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Seeing GI Doc 12/10 have questions


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Old 01-05-2005, 06:59 AM   #1
ljt77
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Question Seeing GI Doc 12/10 have questions

Hello all,

I am seeing a GI doctor on Monday for the first time and want to be sure I ask all the right questions and give all the information they need. A little background:

In Sept of the past year I started noticing a change in my bowel habits. I used to be very consistent, once a day (same time even!) with a fairly substantial BM, usually in one piece. Since the fall, it changed to 3-4 times a day with small floating stools (not loose at all) and tons of gas. I would be bloated after eating and have a BM within thirty minutes of each meal. At the same time I didn't feel that I had full emptied my bowels. I tried cutting dairy for two weeks at the suggestion of my primary doc, which did lessen the frequency somewhat but the other symptoms remained. I have slowly begun to reintroduce dairy with no noticeable change. Lately I have been more constipated and having trouble producing anything other than small pebble like movements (still floating). The gas continues to be frequent and smelly.

My primary doc had me get a cat scan of my abdomen which did not show anything. She mentioned several possibilities to me about what might be happening; IBS, divurticulitis, celiac sprue, lactose intolerance, crohns, and a blockage (presumably including cancer).

Does anyone have any thoughts and is there anything you think I should specifically ask for as far as tests when I do go to the GI doctor on Monday? Should I be concerned about cancer or does it sound less serious. ANY response will be totally appreciated!!!!!!

 
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Old 01-05-2005, 09:49 AM   #2
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Re: Seeing GI Doc 12/10 have questions

I noticed "ANY" response and after seeing none so far (I'm sure others will post shortly), I'll give you my 2 cents advice. You didn't mention bleeding which is good. I'd ask for the colonoscopy. It's the cadillac whereas the sigmoidoscopy is the volkswagon. The prep is the worse part, but if you can be at home all day the day before the colonoscopy, I'd ask for the Fleet phso soda prep. You drink 1 1/2 ounces in the morning and again at night. It's the mildest prep but not everyone can take the day off from work as you need to stay close to the toliet all day. The other preps require you to drink 1/2 to 1 galon of usually disgusting tasteful mess but you don't have to start the prep til around 5:00 pm preceeding the day of the colonoscopy. The colonoscopy itself is a piece of cake. You won't feel violated in any means...they give you terrific drugs! And, you'll get the best sleep you ever had the night following the colonoscopy. Try not to worry. You have passed the major hurdle that takes most people a long time...making the appointment. Take care and let us posted on your diagnosis! Cathy

 
Old 01-06-2005, 07:58 AM   #3
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Re: Seeing GI Doc 12/10 have questions

Hi,

Assume you are fine until proven otherwise. Worry will only make any problem worse.

Do make sure that you are drinking lots of water. 2-3 liters a day. I once had symptoms likes yours that cleared up when I starting drinking enough. I hope you have no bigger problem then I did. Also keep the fiber high, but that will not help if you are not drinking enough water. Softdrinks, etc. are not a substitute for plain water.

Keep us posted.

 
Old 01-07-2005, 06:36 AM   #4
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Re: Seeing GI Doc 12/10 have questions

Thanks for the reply. I actually am a bit of a water fanatic, due to a history of kidney stones I drink tons! I am trying not to go all worst case scenario all the time, hopefully it's nothing. Just want to be sure that I tell the doctor everything that might be relevant.

 
Old 01-07-2005, 07:42 AM   #5
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Re: Seeing GI Doc 12/10 have questions

Good, let us know what you learn.

 
Old 01-13-2005, 11:05 AM   #6
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Re: Seeing GI Doc 12/10 have questions

Just a quick update:

I saw the GI doctor on Monday the 10th, they have me scheduled for the following tests:

Upper GI series
Abdominal ultrasound
bloodwork to check for sprue markers and thyroid
fecal occult test
test for giardia
lactose breath test

I didn't get a sense that they had any real theory about what might be going on, possibly crohns, colitis, gall bladder, IBS, celiac...all the same things I had though of as well. I did feel like they are being pretty thorough and starting off with the least invasive stuff first and I really felt comfortable in the office and with the nurse practionor who did the exam and ordered all the tests. The doctor came in and did what seemed like a pretty canned speech about all the possibilities. I'll update as things progress and in the meantime still will take any other advice that anyone has! thanks!!!

 
Old 01-13-2005, 12:04 PM   #7
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Re: Seeing GI Doc 12/10 have questions

Hi,

It really sounds as though you're in good hands.......for now, be grateful they aren't sending you for a barium enema x-ray series

I congratulate you on dealing with this quickly.

For sure keep us posted as to the tests and how they go.

If nothing definitive shows up....the colonoscopy will probably be next. It's really an OK procedure (I've had 6)...and contrary to the suggestion of using the Fleet, I'd take the gallon of prep anyday! Agreed...the meds (and watching the monitor) are worth the prep.


Looking forward to your postings,
quincy
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Last edited by quincy; 01-13-2005 at 12:07 PM.

 
Old 01-13-2005, 12:58 PM   #8
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Re: Seeing GI Doc 12/10 have questions

They don't want to perform a colonoscopy or a lower GI. Hmmm, that's strange. Usually that's the first place they go.

Good luck with all of your testing.

 
Old 01-20-2005, 05:49 PM   #9
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Re: Seeing GI Doc 12/10 have questions- update

So far I have results from the bloodwork, which showed nothing abnormal as far as celiac, thyroid etc. I went for the lactose breath test today and that was also negative. Still waiting for results from the GI test and the abdominal ultrasound. Not sure what to think, symptoms remain the same.

 
Old 01-20-2005, 07:44 PM   #10
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Re: Seeing GI Doc 12/10 have questions

My suggestion is still to cut to the chase...get a colonoscopy. Noticed you were having a fecal occult test...latest studies just came out...the test is not accurate and the colonoscopy remains the best test for cancer. The colonoscopy will also tell you if you have diverticulitis, etc.. Cathy

 
Old 01-24-2005, 09:08 AM   #11
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Re: Seeing GI Doc 12/10 have questions

Just got word today that my upper GI and abdominal ultrasound were normal. So not sure what to think???? Maybe it's all in my head!

 
Old 01-24-2005, 07:15 PM   #12
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Re: Seeing GI Doc 12/10 have questions

Stress can do an awlful lot to make you bowels go crazy. Keeping your water and fiber on target can help, but may not overcome the effect of worry.

 
Old 02-07-2005, 08:23 AM   #13
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Re: Seeing GI Doc 12/10 have questions

I am heading back for my follow up with the doc today, as I have mentioned every test thus far has come back negative. The only ones I don't have results on are the fecal hemoccult and the other stool samples. My symptoms remain the same, frequent floating stools, mostly formed but occasionally loose. cramping in the lower left quandrant, tons of gas, bloating, and noisiness. Beginning to wonder if it's all just changing as I get older since nothing seems to be coming back from any of the tests.

 
Old 02-08-2005, 05:36 AM   #14
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Re: Seeing GI Doc 12/10 have questions

Me again. Went to doc yesterday, they have decided to do a colonoscopy since so far everything else has been ruled out and my symptoms have continued. They feel it may be IBS, but want to be on the safe side. I am hopeful that they are right and that it's not a big deal but am glad to be having the test to be sure.

 
Old 02-08-2005, 06:47 AM   #15
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Re: Seeing GI Doc 12/10 have questions

As I read your symptoms several things come to mind..

The bloating could be caused by your friend flora being out of balance and needs to be rebalanced with a probiotic supplenent several times daily and eat some yogurt with alot of different active cultures in it. I also use Kefir every now and then.

The floating stool could becaused by not digesting or breaking fats down properly. This happens sometimes with people that have had teir gallbladder removed. Bile from the liver and not enough Lipase from the pancreus is not being secreted at the right time to digest fats.

Noisy bowels as well as cramping and spasms is an indication of not enough magnesium and calcium in your diet.. Yo could try a Calcium/magnesium supplement along with vitamin D --- you need it anyway to prevent Osteoporsis !!

None of these things are tested for by regular Doctors or even suggested.

God Bless---Harry

 
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