HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Have Chronic Stomach Pain And Diarrhea. Gained Weight. Tongue And Feet Swollen. What Would The Prognosis Be?

default
Posted on Mon, 26 Aug 2013
Question: My brother has been very sick for over a year. He gained over 100 pounds and has chronic stomach pain and diarreah. His tongue and feet have swelled to the point where it is painful to eat or walk. He started going to the emergency room last summer because he was so uncomfortable. Long story short he has had every test known to man. He has been to countless specialists. Endoscopes, colonoscopies, ctscans, blood work and stool samples. After about 6 months someone tested his testostorone and it was that of a 90 year old. He has been on replacement therapy for that for 5 months.

My brother is 47. He previously was taking medicine for slight high blood pressure. That was his only medication and rarely went to the doctor for other than a physical. I began to think he had to see an edocrinologist for some more hormone testing. She has started to do some testing on him and suspects he may have a pituitary disorder related to head trauma from an accident 20 years ago. After the accident he was high functioning. Working climbing utility poles. Was married bought a house and started family. Over the past years he never showed any signs of a hormone problem until this last year. What would his prognosis be if they determine by an MRI of the pituitary that there is damage and it is showing in his life now. He had become a shut in because he is so embarrased. Will the endocrinologist be able to help him reverse his symptoms? Will he get better now that he is with a professional who know what is wrong?
doctor
Answered by Dr. Lohit K (1 hour later)
Hi,
This sudden onset of his symptoms from one year and low testosterone may be due to some problem in the pituitary gland. This may be due to trauma he had 20 years back or due to any other cause.
Increased body weight swelling of tongue and feet may be due to Cushing syndrome/ disease or other possibility is hypothyroidism.

Getting back to your questions,
Diagnosing the problem with MRI and blood test will allow us to put correct treatment, hence his prognosis will be good, and your endocrinologist will definitely help him to recover. If we diagnose any problem with pituitary then we can treat the cause so there won’t be any bad prognosis. So need not to worry for that now.

He may require some blood tests like AM and PM cortisol levels, TSH, GH, FSH and LH levels along with MRI scan. This will help us for diagnosing the problem and managing him.

So consult endocrinologist as referred by other doctors for further management.
Wish you and your brother good health. Take care.

Regards

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
default
Follow up: Dr. Lohit K (2 hours later)
Yes thank you for the information. He had the cortisol testing done this week and his MRI is tomorrow. I am relieved that he will be able to have a good prognosis and have some quality of life back. Thank you so much.
XXXXXXX
doctor
Answered by Dr. Lohit K (2 hours later)
Hi XXXXXXX

Its my pleasure. Hope for good health for your brother.
You are most welcome to ask me any health related queries. If you are satisfied with my answer please rate it and close the query.

Regards
Dr. Lohit
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Mohammed Kappan
doctor
Answered by
Dr.
Dr. Lohit K

General & Family Physician

Practicing since :2007

Answered : 1648 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Have Chronic Stomach Pain And Diarrhea. Gained Weight. Tongue And Feet Swollen. What Would The Prognosis Be?

Hi,
This sudden onset of his symptoms from one year and low testosterone may be due to some problem in the pituitary gland. This may be due to trauma he had 20 years back or due to any other cause.
Increased body weight swelling of tongue and feet may be due to Cushing syndrome/ disease or other possibility is hypothyroidism.

Getting back to your questions,
Diagnosing the problem with MRI and blood test will allow us to put correct treatment, hence his prognosis will be good, and your endocrinologist will definitely help him to recover. If we diagnose any problem with pituitary then we can treat the cause so there won’t be any bad prognosis. So need not to worry for that now.

He may require some blood tests like AM and PM cortisol levels, TSH, GH, FSH and LH levels along with MRI scan. This will help us for diagnosing the problem and managing him.

So consult endocrinologist as referred by other doctors for further management.
Wish you and your brother good health. Take care.

Regards