Are Chest Pain, Stomachache, Nausea, Low Energy And Blood In The Stool Indicative Of Carcinoid Syndrome?

Posted on Sun, 15 Apr 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 15 Apr 2018 Answered on

Fri, 18 Aug 2023 Last reviewed on

Question : I've had months of stomach problems, red flushing if face and chest, chest pain (heart tests okay) stomach ache, nausea, loose XXXXXXX stool, twice blood in stool. Lightheadedness no energy, bloating, feeling like belching always. Heartburn ruled out on endoscopy last week also two biopsies of small intestine came back negative for celiac, colonoscopy this week finally, but nervous and confused. P.s. lots of analyzer...

Answered by Dr. Ilir Sharka (29 minutes later)

Brief Answer:

I would recommend as follows:

Detailed Answer:

Hello,

Your symptoms could be related to carcinoid syndrome.

Fro this reason, I would recommend performing some further tests to exclude this possible disorder:

-Scintigraphy with metaiodobenzylguanidine (MIBG) and octreotide
-Urinary 5-HIAA levels
-Fasting plasma 5-HIAA assay

I would also recommend checking cortisol plasma levels for adrenal gland dysfunction and thyroid hormone levels for possible thyroid gland dysfunction.

You should discuss with your doctor on the above tests.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ilir Sharka, Cardiologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (21 hours later)

Thank you. Is this something that they will find in the colonoscapy?

I forgot to mention, large fatty bump at top of my neck...

Answered by Dr. Ilir Sharka (1 hour later)

Brief Answer:

My opinion as follows:

Detailed Answer:

Hello,

I think that the colonoscopy is a helpful test to investigate for any tumors that may lead to carcinoid syndrome.

Regarding the fatty bump on your neck, I don't think that it is related to your actual clinical situation.

Hope I have answered your query.

Take care

Regards,
Dr Ilir Sharka, Cardiologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar