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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swollen Lymph Nodes On Supra-pubic Region, Nausea, Vomiting, Stomach Fullness, Fatigue, Normal Ultrasound, Pap Smear, Had Gastritis. Ovarian Cancer?

We live in the Middle East. My partner had fatigue and abdominal symptoms of nausea ,vomiting, feeling fo fullnes, discomfort and occasional stomach pain--evetually she was diagnosed with the gastritis due to acid (areas of excoriation in the stomach--no ulcers . She also stoamch polyps which they cut off during the endoscopy ). After 4 months treatment wiht Pariet and motiium her symptoms dissapated. This year all symptoms have come back--with swollen lymph nodes on the lower left suprapubic region. The dr said they are normal and a trans vaginal ultrasound showed no abnormality. Pap swear clear as well. However all th nausea, vomiting, full feeling and fatigue are worse than ever-with these lymph nodes--these symptoms are al fo ovarian cancer--should she not have a CA 125. or does this sound like it is just a reoccrance of the gastriris due to acid. I am worried the doctors here are dismissing the lymph nodes.
posted on Tue, 1 May 2012
Twitter Sat, 12 May 2012 Answered on
Twitter Fri, 15 Jun 2012 Last reviewed on
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Gastroenterologist, Surgical,  's  Response
Dear Fer,

Simple gastritis due to acid usually improves with medical treatment and life style modification. Even they recur, this problem is not life threatening. My concern in your case (partner) is due to polyp. Small polyp is again is of not too much concern, only patient should be meeting timely doctor to know whether polyp has not recurred. Large size polyp with pre-cancerous sign is of concern. pre-cancerous sign in polyp is seen in biopsy of polyp. Symptoms of partner, on occasionally may be due to gastric cancer. Consult experienced gastroenterolgist for proper evaluation evaluation.

Have a good health
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Swollen Lymph Nodes On Supra-pubic Region, Nausea, Vomiting, Stomach Fullness, Fatigue, Normal Ultrasound, Pap Smear, Had Gastritis. Ovarian Cancer?

Dear Fer, Simple gastritis due to acid usually improves with medical treatment and life style modification. Even they recur, this problem is not life threatening. My concern in your case (partner) is due to polyp. Small polyp is again is of not too much concern, only patient should be meeting timely doctor to know whether polyp has not recurred. Large size polyp with pre-cancerous sign is of concern. pre-cancerous sign in polyp is seen in biopsy of polyp. Symptoms of partner, on occasionally may be due to gastric cancer. Consult experienced gastroenterolgist for proper evaluation evaluation. Have a good health