Discussions By Condition: I cannot get a diagnosis.

abdominal attacks

Posted In: I cannot get a diagnosis. 0 Replies
  • Posted By: Anonymous
  • January 8, 2007
  • 01:46 AM

Here is my medical info. please help me- the doctors seem to have resorted to guesswork and I have little faith in them anymore. Any help or advice would greatly appreicated.

Current prescription medicines
Levlen 28 .15/30, once daily, birth control
Zoloft 50 mg, once daily, anxiety & depression
Singulair 10 mg, once daily, allergies
Patanol eye drops, 1-2 drops daily, allergies
Prevacid 30mg, once daily

Levsin .125 mg, 1-2 every 4 hours as needed for abdominal pain (have not taken any)
Lortab 5-500 mg, 1-2 every 6 hours as needed for pain (for pain after surgery)
Demerol 50 mg, 1-2 every 3 hours as needed for pain (taken to control pain for 1 attack)

Pervious surgeries/procedures
Wisdom teeth removed, 2000
Gallbladder removed, 11-22-06
ERCP, 12-22-06

Allergies- seasonal; no medicine/food/product allergies

Other medical information
- hard of hearing, wear hearing aids
- frequent sinus infections and colds

+ I have had abdominal pain several times over the past 5-6 years. Once it was severe enough to cause nausea and vomiting but it resolved. The pain had never been severe enough or frequent enough to seek medical attention.

+ Over the past 6 months I have been experiencing back pain directly opposite the area of the recent abdominal pain. At times, the small area near my spine becomes numb. Motrin usually resolves this pain to a bearable level. Until the 12-22 episode, I had not had this back pain/numbness at the same time as the abdominal pain. I had attributed this back pain to work related tasks (preschool teacher ) and have not had medical treatment for it.

First attack, started at 9pm. Experienced 15 min of severe right & left upper abdominal pain radiating through to the back accompanied by nausea and vomiting, then 10-15 min without pain. After 3 periods of this, went to ER. Examined by Dr. M. Instructed to drink a liquid to help rule out possible causes (unsure what this was for). Blood work returned normal. Had 4th attack while in the ER, given shot of morphine to relieve pain. Prescribed Levsin for pain and scheduled ultrasound.
Food/drink consumed prior to attack: pizza, 2-3 alcoholic drinks

Ultrasound positive for gallstones. Referred to Dr. S for f/u.

Appt. with Dr. S. Reviewed gallbladder removal procedure. Scheduled it for 11-9-06

~ cancelled surgery, opted to have it done in Kentucky instead (family lives in KY)

Appt. with Dr. B in KY. Reviewed medical history and the procedure, scheduled surgery for the next day. Completed pre-op routine.

Gallbladder removed by laparoscopic surgery by Dr. B. Gallbladder contained many small stones, much scar tissue in area, duct was enlarged, no stones in duct. Prescribed Lortab for pain and something for nausea. Returned to normal activity within 2 weeks.

9pm experienced pain similar to gallbladder attacks, lying down lessened intensity. Resolved within 15 min and did not return. Did not seek medical attention.
Food/drink consumed prior to attack: hash brown casserole, chocolate fudge, 2 alcoholic drinks

11pm experienced pain again. Resolved within 10-15 min and did not return. Did not seek medical attention.
Food/drink consumed prior to attack: pizza, bean soup & corn bread, 3-4 alcoholic drinks

9am, upper abdominal pain returned while at work, took one Lortab in attempt to alleviate pain. Pain returned at 9:30am with increasing severity. Left work at 10:15am and pain was resolved by 11am when arrived at ER. Examined by Dr. H. Blood work normal, except for slightly elevated liver results. Prescribed Demerol for pain and referred to Dr. Mc for ERCP.
Food/drink consumed prior to attack: none

ERCP performed by Dr. Mc. No stones found in duct, cut sphincter as could be source of pain. Returned home at 10:30am. By 11am, experienced upper abdominal pain with nausea and vomiting. Called Dr. Mc. Due to possibility of pancreatitis, recommended I return to ER. Pain resolved within 15 min and another phone call to dr. stated I should be ok if pain did not return.
Pain returned throughout the day and night with variable intensity and location (both sides of upper abdomen and back) and seemed to become worse when lying down. At 8pm attempted to contact the on call doctor (V) but was unsuccessful

2am woke up with severe abdominal pain, contacted on call doctor (V) who strongly suggested I go to the ER due to the likelihood of pancreatitis.
2:30am went to ER in severe pain. Examined by Dr. N. Received shot of Demerol for pain. Blood work and urinalysis returned normal, except for slightly abnormal liver results. Prescribed Prevacid and advised me to begin taking Demerol as needed for pain. Advised to call back in 4 days for H. Pylori (stomach ulcer causing bacteria) results.
Severe abdominal pain continued throughout the day, took Demerol to control pain.

Called dr, H. Pylori results negative. Discontinued Prevacid.

Went to Dr. J to discuss illness and possible causes and treatment. Reviewed medical history and performed basic physical exam. Blood work and urinalysis done, returned normal. Abdominal X-rays showed no abnormalities. Discussed possible treatment, recommended I continue Prevacid and return in 2 weeks for f/u. Have been taking 15mg of Prevacid twice daily before meals since and have not yet had another attack.

+Before several attacks I had eaten fatty foods and/or had been drinking. However, this was not the case for every attack and there are many times when I eat unhealthy food and/or drink and do not have attacks. Not sure if this is related to the attacks or not.

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