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What Causes Chronic Nausea And Abdominal Pain With Normal CT Scan?

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Posted on Mon, 27 Oct 2014
Question: I continue to suffer from chronic nausea, abd and back pain. CT scan,MRCP, and blood work for inflammation and thyroid were normal. I had an SIBO test which was positive and was treated with antibiotics. Several docs on this site have suggested I have reflux. My last endoscopy was March and showed reflux and GERD. I feel like I must have cancer or something because I am nauseated most of the time. Are chronic nausea and abd pain consistent with reflux? I am also able to sleep and have not had heartburn.
doctor
Answered by Dr. Saumya Mittal (26 minutes later)
Brief Answer:
Need more information

Detailed Answer:
Do you happen to have loss of weight (except for loss of appetite)?
Do you have a feeling of having a mass in the abdomen?
Do you have breathing difficulty?
Do you have any paplitation?
Have you had any seizures, loss of conciousness or other neurological symptoms?

Please answer the aforementioned questions.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Saumya Mittal (2 hours later)
No none of those Also have lots of phlegm and dry cough. Sometimes gag.
doctor
Answered by Dr. Saumya Mittal (36 minutes later)
Brief Answer:
Then GERD is a strong possibility

Detailed Answer:
Those were the typical features of cancer. They are usually present in almost all cancers. So I think you would agree it's not a cancer.

Besides, the symptoms suggest a malignancy developing in stomach. You said that this showed only signs of acidity.

So I think you have only gastritis with GERD as suggested endoscopy. As for cough, those features can be explained by GERD too. They are called the extra esophageal symptoms of GERD.

I hope that the information helps you.
Please feel free to contact me for further information on the same subject.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Saumya Mittal (8 minutes later)
I don't think that agree that it is not cancer. Symptoms seem to suggest pancreatic cancer. Is MRCP conclusive to rule that out?
doctor
Answered by Dr. Saumya Mittal (2 hours later)
Brief Answer:
You can take a PET

Detailed Answer:
If you are suspicious, you can take a PET scan. PET scan will be a better conclusive test than MRCP.

Dr Mittal.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Saumya Mittal (2 hours later)
Well that was comforting. Do you feel symptoms are consistent with something other than gerd or reflux. I am just surprised by the severity of the nausea at times. Am supposed be getting an endoscopy with ultrasound. Will this help with diagnosis?
doctor
Answered by Dr. Saumya Mittal (7 hours later)
Brief Answer:
I think it's GERD

Detailed Answer:
Personally, I think it is GERD. but I have always had the idea that the patient is best judge of the symptom severity.

Since you feel that the problem is not just GERD, I think it is wise to get a PET done.

Best of luck. Dr Mittal.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Saumya Mittal

Diabetologist

Practicing since :2004

Answered : 2897 Questions

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What Causes Chronic Nausea And Abdominal Pain With Normal CT Scan?

Brief Answer: Need more information Detailed Answer: Do you happen to have loss of weight (except for loss of appetite)? Do you have a feeling of having a mass in the abdomen? Do you have breathing difficulty? Do you have any paplitation? Have you had any seizures, loss of conciousness or other neurological symptoms? Please answer the aforementioned questions.