 1.2) but my PCP never mentioned about it.

Recently I experienced the same symptoms again, but this time experiencing diabetic symptoms with constant thirst and fatigue after meal. I went to the doctor and she gave me the same routines again, with a blood glucose tolerance test, it came back normal. I decided to do some research on my own since the discomfort won't go away, and arrived with gallbladder, gallstone, or pancreas issues. This time the doctor finally determined that a spot about 3~5 inches right of the navel will hurt if pressure is applied. She said that's the gallbladder and ordered an ultrasound for me.

During the ultrasound, from my perspective on the bed, the frontal scan looked OK with the gallbladder and bile duck. Then the technician moved the scan to the right side, between the ribs. She seemed to have found a spot on the Monitor, colored white looking similar to a cotton ball. I suspect this is the region around the gallbladder/pancreas. She wouldn't comment on the results of the ultrasound.

I am optimistic, and yet at the same time prepared. I do not suffer from severe pain and extreme tiredness, and for that I am grateful.

Whatever it is, I have a need to know. So far I have looked up all the info I can find on gallstone, liver, pancreatitis, tumor, cancer, and no one else have similar symptoms so far. I have had gallbladder attacks years ago, but the pain quickly went away. I just breakout a cold sweat now after the meal.

Please, if anyone have similar issues or experiences, kindly offer your comments/suggestions! They are greatly appreciated!

-Alan

Last edited by AlanPi; 04-27-2008 at 10:48 PM.

 
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Old 04-28-2008, 11:44 AM   #2
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Exclamation Re: Diagnose: Sweat breakout after fatty food ? Ultrasound

Just a little update on this, so the information hopefully could be useful for others in the future.

Turns out the white spots are bowel gases. But because of the gas the common bile duct and pancreas, IVC (?) were obscured in the ultrasound. The ultrasound's impressions were: 1. no gallstones, 2. extensive bowel gas.

So the symptoms still persists and my PCP is puzzled. She is sending me to a HIDA scan because of the gallbladder, and I will be seeing my Gastroenterologist soon and perhaps have some CT scan.

I hope I am not turning into a hypochondriac or already am one, but somehow I still need to find out this health issue's causes and hopefully find a way to deal with it. Below are the symptoms I am having:

Frequent cold sweat breakout after fatty food (not always, maybe allergy related)
Frequent thirst, need to sip on water constantly, 3~4 times during sleep hours, dry lips
Fatigue after meal, not extreme fatigue where I can't function normally, but tiredness and crankiness
Frequent urination after meal
Pain of gallbladder when pressed
slight sharp back pain mid-lower back
slight jaundice
slightly high bilirubin(2.0)
occasional diarrhea yellow that float in water (steatorrhea), weird foul smell

Symtoms I am NOT having
a. loss of appetite
b. fast weight loss (some weight loss because of change of healthier eating habits)
c. abnormal blood test, except for slightly high cholesterol and bilirubin.
d. diabetic glucose tolerance tested negative

I was told I may have some Liver infection or Liver LST (sp?) in the past, I wonder if they are related...

-Alan

Last edited by AlanPi; 04-28-2008 at 05:28 PM.

 
Old 05-06-2008, 05:34 PM   #3
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Re: Diagnose: Sweat breakout after fatty food ? Ultrasound - Cotton Ball (slightly lo

Got HIDA scan done. Result came in at 7% for Gallbladder ejection fraction, which is really low.

I don't have gallstones however. Maybe had 1 single gallbladder attack 10 years ago. What could be causing the gallbladder problem? Can anything be done without going through the Cholecystectomy?

 
Old 05-14-2008, 01:05 PM   #4
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Re: Diagnose: Sweat breakout after fatty food ? Ultrasound - Cotton Ball (slightly lo

glad you found out the problem
im thinking ony getting it out is the answer
ask the doc

 
Old 05-14-2008, 05:01 PM   #5
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Re: Diagnose: Sweat breakout after fatty food ? Ultrasound - Cotton Ball (slightly lo

I had 3 ultrasounds in 6 years. I've had a colonoscopy and many blood tests. This time I strongly requested a hidascan. Ejection rate turned out to be 10% (and yes it does take 2 hours for the test). Doc thanked me for pursuing the pain. Sent me to a surgeon who insisted on a CT scan cause the hidascan is considered "soft findings" for gall bladder problems, vs. gall stones being rather obvious. I had surgery 2 days ago. Surgeon said the gallbladder has definately been my problem over the years and that it had adhered to some surrounding tissue (but was not tangled with the liver or anything that dramatic).
I would never have known about the hidascan except that is how they found my daughter's gall bladder was only functioning at 14%. We are our own best advocates.

 
Old 05-19-2008, 04:56 AM   #6
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Re: Diagnose: Sweat breakout after fatty food ? Ultrasound - Cotton Ball (slightly lo

Quote:
Originally Posted by AlanPi View Post
Got HIDA scan done. Result came in at 7% for Gallbladder ejection fraction, which is really low.

I don't have gallstones however. Maybe had 1 single gallbladder attack 10 years ago. What could be causing the gallbladder problem? Can anything be done without going through the Cholecystectomy?
I'm at the same point as you. Did you have or elect to have surgery?

I've been buying myself time by eating low fat and healthy fats but I think I'm running out of room. My Gallbladder was nonvisual on the HIDA Scan so it seems it's either blocked or minimally functional at all based on my other symptoms. For the past few months my diet has helped minimize symptoms. I've been eating beets to help move bile through me and that does seem to help when I'm having bad days. Also been avoiding eggs as they seem to make my symptoms worse.

 
Old 06-03-2008, 08:59 PM   #7
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Re: Diagnose: Sweat breakout after fatty food ? Ultrasound - Cotton Ball (slightly lo

Quote:
Originally Posted by Bailey 56 View Post
I had surgery 2 days ago. Surgeon said the gallbladder has definately been my problem over the years and that it had adhered to some surrounding tissue (but was not tangled with the liver or anything that dramatic).
I would never have known about the hidascan except that is how they found my daughter's gall bladder was only functioning at 14%. We are our own best advocates.
Hi, how are you recovering from the surgery? Did you have similar symptoms? Did the Doc say why the gallbladder adhered to the surrounding tissues?

I am considering NOT to have the surgery, so if you are doing well that will be a great encouragement.

 
Old 06-03-2008, 09:06 PM   #8
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Re: Diagnose: Sweat breakout after fatty food ? Ultrasound - Cotton Ball (slightly lo

Quote:
Originally Posted by eihcet View Post
I'm at the same point as you. Did you have or elect to have surgery?

I've been buying myself time by eating low fat and healthy fats but I think I'm running out of room. My Gallbladder was nonvisual on the HIDA Scan so it seems it's either blocked or minimally functional at all based on my other symptoms. For the past few months my diet has helped minimize symptoms. I've been eating beets to help move bile through me and that does seem to help when I'm having bad days. Also been avoiding eggs as they seem to make my symptoms worse.
Hi, what were your symptoms?

I've been staying on a healthy diet as well, with almost no fat. The only thing I noticed did make a difference was, when I attempted the "gallbladder flush", I discovered drinking Apple Juice greatly reduced the Fatigues and Insomnia I was having. It maybe worth a try for you. I drink about 16 ounce (500ml) throughout the day and especially after a meal. Hope that helps you out.

I am now holding-off the cholecystectomy, until I find out more about the PCS and about others having the same issues as we do.

Thanks for your tips, I will take note of them as well.

 
Old 07-07-2008, 11:37 AM   #9
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Re: Diagnose: Sweat breakout after fatty food ? Ultrasound - Cotton Ball (slightly lo

I seemed to have found out why there is a sweat breakout after fatty food: Hypoglycemia

Hypoglycemia usually presents with people having diabetes, it causes sweating, hunger, trembling, anxiety.

Although I passed the blood glucose tolerance test and the Doc says I don't have diabetes, I suspect that I am borderline diabetes from my symptoms.

Since hypoglycemia is caused by a high dose of insulin, I wonder if this is caused by my very low functioning gallbladder. Let's see, gallbladder muscles doesn't want to work, pancreas produces more insulin, blood sugar goes low, and I start sweating... I need some Mayo clinic class doctors to figure this one out...

 
Old 07-07-2008, 11:52 AM   #10
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Re: Diagnose: Sweat breakout after fatty food ? Ultrasound - Cotton Ball (slightly lo

I've suffered from light-headedness/tunnel vision (and almost passing out) for years. It usually occurs when I get overheated, so I've associated it with that - however I have noticed it being food related on occasion. It started when I was 7 months pregnant with my first child and has continued since then (18 yrs ago). It's mostly on and off, but always on when pregnant (had 3 kids). Laying down for a short time, breathing deep and slow and then eating something always helps. I've never really investigated it other than mentioning it from time to time at doctor visits.

As you probably know, they took my gallbladder out in Nov 07 - I still have the occasional fainting spells. Of course, I still get cramping too!

 
Old 07-07-2008, 03:10 PM   #11
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Re: Diagnose: Sweat breakout after fatty food ? Ultrasound - Cotton Ball (slightly lo

Just talked to my surgeon who is supposed to operate cholecystectomy on me. He says removing the gallbladder won't help with the diabetes symptoms.

I suppose that makes sense, since I wake up at night, not sweating. Frequent thirst and urination is caused by high blood sugar, not low blood sugar. However, when I measure my blood glucose level in the middle of the night, it has been normal... I do wake up tired in the morning... It's nuts!

 
Old 07-08-2008, 02:31 AM   #12
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Re: Diagnose: Sweat breakout after fatty food ? Ultrasound - Cotton Ball (slightly lo

AlanPi - the sweating before/while eating is called "gustatory sweating", it can be a rare sign of diabetes, or more commonly caused by damage to the parotid gland, the large salivary gland in the cheek. (AKA Frey Syndrome)

I wonder if you've been tested for Celiac Disease? Gallbladder and liver dysfunction are common signs, as well as steatorrhea and diarrhea.



Zoegirl - you might want to search the term Dysautonomia. I've had fainting spells with tunnel vision since I was a kid. Took me forever to figure out what was going on. Your condition is probably totally different, just thought I'd throw it out there.

Last edited by AuntieLeela; 07-08-2008 at 02:32 AM. Reason: miss pelling

 
Old 07-08-2008, 12:20 PM   #13
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Re: Diagnose: Sweat breakout after fatty food ? Ultrasound - Cotton Ball (slightly lo

Quote:
Originally Posted by AlanPi View Post
I seemed to have found out why there is a sweat breakout after fatty food: Hypoglycemia

Hypoglycemia usually presents with people having diabetes, it causes sweating, hunger, trembling, anxiety.

Although I passed the blood glucose tolerance test and the Doc says I don't have diabetes, I suspect that I am borderline diabetes from my symptoms.

Since hypoglycemia is caused by a high dose of insulin, I wonder if this is caused by my very low functioning gallbladder. Let's see, gallbladder muscles doesn't want to work, pancreas produces more insulin, blood sugar goes low, and I start sweating... I need some Mayo clinic class doctors to figure this one out...
does your heart pound also?

 
Old 07-08-2008, 02:12 PM   #14
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Re: Diagnose: Sweat breakout after fatty food ? Ultrasound - Cotton Ball (slightly lo

Quote:
Originally Posted by AuntieLeela View Post
AlanPi - the sweating before/while eating is called "gustatory sweating", it can be a rare sign of diabetes, or more commonly caused by damage to the parotid gland, the large salivary gland in the cheek. (AKA Frey Syndrome)

I wonder if you've been tested for Celiac Disease? Gallbladder and liver dysfunction are common signs, as well as steatorrhea and diarrhea.
Wow! I thought I will never figure this sweating out! In fact I was just sweating non-stop today eating a sub for lunch! Wow! Non of my doctors ever figured this one out or even come close trying!

Apparently I may have parotid gland damage! A while ago I discovered I have a hole deep in my mouth, on the top part of the throat near the root of my tongue. The little hole was deep enough to be catching food apparently and I have no idea why it's there. It is not too bothersome but I never had this sweating problem before I was 30 years old... I wonder who would be the specialist doctor I need to see now?

I have had the Celiac Comprehensive Panel, Infant (?). The results were negative. I was gluten free 6 days prior to the test, but afterward I asked the doctor and she said it wouldn't matter... I have been consuming foods with gluten for the last week, and the only thing I noticed is if I do not take the full dose of my daily vitamins, I will get fatigues the next day. I don't like to rely on too much vitamins.


Quote:
hopesprings2
does your heart pound also?
I used to have heart pounding with previous episodes of
diabetic like attacks as well as tightness of the chest. I associate that with stress. The pounding has pretty much gone away now, except when I wake up from sleep in the middle of the night.

 
Old 07-08-2008, 03:08 PM   #15
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Re: Diagnose: Sweat breakout after fatty food ? Ultrasound - Cotton Ball (slightly lo

Quote:
Originally Posted by AlanPi View Post
Wow! I thought I will never figure this sweating out! In fact I was just sweating non-stop today eating a sub for lunch! Wow! Non of my doctors ever figured this one out or even come close trying!

Apparently I may have parotid gland damage! A while ago I discovered I have a hole deep in my mouth, on the top part of the throat near the root of my tongue. The little hole was deep enough to be catching food apparently and I have no idea why it's there. It is not too bothersome but I never had this sweating problem before I was 30 years old... I wonder who would be the specialist doctor I need to see now?

I have had the Celiac Comprehensive Panel, Infant (?). The results were negative. I was gluten free 6 days prior to the test, but afterward I asked the doctor and she said it wouldn't matter... I have been consuming foods with gluten for the last week, and the only thing I noticed is if I do not take the full dose of my daily vitamins, I will get fatigues the next day. I don't like to rely on too much vitamins.




I used to have heart pounding with previous episodes of
diabetic like attacks as well as tightness of the chest. I associate that with stress. The pounding has pretty much gone away now, except when I wake up from sleep in the middle of the night.
sounds more like a heart problem
hope they dont miss something and blame it on stress

 
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