Discussions By Condition: I cannot get a diagnosis.

Nausea for 3 months, elevated bilirubin

Posted In: I cannot get a diagnosis. 4 Replies
  • Posted By: MilwaukeeGuy
  • June 25, 2008
  • 04:00 AM

I'd had days where I didn't feel so good right after getting up, threw up once way back in January, but always felt fine for the rest of the day. One morning right at the end of March I woke up and started to get ready for work, got sick and vomited just a little, went to work for a few hours and felt fine. Got home from work and didn't feel well at all, thought I had something like the stomach flu. Felt nauseated all day long, couldn't eat much, just ate some soup and drank lots of fluids.

After I week I went into the doctor and they noticed I was jaundiced. Measured my bilirubin and it was 7.3. Tested me for hepatitis when came back negative. Did an abdominal ultrasound that looked normal.

Eventually over the next 4-8 weeks my bilirubin dropped to 4.9, then 1.7, then 2.0. I haven't had it checked since mid May. The all-day feeling that I had to throw up eventually went down, mostly now its only in the morning. When I first wake up and am still in bed, I don't feel bad, but when I get up and start moving around and doing things, I get nauseated. I get up 2-3 hours before I have to go anywhere and usually drink some 7up and maybe eat a little something to hopefully settle my stomach. Occasionally I get nauseated at random times of the day, driving somewhere, or at home, also coughing gives me the feeling I have to vomit. I do still smoke, though I've been trying to quit.

The GI doc I saw want to do an endoscopy and a CT scan. I'm hoping tomorrow I can go in and get a CT scan done, but in the meantime I'm wondering if anyone has had anything similar.

No fever, no sharp pain anywhere, just my stomach feeling full most of the time and a low appetite, when I stand for long periods of time my back gets very sore. I have pectus excavatum (a sunken chest), but the sore back seems to have gotten worse since I got sick. I have to stand for hours at work, so it gets pretty miserable by the time I leave, but when I lay down at home it goes away.

Thanks for any help in advance!

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4 Replies:

  • I'd had days where I didn't feel so good right after getting up, threw up once way back in January, but always felt fine for the rest of the day. One morning right at the end of March I woke up and started to get ready for work, got sick and vomited just a little, went to work for a few hours and felt fine. Got home from work and didn't feel well at all, thought I had something like the stomach flu. Felt nauseated all day long, couldn't eat much, just ate some soup and drank lots of fluids. After I week I went into the doctor and they noticed I was jaundiced. Measured my bilirubin and it was 7.3. Tested me for hepatitis when came back negative. Did an abdominal ultrasound that looked normal. Eventually over the next 4-8 weeks my bilirubin dropped to 4.9, then 1.7, then 2.0. I haven't had it checked since mid May. The all-day feeling that I had to throw up eventually went down, mostly now its only in the morning. When I first wake up and am still in bed, I don't feel bad, but when I get up and start moving around and doing things, I get nauseated. I get up 2-3 hours before I have to go anywhere and usually drink some 7up and maybe eat a little something to hopefully settle my stomach. Occasionally I get nauseated at random times of the day, driving somewhere, or at home, also coughing gives me the feeling I have to vomit. I do still smoke, though I've been trying to quit. The GI doc I saw want to do an endoscopy and a CT scan. I'm hoping tomorrow I can go in and get a CT scan done, but in the meantime I'm wondering if anyone has had anything similar. No fever, no sharp pain anywhere, just my stomach feeling full most of the time and a low appetite, when I stand for long periods of time my back gets very sore. I have pectus excavatum (a sunken chest), but the sore back seems to have gotten worse since I got sick. I have to stand for hours at work, so it gets pretty miserable by the time I leave, but when I lay down at home it goes away. Thanks for any help in advance! Make sure they do a HIDA scan to check your GB. Also liver enzyme levels. Are you taking any meds? If so, which ones? How are your stools? Do you have gas/bloating along with the nausea? DOM
    acuann 3080 Replies Flag this Response
  • Back in April when I had blood work done the doctor wrote "Your liver function tests are all normal with the exception of the elevated bilirubin".My ALT, ALP, and AST levels were all within the normal range, my albumin was 5.1, where normal is 3.5-5.0. Asked the GI doc about the HIDA, he said he wanted to do the CT scan and endoscopy first, he seemed to indicate they didn't do HIDA scans as much anymore, or he wanted to rule out other things first. The meds I've been taking are Metoclopramide for nausea and Lorazepam (Ativan) for anxiety. I was given some Prevacid, but it didn't seem to help much when I was taking it, I don't really have heartburn. I only take one Meto a day, and only on days when I feel especially nauseated, and I rarely take the Lora, maybe 1 or 2 a week, on bad days.Stools seem normal, I'm more regular now since I've been trying to eat better. The only time they looked funny was when I first got sick and tried some Pepto, turned black for a day or two, then went back to normal, which is a side effect of Pepto. Not so much gas, though my stomach does feel bloated at times, more of a "full" feeling. I usually try to drink something like 7up so I burp more, makes me feel better, especially in the mornings.Father had a deformed bile duct, which led to liver cancer. But he was sick with that from childhood, would be feeling normal, then would be in intense pain. I've never had a problem up until now, no pain, just queasy very often.
    MilwaukeeGuy 4 Replies Flag this Response
  • Look into celiac disease mate. Pectus excavatum happens more regularly in celiacs. Increased liver function and stomach issues are telltale signs. Good luck.
    Anonymous 1 Replies
    • October 17, 2014
    • 01:51 AM
    • 0
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  • Yes have the endoscopy done. Did he do a full liver panel blood test? Were the rest of the tests within normal limits? If he didn't do a full liver panel, ask for one. Have they done an ultrasound on your gallbladder for stones? A gallstone can block the common bile duct and alter bilirubin levels. Please let us know how you are and what the diagnosis is. Good luck.
    Anonymous 1 Replies
    • November 1, 2014
    • 08:42 AM
    • 0
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