
Family History Of Breast Cancer. Started Feeling Fatigued, Nausea, Weight Loss And Diarrhoea. What's Wrong?

I am Dr. Kulbir Singh and read your query in detail. You have undergone a battery of investigation in couples of months and yet not established a diagnosis. Firstly to get treated be have to get to a diagnosis and plan the treatment accordingly. The symptoms like fatigue, weight loss, nausea, diarrhea and specially white or different colored stool gives sign of serious problem in digestive system. A variety of diseases and conditions can cause stool to turn pale or white such as Liver Dysfunction, bile duct abnormalities and medications.
1. Disorders of the liver including cirrhosis, hepatitis and cancer can decrease bile production, resulting in white stools. The liver may not be able to actively produce bile, or the bile may not be able to leave the liver due to cysts or tumors. Jaundice, dark urine and itching skin are additional symptoms of liver disease.
2. Narrowing or stricture of the duct may be present, limiting the fluid from reaching the small intestine. Biliary cirrhosis is an immune disorder in which the bile ducts slowly are destroyed and stop functioning. The cause of this disease is unknown, although one symptom is white stools.
You have to get your Liver function test, PET Scan or MRCP (Magnetic resonance cholangiopancreatography) done under the guidance of your treating doctor. This confirms you about the gallbladder, bile duct and liver disorders. Your fear about the cancer can also be cleared by the investigations.
Rest you have to keep you Thyroid function test normal limit, get your TFT done every three monthly and revise your dose of levothyroxine by consulting your doctor. Get B12 supplements as per direction of your doctor and also keep a check on your Hemoglobin. Other things for which you have to be investigated are GERD, other digestive tract infections.
Hope I have answered your query. If you have any doubt in your mind than ask a follow up query.
Best Wishes and have a speedy recovery.
Dr. Kulbir Singh

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