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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pain, Fatigue, Yellow Eyes And Foul Smelling Urine?

My young adult daughter has fluid and pain I the right upper quadrant of her abdominal area. Just out from her ribs. She has pain in that area, her eyes look weird some have asked if she is high while others have said they look yellow, her urine has a horrible Oder, she is very fatigued and she is very emotional not like normal. She also has Elhers Danlous the Tenacsin X factor type.
Tue, 24 Feb 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Abdominal pain - fatigue - yellow eyes - foul smelling urine in your daughter along with emotional upsets and Elhers Danlous the Tenacsin X factor type.
The EDS to a certain extent can cause these symptoms .
The possibilities are : Jaundice due to hemolysis or hepatitis giving all the symptoms.

I would advise Her the following:
Get investigated
Blood : Liver function, hemosiderin levels, kidney function and routine CBC
Urine : routine, microscopy, Bile salts and pigments
Ultrasonography of the abdomen, MRCP

Consult the Hematologist for clinical evaluation, physical examination and investigations for further treatment.
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What Causes Abdominal Pain, Fatigue, Yellow Eyes And Foul Smelling Urine?

Hi. Thanks for your query. Abdominal pain - fatigue - yellow eyes - foul smelling urine in your daughter along with emotional upsets and Elhers Danlous the Tenacsin X factor type. The EDS to a certain extent can cause these symptoms . The possibilities are : Jaundice due to hemolysis or hepatitis giving all the symptoms. I would advise Her the following: Get investigated Blood : Liver function, hemosiderin levels, kidney function and routine CBC Urine : routine, microscopy, Bile salts and pigments Ultrasonography of the abdomen, MRCP Consult the Hematologist for clinical evaluation, physical examination and investigations for further treatment.