Hello, I am new and need help.
Here is the story. My uncle (57) is a runner, non-smoker, non-drinker who has lost about 25 pounds in the last two months. He has severe abdominal pain and decreased appetite. He is a M.D. and has access to good care. As of yet he has no diagnosis.
CT x's 2 negative one spiral - chest and abdomen/pelvis
Endoscopic U/S Negative
Colonoscopy and flex sig Negative
EGD with Bx's Negative.
ca19.9 - 11
swallowed the photo capsule and it was negative too!
liver enzymes wnl
Bilirubin nl no jaundice
abdominal pain mainly left btwn xyphoid and umbilicus
truncal rash - transient
feels better when laying straight out not fetal or sitting
no bloody stool
He travels internationally frequently and has been in India and Khazakstan (sp?)in the last 6 mos. India in Sept, after he thinks the symptoms started.
As you can tell he has had a great pancreatic ca workup as well as any GI ca or liver. His weight has stabilized but he is now using ensure supplements, etc.
I suggested an accidental poisoning of some kind and he is pursuing that. He is also considering a diagnostic laparoscopy. Doesn't want the belly to stand in the way of a diagnosis! Has never had mental issues, but is willing to exhaust any possibilities. Now he of course is depressed about what seems to be life shortening sxs but no diagnosis. He has said if I were the doctor on the other side he would say you do not have cancer, but his gut tells him something is surely wrong.
Anyway, any suggestion would be wonderful!
Thanks so much.