Question: I'm a 37 year old man. After about a year of fatigue, malaise, right eye pain, sole of the foot pain, and blurred vision symptoms, I've now been having very pale bowel movements and muscle twitching for several months. If I eat the RDA of fat, my stool becomes loose or floats. The change in color and consistency came on in December at a time when the other members of my family had a stomach bug. I assumed for a while I just had a bad version of that. Prior to December my stool color size and shape were perfectly normal. My liver enzymes have been tested and are normal. My pancreas enzymes have been tested and are normal. I had an abdominal CT scan which showed no abnormality. My thyroid tests are normal as well. I do have gallstones, but very rarely experience any dicomfort in my upper right abdomin or central abdomin. I had several tick bites in a short span immediately before my initial symptoms. I've tested negative for lyme and several coinfections, but am currently being treated empirically. Could the CT and all the blood tests be wrong? What should I do?

I recently switched primary care doctors and really liked the new doctor. I'm being treated now for lyme for the first time since this began. I have a 30 day prescription of Clarythromycin and also 30 days of hydroxychloroquine. I've been taking them a little under a week with not much of a change so far. I have pretty extreme fatigue an hour to 3 hours after meals, bouts of emotional difficulty if I'm late for a meal, and very disturbed sleep. I have sesnsations of hotness at night if I've eaten fatty food as well. Some result in minor sweating but they never show up as a measureable temperature. If anything, my body temperature has been lower than it used to be. My concern is that the digestion challenges, pale stool, floating stool/fat indigestion, and night symptoms could add up to serious liver, pancreas, or gallbladder problem. Do the labs and the CT put me in the clear for those problems?

Unfortunately, my tick exposure was much earlier. I had 4 deer tick bites in a one month span in April of last year and 2 more the November before that. My GI issues began in December, but digestion related hotness, fatigue, etc have been with me since last April. I was just hoping for reassurance that the floating/paleness of stool/fat indigestion/GI issues can't be the result of a bile obstruction or tumor that was not found in the CT or the labs. Is that a pretty safe assumption?