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What Causes Appetite Loss,nausea With Back And Abdominal Pain?
Question: Hi I am a 49 yr old women with 2 children 8yr and 15yrs. I have had around 6 months loss of appetite, feeling full very quickly, mild nausea, not hungry at all can go until lunchtime when vaguely feel hungry, have lost 5-6kg since January. Have had some low back pain on right side and low abdo pain on right side between belly button and hip and across abdomen. Have had blood test-normal, both abdo and pelvic ultrasound normal-7mm cyst in uterus wall. Have had smear have HPV first time detected-despite not having had sex for 2 years...and CIN1. Have also a rectocele and enterocele, bladder is fine. Bowels are 3 days not going then on the 3rd I go 3-4 times until bowel cleared, this gives me aching bowel. have had a polypectomy at age 42-was 2.5cm big but was benign, 2 colonoscopies since have been clear. History of family rectal cancer.
Any answers? should I push for a CT scan? Am getting fed up with tests and no answers.
Regards XXXXXXX
Any answers? should I push for a CT scan? Am getting fed up with tests and no answers.
Regards XXXXXXX
Brief Answer:
Ct scan / enteroclysis to rule out cancer
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
To recapitulate the problems : 49 years - 6 months loss of appetite, feeling full very quickly, mild nausea, not hungry at all, have lost 5-6kg since January. low back pain on right side and low abdo pain on right side between belly button and hip and across abdomen- Family history of rectal cancer- polypectomy 7 years back- 2 colonoscopies- alternating constipation and loose motions-
Gyne: rectocele - enterocele- HPV positive- advised review after 12 months.
Yes, I think you should push for a Contrast enhanced CT scan of the abdomen. Review colonoscopy. X-ray chest.
The possibility of cancer of the intestinal tract has to be ruled out. If necessary 'enteroclysis'= barium studies for stomach, duodenum, small and large intestine Ct / also help.
If these are normal, a proper dose of a laxative to avoid constipation can help a lot. Continue Somac, add domperidone to regulate bowel.
Avoid foods and beverages that you know cause constipation or loose motions for you. Also watch for the causes which might have increased your anxiety.
Ct scan / enteroclysis to rule out cancer
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
To recapitulate the problems : 49 years - 6 months loss of appetite, feeling full very quickly, mild nausea, not hungry at all, have lost 5-6kg since January. low back pain on right side and low abdo pain on right side between belly button and hip and across abdomen- Family history of rectal cancer- polypectomy 7 years back- 2 colonoscopies- alternating constipation and loose motions-
Gyne: rectocele - enterocele- HPV positive- advised review after 12 months.
Yes, I think you should push for a Contrast enhanced CT scan of the abdomen. Review colonoscopy. X-ray chest.
The possibility of cancer of the intestinal tract has to be ruled out. If necessary 'enteroclysis'= barium studies for stomach, duodenum, small and large intestine Ct / also help.
If these are normal, a proper dose of a laxative to avoid constipation can help a lot. Continue Somac, add domperidone to regulate bowel.
Avoid foods and beverages that you know cause constipation or loose motions for you. Also watch for the causes which might have increased your anxiety.
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Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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