Discussions By Condition: I cannot get a diagnosis.

not sure where to go from here

Posted In: I cannot get a diagnosis. 2 Replies
  • Posted By: buterflie1963
  • July 4, 2009
  • 05:41 AM

I have been for about 5 years now battling a ever progressing problem. I have been to my doctor several times for the same things over and over. I finally have changed doctors because of lack of answers to what is going on and because all my old doctor would do is treat the symptoms and never did anymore than blood test. I have checked the symptom checker and it did not help. my list of symptoms are as follows and getting worse ( bloating after meals, pain in the left side of chest under my boob, pain flaring from right below the bottom of my rib cage up to my chest, I belch all the time and have gas frequently, I am tired all the time, I have boats of insomnia every couple of months, all of my joints ache, I feel real weak all the time, it takes me 2 or 3 days to do what use to not even take me one day to do before, my sex drive has gone down the hill as well. When I did go to the er they did have me on a heart monitor and ran some basic heart tests and those can back perfect they said. any possible suggestions as to what could be causing all of this. I so tired of it and tired of playing around with it.:confused:

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  • Glad to hear you've found a new Doctor BUT are they going to delve a little closer ? take some bloods and do some basic testing for you ?? If not try another Doctor until they pay attention and helpHaving a supportive Doctor really does helpxxxSamanthahttp://www.undiagnosedillness.org
    Anonymous 42,789 Replies Flag this Response
  • Well, let me suggest here that you simply obtain a referral to a gastorenterologist to thoroughly evaluate the GI symptoms to rule certain disorders. In some instances a bacteria called Heliobactor Pylori has been determined to be responsible for certain ulcer disease and other GI phenomenon. I doubt that it's the case here, but this factor along with general GI function needs to be established. I have to tell you, however, that your general symptomatology is extremely common. The inability to peform tasks in your customary amount of time is know as avolition. Some patients interchange the symptoms of feeling weak or lethargic with avolitional characteristics and to some extent, they seem related. The difference in this particular instance is that there is sufficient physical strength if absolutely necessary, but the patient "feels worn out" as though they just don't have the energy to do anything. Avolition partially comes about because the tasks which used to represent no problem in accomplishing, now seem absolutely monumentous or overwhelming. It produces a sense of procrastination wherein some of the tasks and daily routine of life can simply be put off until a later point. It also tends to produce a pattern where the affected individual will seek out the same retreat, such as a certain chair or location, where they accept defeat and either take on an activity that does not require any effort or simply ruminate about certain problems or issues, including health in some instances. The downturn in libido is a sign, when mentioned by patients, that is always a red flag and indication to evaluate the patient in a specific context. Realize that there are extremely rare instances wherein sex drive is affected by underlying physical disease in females and the cause can be identified through standard lab analyses. More commonly, poor libido can be traced to its association with other factors present such as avolition and general health complaints associated with GI disturbances and muscloskeletal aches & pains. I suppose what I'm suggesting here is that if the tests suggested and performed by the gastroenterologist are negative for an underlying pathogen, then you need to discuss with your doctor the possibility that you are suffering physical symptoms as a result of clinical depression. Realize that although it's the absolute last diagnosis that any patient wants to hear or even entertain, it can cause physical symptoms to occur that are extremely debilitating and just as real as is they were being caused by an underlying physical pathogen. To many patients, the suggestion that clinical depression may be responsible is oftentimes rebutted and even defied but in the absence of test results that would otherwise indicate an underlying cause associated with known disorders and disease, the prospect of symptoms turning very chronic becomes very likely. Clinical depression is a very real entity, but its presentation can be different depending upon age and other factors. I will tell you here that in instances where clinical depression may be suspect, I'm not a very big fan of simply treating it symptomatically, or in other words with medication alone, and leaving the patient to deal with whatever outcome may be produced. This represents a sometimes complex clinical picture, with multifactorial considerations as to the possible causes or influences. Many physicians will simply work to try and eradicate symptoms or diminish their intensity using medication and the problem in that regard is that no amount of medication available can overcome environmental issues which may be of significant influence and yet not identified. In the absence of clinical testing that would indicate an underlying physical cause for your symptoms, my suggestion is to consider a referral to a professional highly experienced with clinical depression to merely determine whether it is responsible for your symptoms and to discuss options available to you. Best regards, J Cottle, MD
    JCottleMD 580 Replies Flag this Response
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