So, my gf has had this stomach issue for a while now and the doctors don't have any idea's. Maybe someone here can give a new opinion or maybe has delt with this before. She had a gastric bi-pass surgy when she was about 17, and recovered just fine from it (no scar tissue, or complications with it). But for about 9+ months now she's had these terrible stomach pains when ever she eats. The doctors have giving her all sorts of different pills ( from anti-acids, pain meds, antibiotics just in case it was an infection, nausea meds, nerve pain meds, etc.) The pain is so intese she balls up and cries after eating. That's when the pain is at it's worst. The pain is constant however, and it radiates from the right to left side. As of the last few days she has had a constant pain just under her lowest left rib.
Other symptoms: nausea after eating, low blood sugar, low hemoglobin with high binding capacity, vitamin deficiencies from iron to b1. Severe anemia causing bruises to appear at nothing, she constantly has bruises of different ages on her shins. Weight is stable but no appetite when not being forced to eat. Low platelet counts, normal WBC and RBC. Fatigue is constant and she sleeps about 14+ hrs per day. She is on vitamin supplements including iron gluconate(3x/day), b12, b6, b1, d, calcium, fiber, and one a day max (2x/day). No change in vitamin deficency is noticable. She has the worst prolems with meat, dairy, and whole grains. She cannot eat any from of meat that is not ground up, esp beef and fatty meats, and she can only have non-fat dairy and only on good days. She also gets roving tingling throught the bones in her limbs as well as having muscle weakness. She has a history of migrains and blood sugar related headaches. She's hypoglycemic. She has a constant weight that is normal for her size and it fluctuates very little. Doctors have done upper endoscopy, ultra sounds, ct scan, nucular medicine scans of gallbladder and liver functions, & blood work. Kaiser seems to be unable to diagnose her and sent her home about 6 weeks ago to "wait out the symptoms" while taking belladonna, gabapentine, and fenergan for pain. They keep her on omperazole but that causes her to throw up whole food and often enough to even cause esophageal bleeding. The pain is also affected by the amount of stress and physical exertion she undergoes. The harder her day, the worse the pain. She is almost having to go on disability because she cannot be driving and taking the pain meds.
WBC'S AUTO 7.6 4.0-11.0 thou/uL
RBC, AUTO 4.51 4.2-5.4 mil/uL
HGB 8.4 12.0-16.0 g/dL
HCT, AUTO 28.2 37-47 %
MCV 62.4 81-99 fL
MCH 18.7 27-35 pg/cell
MCHC 30.0 32-37 g/dL
RDW, BLOOD 19.6 11.5-14.5 %
PLATELETS, AUTOMATED COUNT 361 130-400 thou/uL
MPV 8.2 7.4-10.4 fL
VIT B12 396 200-910 pg/mL
FERRITIN 1.9 13-150 ng/mL
IRON 13 60-170 mcg/dL
TOTAL IRON BINDING CAPACITY 561 250-420 mcg/dL
IRON SAT 2 20-50 %
SODIUM 143 135-145 meq/L
POTASSIUM 4.2 3.5-5.0 meq/L
CHLORIDE 108 101-111 meq/L
CO2 24.6 21-31 meq/L
BUN 6 - mg/dL
CREATININE 0.6 0.6-1.1 mg/dL
GLOMERULAR FILTRATION RATE >89-NB - mL/min
CHOLESTEROL 191 - mg/dL
TRIGLYCERIDE 63 - mg/dL
HDL 79 - mg/dL
LDL CALCULATED 99 - mg/dL
CHOLESTEROL/HIGH DENSITY LIPOPROTEIN 2.4 -
GLUCOSE, FASTING 86 70-99 mg/dL
HGBA1C 5.8 4.2-6.7 %
RETICULOCYTES/100 RBC'S, AUTOMATED 0.5 0.4-2.5 %
RETICULOCYTES, IMMATURE/RETICULOCYTES, TOTAL, RBC 0.30 0.20-0.47
HELICOBACTER PYLORI IGG,SER,QN NEGATIVE
FSH
Other symptoms: nausea after eating, low blood sugar, low hemoglobin with high binding capacity, vitamin deficiencies from iron to b1. Severe anemia causing bruises to appear at nothing, she constantly has bruises of different ages on her shins. Weight is stable but no appetite when not being forced to eat. Low platelet counts, normal WBC and RBC. Fatigue is constant and she sleeps about 14+ hrs per day. She is on vitamin supplements including iron gluconate(3x/day), b12, b6, b1, d, calcium, fiber, and one a day max (2x/day). No change in vitamin deficency is noticable. She has the worst prolems with meat, dairy, and whole grains. She cannot eat any from of meat that is not ground up, esp beef and fatty meats, and she can only have non-fat dairy and only on good days. She also gets roving tingling throught the bones in her limbs as well as having muscle weakness. She has a history of migrains and blood sugar related headaches. She's hypoglycemic. She has a constant weight that is normal for her size and it fluctuates very little. Doctors have done upper endoscopy, ultra sounds, ct scan, nucular medicine scans of gallbladder and liver functions, & blood work. Kaiser seems to be unable to diagnose her and sent her home about 6 weeks ago to "wait out the symptoms" while taking belladonna, gabapentine, and fenergan for pain. They keep her on omperazole but that causes her to throw up whole food and often enough to even cause esophageal bleeding. The pain is also affected by the amount of stress and physical exertion she undergoes. The harder her day, the worse the pain. She is almost having to go on disability because she cannot be driving and taking the pain meds.
WBC'S AUTO 7.6 4.0-11.0 thou/uL
RBC, AUTO 4.51 4.2-5.4 mil/uL
HGB 8.4 12.0-16.0 g/dL
HCT, AUTO 28.2 37-47 %
MCV 62.4 81-99 fL
MCH 18.7 27-35 pg/cell
MCHC 30.0 32-37 g/dL
RDW, BLOOD 19.6 11.5-14.5 %
PLATELETS, AUTOMATED COUNT 361 130-400 thou/uL
MPV 8.2 7.4-10.4 fL
VIT B12 396 200-910 pg/mL
FERRITIN 1.9 13-150 ng/mL
IRON 13 60-170 mcg/dL
TOTAL IRON BINDING CAPACITY 561 250-420 mcg/dL
IRON SAT 2 20-50 %
SODIUM 143 135-145 meq/L
POTASSIUM 4.2 3.5-5.0 meq/L
CHLORIDE 108 101-111 meq/L
CO2 24.6 21-31 meq/L
BUN 6 - mg/dL
CREATININE 0.6 0.6-1.1 mg/dL
GLOMERULAR FILTRATION RATE >89-NB - mL/min
CHOLESTEROL 191 - mg/dL
TRIGLYCERIDE 63 - mg/dL
HDL 79 - mg/dL
LDL CALCULATED 99 - mg/dL
CHOLESTEROL/HIGH DENSITY LIPOPROTEIN 2.4 -
GLUCOSE, FASTING 86 70-99 mg/dL
HGBA1C 5.8 4.2-6.7 %
RETICULOCYTES/100 RBC'S, AUTOMATED 0.5 0.4-2.5 %
RETICULOCYTES, IMMATURE/RETICULOCYTES, TOTAL, RBC 0.30 0.20-0.47
HELICOBACTER PYLORI IGG,SER,QN NEGATIVE
FSH