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This question was answered on Fri 06, Jun 2008 09:09pm by Dr Paul S, MD

Breast or Ovarian Cancer - symptoms of abdominal bloating, heart burn and fullness


    
Asked by neckhawk (Female; 28; I have abdominal swelling, feel full, heart burn, and somes feel nauseous. Here are my labs GLOCUSE QUALITATIVE U %u2013 NEGATIVE BILIRUBIN URINE - NEGATIVE KETONES URINE %u2013 NEGATIVE SPECIFIC GRAVITY URINE %u2013 1.010 BLOOD URINE %u2013 NEGATIVE PH URINE - 5.5 PROTEIN URINE %u2013 NEGATIVE UROBILINOGEN URINE - <2.0 NITRATE URINE %u2013 NEGATIVE LEUKOCYTE ESTERASE %u2013 NEGATIVE URINE WHITE BLOOD CELLS - NONE URINE RED BLOOD CELLS %u2013 0-2 BACTERIA %u2013 NONE SQUAMOUS EPITHELIAL CELLS%u2013 0-2 URINE MUCUS %u2013 PRESENT A WHITE BLOOD CELL COUNT %u2013 9.0 RED BLOOD CELL COUNT %u2013 4.8 HEMOGLOBIN %u2013 14.6 HEMATOCRIT %u2013 41 MEAN CORPUSCULAR VOLUME%u2013 87 MEAN CORPUSCULAR HGB %u2013 31 MEAN CORPUSCULAR %u2013 35 BLOOD UREA NITROGEN %u2013 14 SODIUM %u2013 138 POTASSIUM %u2013 3.7 CHLORIDE %u2013 104 BICARBONATE %u2013 26 ANION GAP %u2013 8 GLUCOSE %u2013 94 CREATININE CALCIUM %u2013 9.5 ALBUMIN %u2013 4.5 ALT/SGPT %u2013 10 AST/SGOT %u2013 13 ALKALINE PHOSPHATE %u2013 69 TOTAL PROTEIN %u2013 7.6 BILIRUBIN TOTAL - .5 DIRECT BILIRUBIN - .1 When I went in for a CT scan it came back normal. They also ran inflammatory markers and my pancreas was on the high end of the normal range. there is a history of breast cancer and ovarian cancer in my family. I am scheduled to have a colonoscopy on Monday. I am feeling frustrated because My abdomen keeps swelling and the CT reported no signs of fluid in the abdomen. My pancreas also looked normal on the CT. I am not sure what to do. I have been feeling this way for three weeks bowel movements are normal. A chest x-ray was also normal. I had a surgery for pyloric stenosis when I was a baby. ; Relevant drugs:Ragalan and pepcid do not make a difference. ) on Fri 06, Jun 2008 11:18am

What else should I look into? The normal CT scan and labs seem to make the doctor think I am fine. I know that something is wrong. I am a very healthy and active female! My energy level is decreasing and even exercising is hard to do. I want to make sure that the doctors are looking at all possible diagnosis. Do you have any advice.
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Answer by Dr Paul S, MD  on Fri 06, Jun 2008 09:09pm:

As in the previous post, here are some ideas that you may want to discuss with your doctors: 1. Colonoscopy or gastroscopy to rule out if there are lesions in the colon or stomach that can be obstructing the passage of food. These lesions may really not show up on CT scan 2. Going for a more accurate imaging study like an MRI, to better differentiate soft tissue characteristics. 3. Functional assessment of digestion such as stool examination for the amount of fat, protein, and carbohydrate ingested. This may tell us if there are problems with digestion that can produce much gas. 4. Looking into other possibilities such as connective tissue diseases (like lupus). I suggest you discuss all these options with your doctors and I hope a diagnosis will be clinched. Take care.

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