I Have Had Failing Health Since A Trip To Italy
 
                                    
                                    
                                                
                                                Wed, 17 Oct 2018
                                                
                                            
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                                            Consult a gastroenterologist....
Detailed Answer:
Hi,
I went through the details submitted and I empathize with your situation. The symptoms you reported are not very specific and can have multiple causes. However, I understand you are primarily concerned about not being able to put on weight while losing a significant amount of weight.
Gall bladder removal (cholecystectomy) may not be related to weight loss unless you are on dietary regulation. Since you are not on dietary restriction, I would not consider it as the most probable cause.
Two more likely possibilities include a chronic infection (like a tuberculosis of intestine) and malabsorption condition (like coeliac disease or colitis). From this end, without an opportunity to physical assessment I would not be able to comment further. Therefore I will recommend you visit a gastroenterologist and discuss about these two possibilities (incase you haven't already done). Besides these two, the doctor should also check your blood sugar as well as thyroid hormone profiles.
Be prepared for multiple sessions with the doctor. We might be able to arrive at the specific cause after detailed examination of blood tests and colonoscopy/ biopsy.
Hope I am clear. Let me know if you need clarifications.
Regards
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