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What Causes Elevated Somatostatin Levels When TSH Is Zero?
Posted on
Sun, 31 May 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sun, 31 May 2015
Answered on
Mon, 22 Jun 2015
Last reviewed on
Question : My Somatostatin is a little high, my TSH is zero. I have pains on right side; I have fatty stools. My pains are worse after a fatty meal. My father died of pancreas/liver problems. My octreotide scan was negative. My bilirubin was slightly high. What could be the problem? Where do I go from here? Could it be that my tumors are too small right now to see?
Brief Answer:
No sign for tumor;cholecystitis/pancreatitis to be confirmed..
Detailed Answer:
Hi,
I have gone through your medical history carefully and understood your concerns.
1. When stomatostatin level is increased, in order to determine if there is any neuro-endocrinological tumor, we should evaluate its levels. Can you please provide the exact number for its level?
We can think over a possible tumor only if the actual level of somatostatin is 1000 times higher than the normal range.
2. With regards to TSH, which is zero; I need to know what the levels of T3 and T4 are? We should evaluate the levels of all these 3 hormones first before running into final conclusions.
3. You are reporting to be experiencing:
- pain on right side
- fatty stool especially after eating fatty meal
- slightly high bilirubin
All these symptoms are indicative for possible cholecystitis or pancreatitis. However, I should have a look at the full biochemistry testing you did before running into final conclusions.
4. As long as octreotide scan resulted negative, tumor is automatically excluded. However, still, I need to have the octreotide scan full report for further evaluations.
5. For the moment, I advise to run MRI/ct-scan for further evaluation.
6. You can:
- take pain-killer medications to ease the pain
- avoid fatty meal
- take probiotics
- increase water intake.
Hope it was of help!
Dr.Klerida
No sign for tumor;cholecystitis/pancreatitis to be confirmed..
Detailed Answer:
Hi,
I have gone through your medical history carefully and understood your concerns.
1. When stomatostatin level is increased, in order to determine if there is any neuro-endocrinological tumor, we should evaluate its levels. Can you please provide the exact number for its level?
We can think over a possible tumor only if the actual level of somatostatin is 1000 times higher than the normal range.
2. With regards to TSH, which is zero; I need to know what the levels of T3 and T4 are? We should evaluate the levels of all these 3 hormones first before running into final conclusions.
3. You are reporting to be experiencing:
- pain on right side
- fatty stool especially after eating fatty meal
- slightly high bilirubin
All these symptoms are indicative for possible cholecystitis or pancreatitis. However, I should have a look at the full biochemistry testing you did before running into final conclusions.
4. As long as octreotide scan resulted negative, tumor is automatically excluded. However, still, I need to have the octreotide scan full report for further evaluations.
5. For the moment, I advise to run MRI/ct-scan for further evaluation.
6. You can:
- take pain-killer medications to ease the pain
- avoid fatty meal
- take probiotics
- increase water intake.
Hope it was of help!
Dr.Klerida
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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