Discussions By Condition: I cannot get a diagnosis.

Medical Crisis-- Doctors no help!

Posted In: I cannot get a diagnosis. 8 Replies
  • Posted By: Anonymous
  • January 5, 2009
  • 03:09 PM

First off I have had bouts of hypertension, and I have valve disease, and a constant arrhythmia of PVC's that seem resistant to my beta-blocker medication. My legs also frequently hurt a lot, so painful that itself will keep me awake at night almost in tears. Thats been going on four to five years. A few weeks ago I was int he ER for severe left flank, possibly kidney pain. Urinalysis showed some white cells but not exactly enough to confirm a kidney infection, though I was treated for such because it was so painful and they couldn't tell what was going on exactly and gave me antibiotics and hydrocodone. I still have some discomfort.

However, the last month my stools haven't been 'normal' and are always loose. Sometimes I have painful diarrhea, and I am frequently, overwhelmingly nauseated. The last few nights my palpitations have been getting much worse actually waking me in the middle of the night and keeping me up with my chest pounding and racing. I started vomiting intermittently ( about 4 times ) for the last 24 hours, and very suddenly the nausea has become so incredibly overwhelming it's painful. I ended up back in the ER, and my PVC's were very frequent, my blood pressure was 154/112, and my heart rate was hovering in the 100-116 range, at rest in bed. My blood showed I had low potassium, and low magnesium, and a high myocyte count. However in my last blood work from a few weeks ago, my potassium and magnesium were fine. Now I am starting to get abdominal pain, and I can still feel my heart fluttering in my chest. I am getting even more nauseated despite the intravenous fluids and potassium pills.

My doctor won't help me-- he just looks at me and says "What do you expect ME to do? I can't do anything they haven't already done." And makes me feel very little.

Isn't there a Dr.Gregory House out there somewhere to help me?!

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8 Replies:

  • First of all,fire your doctor!Next,try to get a grip on what's going on.Your potassium and magnesium levels are low due to losses from your body.That can easily be fixed.As for your hypertension,there is at least one med that will take care of that,which is likely contributing to your PVC's.Next,there are other meds besides beta-blockers that treat PVC's.The first order of business is to get your blood pressure down.
    richard wayne2b 1232 Replies
    • January 5, 2009
    • 03:41 PM
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  • I know you don't want to hear this right now,but most GI Sx are psychophysiological.However,was there blood in the stool?Have you had fever,chills, or night sweats?Are you under any more stress than usual?Do you have your gallbladder?Do you drink alcohol?Have you ever had irritable bowel syndrome?
    richard wayne2b 1232 Replies
    • January 5, 2009
    • 03:49 PM
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  • I don't think it's psychological... I haven't had normal formed stool in three weeks, it's mostly water. Sometimes it's accompanied by severe abdominal pain. Which I assume is just the nature of diarrhea. It may be nothing, but I would rather mention it rather than not say anything and leave out a possible symptom. It is very unusual for me. I haven't been going more frequent than usual, however.. Thats why the low magnesium and potassium concern me, I don't see how it's low because of losses. I threw up only four times, and the possible diarrhea isn't a lot.My PVC's are unknown as to why they're being caused and my doctor has considered making me a candidate for a defibrillator. I was supposed to see a electrophysiologist, but this doctor is refusing me to see a cardiologist let alone a sub-specialist. I have been on the Toprol 100 mg a day for a while and my PVC's and bp have been resistant to it. I do not drink, smoke, and yes, I have my gallbladder. I did not have a fever, but I did have some shaking. It seems the potassium isn't working and is still plummeting, as I am doing no better and even worse since my ER visit 7 hours ago. I called and they are concerned and want me back, but I have no way to go and am just worried it will yield nothing. Symptoms are treated temporarily, never given a diagnosis! Its frustrating. I know something is wrong with me, thing seems to slowly be getting worse.
    Anonymous 42789 Replies
    • January 5, 2009
    • 06:21 PM
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  • Three weeks of watery stool is enough to drop your potassium.
    richard wayne2b 1232 Replies
    • January 5, 2009
    • 11:00 PM
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  • Then here's the question... Why did I suddenly get extreme nausea and watery stools right after the spell of pain in my left flank for three weeks till now?
    Anonymous 42789 Replies
    • January 5, 2009
    • 11:54 PM
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  • Well, my suspicion here is that the left flank pain may actually be originating in the descending colon. Your symptoms are not unlike diverticulitis and a CT scan with contrast would be suggested at this point to rule it out. I would not let them perform any type of colonoscopy until the CT is performed, since complications have been known to arise from the use of a scope in the presence of active diverticular disease. I didn't note whether a fever of any type was observed, but this would be further suggestive of the disorder. As for being puzzled why your electrolytes may be low, it's important to realize that it's as much about what you lose as it is how often. Even intermittent diarrhea can cause an electrolyte imbalance because the colon is where water reuptake occurs. I also agree that you need to seek out a more competent physician. Best regards, J Cottle, MD
    JCottleMD 580 Replies
    • January 6, 2009
    • 00:19 AM
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  • Well, my suspicion here is that the left flank pain may actually be originating in the descending colon. Your symptoms are not unlike diverticulitis and a CT scan with contrast would be suggested at this point to rule it out. I would not let them perform any type of colonoscopy until the CT is performed, since complications have been known to arise from the use of a scope in the presence of active diverticular disease. I didn't note whether a fever of any type was observed, but this would be further suggestive of the disorder. As for being puzzled why your electrolytes may be low, it's important to realize that it's as much about what you lose as it is how often. Even intermittent diarrhea can cause an electrolyte imbalance because the colon is where water reuptake occurs. I also agree that you need to seek out a more competent physician. Best regards, J Cottle, MDThank you! I did have a CT with contrast the day the stools became loose though, and they saw nothing abnormal. The Doctor at the ER that saw me to keep an eye on it. But I will pursue having that area looked at, instead of my kidney area.
    Anonymous 42789 Replies
    • January 6, 2009
    • 01:04 AM
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  • I don't suspect diverticulitis because you haven't had chills or fever.
    richard wayne2b 1232 Replies
    • January 6, 2009
    • 00:33 PM
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