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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