Discussions By Condition: Medical Stories

Help Me Put These Symptoms and Signs Together...

Posted In: Medical Stories 9 Replies
  • Posted By: Anonymous
  • April 8, 2007
  • 04:44 PM

I am a 55 year old Hindu male with a black complection. I am 5' 4" and weigh 58 kgs. I am a moderate smoker. I am a private medical practitioner for last 28 yrs.

I have complains of recurrent blood with mucus in the stool and fatigue and malaise at least thrice a year from 1982. Single adenomatous polyp in rectum less than 2 cm was operated in 1996 but symptoms persists. Latest Proctoscopy in 2004 showed no recurrence of polyp but mild immunological erosion in rectum was present. Renal stone in 1998 passed after plenty of water intake. Again renal stone after 6 years occured. Ultrasonography K.U.B. showed 4 m.m. stone at right utero vesical junction. After 2 months ultrasonography showed no Ureter dilatation. But yet i have not yet passed a stone. IVP was not done. In last year i developed a fungus like lesion mainly in the lower limbs which was not releived by antifungal drug- Itraconazole (100mg weekly for 4 weeks). Biopsy revealed focal inflammation (but not Koch's lesion). Skin lesions are on the way of healing. This skin lesions used to occur previously at a mild stage but recurrently. Lesion responded to local steroids. For last eight years i had become Hypertensive. My Cholestrol level and Trglyceride level is higher. My latest LDL cholestrol is 160. I am not taking Atorvastatin tablet. Angiotensin converting enzyme level is 92(a little higher. Estimation of uric acid and calcium in 24 hrs urine is a little higer. I am suffering from Normocalcaemic hypercalciuria. My uric acid level and creatinine level is normal. I am not suffering from Anaemia or any gross weight loss. I am not diabetic. I have family genetic history of carcinoma. My mother died of Cholangiocarcinoma of bile duct. My elder brother recently died of Non Hodgkin's lymphoma.

I want to know that are these symptoms indicate to any particular disease or separated multiple ones. What further investigation i need to do and what will be my further course of treatment.


Kindly reply with your suggestions.

Reply Flag this Discussion

9 Replies:

  • What kind of medical practitioner are you? I would rule out problems with colon, polys are very common. I would suggest getting a calcium blood test done, since high calcium is indicative of cancer. Your lipid panel may be high due to cortisol use so you might want to consider other medications. What's important is how do you feel? ARe you able to work, etc.? I would recommend focusing on the symptom(s) that bother you most and what gets in your way of life. If you feel well, I wouldn't worry too much. Some of these things are a consequence of age.Good luck!!!
    Anonymous 42789 Replies Flag this Response
  • What kind of medical practitioner are you? I would rule out problems with colon, polys are very common. I would suggest getting a calcium blood test done, since high calcium is indicative of cancer. Your lipid panel may be high due to cortisol use so you might want to consider other medications. What's important is how do you feel? ARe you able to work, etc.? I would recommend focusing on the symptom(s) that bother you most and what gets in your way of life. If you feel well, I wouldn't worry too much. Some of these things are a consequence of age.Good luck!!! Thank u for your Reply.I am a General Medical practitioner (MBBS, kolkata).Colonoscopy (long) done thrice and revealed only single polyp. Latest Proctoscopy shows mucosal erosion in rectum. My calcium level in 21.5.2004 was 5.0 mEq/L and 4.6 mEq/L in 28.3.2007.My lipid profile is high for a long period (last 10 yrs). I have never used systemic steriods (oral or parenteral).During febrile and malaise period i feel very weak and sleepy. I strive myself hard to go to my chamber. Passage of blood and mucus through stool after two weeks to several weeks gives me some relief. Moreover, you have not commented about the occurence of renal stones twice and its relation with the anal polyp (removed) and passage of blood & mucus with stool.Unlike other times, this time this dermatophyte lesions(ring worm like) lasted for over 2 yrs or so. Whether this skin disease is a indication os systemic Malignant pathology. Have you gone through all of my symptoms and signs? And i am very sorry to ask you that are you a medical consultant(gastroenterologist)?
    Anonymous 42789 Replies Flag this Response
  • What kind of medical practitioner are you? I would rule out problems with colon, polys are very common. I would suggest getting a calcium blood test done, since high calcium is indicative of cancer. Your lipid panel may be high due to cortisol use so you might want to consider other medications. What's important is how do you feel? ARe you able to work, etc.? I would recommend focusing on the symptom(s) that bother you most and what gets in your way of life. If you feel well, I wouldn't worry too much. Some of these things are a consequence of age.Good luck!!! Thank u for your Reply.I am a General Medical practitioner (MBBS, kolkata).Colonoscopy (long) done thrice and revealed only single polyp. Latest Proctoscopy shows mucosal erosion in rectum. My calcium level in 21.5.2004 was 5.0 mEq/L and 4.6 mEq/L in 28.3.2007.My lipid profile is high for a long period (last 10 yrs). I have never used systemic steriods (oral or parenteral).During febrile and malaise period i feel very weak and sleepy. I strive myself hard to go to my chamber. Passage of blood and mucus through stool after two weeks to several weeks gives me some relief. Moreover, you have not commented about the occurence of renal stones twice and its relation with the anal polyp (removed) and passage of blood & mucus with stool.Unlike other times, this time this dermatophyte lesions(ring worm like) lasted for over 2 yrs or so. Whether this skin disease is a indication os systemic Malignant pathology. Have you gone through all of my symptoms and signs? And i am very sorry to ask you that are you a medical consultant(gastroenterologist)?Dear Rkroy- Go to the NAET. com website and find a NAET practitioner near your hometown. Many gastric problems can be eliminated with the right treatment: NAET. Naet explains how "allergies" (your body overacting to harmless or beneficial substances) cause many diseases.I can assure you that there is more than one cause to your pains but they can get reversed 90% of the time.Also, look into Pranic Healing, Reiki, Ayurveda, and Oriental Medicine. All of it can help you get restored and keep your health to optimun levels.I have an internet friend in Trychi- he is a Pranic Healer and Mind Master- he gave me dietary advice and emotional coaching for a member of my family. It works wonders.The doctor of the future will be an energy healer- a person how sees how emotions are link to health and disease. He will interest his patients with preventive advice and will also coach them to understand their bodies and heal them back. Unless one is in a car accident, surely will need an x-ray :p.Just so you know even diabetes and autisms are been cured as we speak.There is so much learn.Ask for a Vision- so you shall conquer your obstacles.Best.Maribel.
    Eatafruit78 960 Replies Flag this Response
  • Dear Rkroy- Go to the NAET. com website and find a NAET practitioner near your hometown. Many gastric problems can be eliminated with the right treatment: NAET. Naet explains how "allergies" (your body overacting to harmless or beneficial substances) cause many diseases.I can assure you that there is more than one cause to your pains but they can get reversed 90% of the time.Also, look into Pranic Healing, Reiki, Ayurveda, and Oriental Medicine. All of it can help you get restored and keep your health to optimun levels.I have an internet friend in Trychi- he is a Pranic Healer and Mind Master- he gave me dietary advice and emotional coaching for a member of my family. It works wonders.The doctor of the future will be an energy healer- a person how sees how emotions are link to health and disease. He will interest his patients with preventive advice and will also coach them to understand their bodies and heal them back. Unless one is in a car accident, surely will need an x-ray :p.Just so you know even diabetes and autisms are been cured as we speak.There is so much learn.Ask for a Vision- so you shall conquer your obstacles.Best.Maribel.Thank u for giving me the site http://www.naet.com/ ......................Hope i will do good...
    Anonymous 42789 Replies Flag this Response
  • EatAfruit - hope I got that right. Do you practice NAET ?
    Anonymous 42789 Replies Flag this Response
  • EatAfruit - hope I got that right. Do you practice NAET ?No- I am a Fashion Designer, I don't think it would be ethical to use my stitching needles and stick it on anyone. Perhaps, I would make an exception if you want my help :p
    Eatafruit78 960 Replies Flag this Response
  • rkroy - Have you considered the possibility of celiac disease? Here are the things that make me think this might be a possibility: -kidney stones can be related to intestinal disorders, including celiac disease:http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=1008583&query_hl=1&itool=pubmed_docsum - Normocalcaemic hypercalciuria could be due to a parathyroid problem:http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=11134112&query_hl=4&itool=pubmed_docsum - And celiac disease and parathyroid disease can be associated:http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=15764148&query_hl=15&itool=pubmed_docsumI don't know where I read it, but I believe I also saw a study once showing that the celiac antibodies could cross-react with parathyroid tissue. - Non-hodgkins lymphoma is more common in celiac disease, and there may also be an association with cholangiocarcinoma:http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=12169991&query_hl=19&itool=pubmed_docsumCeliac disease is genetic and could explain the connection with the cancer history in your family. - the classic skin lesion of celiac disease is dermatitis herpetiformishttp://www.aocd.org/skin/dermatologic_diseases/dermatitis_herpeti.htmlI don't know if this sounds like your skin lesions or not. It is difficult to daignose from a biopsy unless the doctor is experienced (I believe you must take a biopsy from the nearby uninvolved skin).Can you order some books from Amazon? I recommend reading Dangerous Grains by James Braly (about celiac disease), and also Trace Your Genes to Health by Chris Reading. I know it seems strange, but maybe the key to your health problems could be as simple as a gluten-free diet.I am a physician, by the way.
    Anonymous 42789 Replies Flag this Response
  • rkroy - Have you considered the possibility of celiac disease? Here are the things that make me think this might be a possibility: -kidney stones can be related to intestinal disorders, including celiac disease:http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=1008583&query_hl=1&itool=pubmed_docsum - Normocalcaemic hypercalciuria could be due to a parathyroid problem:http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=11134112&query_hl=4&itool=pubmed_docsum - And celiac disease and parathyroid disease can be associated:http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=15764148&query_hl=15&itool=pubmed_docsumI don't know where I read it, but I believe I also saw a study once showing that the celiac antibodies could cross-react with parathyroid tissue. - Non-hodgkins lymphoma is more common in celiac disease, and there may also be an association with cholangiocarcinoma:http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=12169991&query_hl=19&itool=pubmed_docsumCeliac disease is genetic and could explain the connection with the cancer history in your family. - the classic skin lesion of celiac disease is dermatitis herpetiformishttp://www.aocd.org/skin/dermatologic_diseases/dermatitis_herpeti.htmlI don't know if this sounds like your skin lesions or not. It is difficult to daignose from a biopsy unless the doctor is experienced (I believe you must take a biopsy from the nearby uninvolved skin).Can you order some books from Amazon? I recommend reading Dangerous Grains by James Braly (about celiac disease), and also Trace Your Genes to Health by Chris Reading. I know it seems strange, but maybe the key to your health problems could be as simple as a gluten-free diet.I am a physician, by the way.I agree, that's why I asked him to check NAET- so he can get tested for all kind of intolerances. In NAET, everything is an allergy, but it is broad to cover situations such as Celiac- and other disorders in which the body plays "hit and miss" fighting harmless substances. Celiac is supposed to be genetic right? But more people everyday experience sensitivities and degenerative disorders that seemed untraceable to their triggers.Best.
    Eatafruit78 960 Replies Flag this Response
  • I dunno, just thought I'd throw in some non-medical practitioner advice...sometimes it's helpful to get an out-of-the-box view...I am so not a doctor at all, but it sounds like you have a big problem with calcium o.0 like you're getting too much; have you lived in the same place for ages? check if the water is loaded with calcium or something weird like that? or you have a problem absorbing calcium correctly? I'm not sure which part of the body does that but maybe check that out...maybe missing an enzyme or w/e is required to do that >.> ?
    Anonymous 42789 Replies Flag this Response
Thanks! A moderator will review your post and it will be live within the next 24 hours.