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Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 31242
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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Hot flushes, boneache, palpitation and abdominal pain

Resolved Question:

Hot flushes, boneache, palpitation and abdominal pain
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Chip replied 1 year ago.
HiHow long has this been going on and please tell me more about the abdominal pain and the palpitations?
Customer: replied 1 year ago.
For 3-4months, central umbilical pain and epigastric pain.
Bloods for infection, Hpylori , thyroid , calcium , Na , K normal
There is weakness and discomfort after food
Noted bowel habit changes between constipation and diarrhae
Expert:  Dr. Chip replied 1 year ago.
Ok--did you have stool cultures and a ct scan of your abdomen?
Customer: replied 1 year ago.
Yes, CT scan normal, stool culture normal
Expert:  Dr. Chip replied 1 year ago.
How about colonoscopy and what did your doctors say about this?
Customer: replied 1 year ago.
They requested gastroscopy
They said it can be endocrine
As scan normal , also MRI of small bowel is normal
They thought about carcinoid
No geart disease
However I am not sure which endocrine tests needed for such symptoms.
Customer: replied 1 year ago.
Can it be porphyria?
Can it be phaechromcytoma
VMA is normal in urine
Customer: replied 1 year ago.
I had MRI of the heart and was normal
I get sinus tachycardia of 130 and sometimes irregular heart rate
Expert:  Dr. Chip replied 1 year ago.
Pheo is still possible as is carcinoid and I would send you to an endocrinologist to evaluate for those.
I doubt porphyria but blood tests would check for that
And you also need upper and lower endoscopy
Let me know if you need any more information please
Dr. Chip and 3 other Medical Specialists are ready to help you
Customer: replied 1 year ago.
Ok thanks
Expert:  Dr. Chip replied 1 year ago.
My pleasure but let me know how it goes and please remember to rate my service to you