Discussions By Condition: I cannot get a diagnosis.

Concerned about GI symptoms - Suggestions?

Posted In: I cannot get a diagnosis. 3 Replies
  • Posted By: WilliamReuben
  • September 9, 2008
  • 00:25 AM

My husband started feeling ill about 2 months ago. He had some frank blood in his stool with abdominal pain and cramps, mostly upon awakening in the morning. He had diarrhea in the morning, but felt constipated and bloated in the afternoons. He felt very nauseated during the day. Our family doctor also found occult blood in his stool.

His H. Pylori test was negative. His pancreatic enzymes were within normal limits. A CBC and chemistry panel were normal. An abdominal ultrasound was negative. He had a colonoscopy and endoscopy, which were both negative, except from some internal hemorrhoids, which I guess account for the blood in his stool. He is still having problems with diarrhea and nausea in the morning, along with a lot of fatigue. He has lost about 15 pounds in 2 months, without any real efforts at dieting.

Now, I'm starting to have the same symptoms. I'm waking up nauseated. I'm having intermittent abdominal pain, mostly on the right side, and have diarrhea in the morning. I have a lot of heartburn. No blood in my stool. I'm not pregnant - last menstrual period ended last week, plus we have a document infertility issue. I have not been in to see my family doctor yet, as I just started having this problem over the weekend.

My husband and I don't typically eat any of the same things (I'm vegetarian and he is not), so I doubt a food source could be the issue. We also don't drink tap water. We do eat out a lot, so I'm wondering about the possibility of Hepatitis A.

We got a new kitten about a month ago, who was diagnosed with roundworms, so I also wonder if that's a possibility, but my husband insists he was feeling bad before the kitten came into our home.

Our family doctor and the gastroenterologist seem to have nothing left to offer my husband. I'm afraid they'll do all the same things for me, too, and we'll be no further along.

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3 Replies:

  • The symptoms suggest an intestinal infection such as parasites (giardia, or amoeba,particularly); have you had your stools tested for this? Often the tests come out negative (my parasitologist says you sometimes need 15 samples to get a positive on giardia). Often doctors will treat from symptoms. That you got it some time after your husband probably means you caught it from him (if this is the problem). Good luck. Marionstar
    marionstar 228 Replies
    • September 9, 2008
    • 01:52 AM
    • 0
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  • Thanks for the reply.We asked about the possibility of parasites, and were told that it wasn't likely, given that my husband wasn't having continuous diarrhea. Only diarrhea upon awakening in the morning. I suppose I can ask again, though.He's been feeling ill since July. Would a giardia infection last that long?I'm also not sure how we would have gotten Giardia. We have a filter for our water. We have chinchillas, who are very susceptible to giardia in water, so we have a good water filter. We also don't go swimming. We have no children in day care. But I suppose anything is possible.
    WilliamReuben 1 Replies
    • September 9, 2008
    • 10:30 PM
    • 0
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  • Hi, WR, Yes, giardia can stick around a long time, with intermittent symptoms. Also, there can be shifts from diarrhea to constipation. Look it up on the internet, you'll find a lot of stuff.As far as using filters, I don't know what to tell you; you could have it or not; you could have gotten it from home or not. There still could be another explanation for what you are suffering.Maybe your physicians would check you again; maybe they would consider treating for symptoms, particularly since both of you have something. Try to get at least three samples tested. Thanks for your reply. Let us know how it goes. Marionstar
    marionstar 228 Replies
    • September 10, 2008
    • 01:47 AM
    • 0
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