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Plea for help with diagnosis

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General fitness, health and nutrition
Published
13 June 2004
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13 June 2004
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Brad Edwards
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  1. My apologies if this is too long. I'm posting my story in
    the hopes that someone will have a clue as to what is wrong
    with me. I'm not sure which group to post to, so if you have
    an idea as to a better place for it then please let me know.

    I am a male in my early 20s and have been underweight my
    entire life. I've never had much of an appetite or really
    enjoyed eating. My first meal of the day was usually after
    3pm. Four years ago I became severely dehydrated and
    malnourished, due to my poor eating combined with a lot of
    stress. During this episode I was extremely weak, and spent
    maybe a month in bed trying to eat/drink enough to rebuild
    my strength. Ever since this event I've been trapped in an
    endless cycle of trying to maintain my health.

    For some time after the dehydration episode I would wakeup
    in the morning with an urgent need to defecate, and had
    explosive bowel movements of strange color/variety. I also
    felt compelled to eat as much a I could every 2-3 hours
    beginning immediately after I awoke. If I didn't eat on
    schedule, my mind would start to feel strange, kind of
    cloudy like I was spacing out, and then once the hunger
    pains came I'd feel like there was an emergency and I'd
    exhibit panic symptoms. Some minutes after filling my
    stomach with some food I'd start to feel calm again.

    Since I had such tremendous anxiety all the time, I assumed
    I just had an anxiety disorder, and that was why my
    digestive system was behaving strangely. But as time went
    on, I began to learn how to relax a bit and keep the anxiety
    from escalating into panic attacks. I also noticed that
    there were periods of time when for the most part I felt
    fine. As long as I ate on schedule, then I'd feel good
    enough for up to 3 months. But this remission never lasted,
    eventually I'd be hit again with my body behaving
    erratically, with mind fog, memory problems, difficulty
    finding words to speak right, darkness when I stretched my
    arms up in the air like I was going to pass out, stomach
    pains, weakness and fatigue, etc.

    I visited a GP and he did some blood tests for general
    things as well as thyroid hormone levels. Everything was
    fine except I had an elevated ALT liver enzyme. I did some
    research on my own and the hype on the Internet led me to
    Celiac Disease. Unfortunately the doctor said that he
    couldn't test me for it, so I just went on the Gluten-Free
    diet instead. I took the diet to an extreme level, using a
    new kitchen with new pans/utensils, and only ate whole foods
    such as steak, fruits, vegetables, and nuts. I've been on
    this diet for over a year now, and despite feeling somewhat
    better, which could just be a placebo effect, the only other
    noticeable difference is a change in the way my feces looks.
    I have not gained weight, and I still get sick every so
    often. Though I do seem to have longer periods of remission
    with this diet.

    Since I haven't had a miracle recovery after a year of being
    on a GF diet, I figured I should explore alternatives. I
    visited a GI doctor, who ordered a bunch of blood/stool
    tests. He said the results were that I was dehydrated. The
    sheet shows the following with an H next to it, which I
    assume means high: C02, BUN, CREATININE, ALT/SGPT, VITAMIN
    B12. The doctor said the next step was to do some tests like
    a colonoscopy/gastroscopy in order to rule out Celiac
    Disease and Crohn's. But I'm already on the GF diet,
    and I read that there's no treatment for Crohn's, so I
    decided I'd rather not undergo the invasive testing
    procedures.

    All of the vague symptoms I experience while "sick" seem to
    be related to my gastrointestinal tract. During the days
    when I'm feeling pretty good, I can wakeup in the morning
    and calmly eat some breakfast. But on the days when I'm not
    doing so well I wakeup and immediately have to run to the
    toilet, and as I go I'm grabbing some juice or food to put
    in my stomach since it feels uneasy. Everyday, no matter how
    I feel, my abdomen distends after I eat in the morning and
    stays that way all day. On the bad days I have to defecate
    multiple times, probably 2-6 or more.

    The two symptoms I hate the most are when my mind becomes
    spacey, and when I become fatigued. There are some days when
    I feel like I don't have the energy to breath. I have to use
    a chair while washing the dishes I need to eat on, and then
    I spend the whole day sitting on a chair listening to
    relaxing music as I kind of just stare into nothing, not
    moving a single muscle, attempting not to use too much
    energy so that I have enough to cook my next meal. Those
    periods aren't fun, but I've always made it out of them and
    then have a stretch where I have enough energy to do what I
    need to do.

    My guess is that it is something involving the immune
    system, since when I don't feel well it sometimes feels like
    when you have a cold, but with none of the cold-like
    symptoms. It's just the overall feel, like your entire body
    is fighting something.

    At this point the doctors I've seen don't have much to say.
    If someone were to offer me a clever idea as to what might
    be wrong, it might lead to this mystery being solved, and I
    would be forever grateful. I'll gladly answer any questions
    that you might have.

    Thank you

    Brad Edwards

  2. (Brad Edwards) said:

    My guess is that it is something involving the
    immune system

    Well, your guesses haven't been too accurate so far. Do you
    feel lucky all of a sudden?

    Listen: find a good generalist (e.g., family doc or general
    internist), let them get to know you a bit, and let *them*
    figure out what the hell is going on. You're clearly not
    doing yourself any favors with your attempts at self-
    diagnosis and a merry-go-round of specialists.

  3. On 7 Jun 2004 15:44:18 -0700, [email hidden] (Brad

    Edwards) said:


    Since I haven't had a miracle recovery after a year of
    being on a GF diet, I figured I should explore
    alternatives. I visited a GI doctor, who ordered a bunch of
    blood/stool tests. He said the results were that I was
    dehydrated. The sheet shows the following with an H next to
    it, which I assume means high: C02, BUN, CREATININE,
    ALT/SGPT, VITAMIN
    B12.

    How high were the BUN and creatinine?

    Quoted message said:

    The doctor said the next step was to do some tests like a
    colonoscopy/gastroscopy in order to rule out Celiac Disease
    and Crohn's. But I'm already on the GF diet, and I read
    that there's no treatment for Crohn's, so I decided I'd
    rather not undergo the invasive testing procedures.

    There most certainly are plenty of treatments for Crohn's
    disease. You may have read there is no CURE, but there is
    certainly treatment.

    Quoted message said:

    All of the vague symptoms I experience while "sick" seem to
    be related to my gastrointestinal tract. During the days
    when I'm feeling pretty good, I can wakeup in the morning
    and calmly eat some breakfast. But on the days when I'm not
    doing so well I wakeup and immediately have to run to the
    toilet, and as I go I'm grabbing some juice or food to put
    in my stomach since it feels uneasy. Everyday, no matter
    how I feel, my abdomen distends after I eat in the morning
    and stays that way all day. On the bad days I have to
    defecate multiple times, probably 2-6 or more.

    Hmm... intermittent, nonspecific symptoms related primarily
    to the gastrointestinal tract, abdominal pain, low weight,
    extraintestinal manifestations. No response to a gluten-free
    diet. Sure sounds like Crohn's disease to me.

    Quoted message said:

    My guess is that it is something involving the immune
    system, since when I don't feel well it sometimes feels
    like when you have a cold, but with none of the cold-like
    symptoms. It's just the overall feel, like your entire body
    is fighting something.

    My guess is that you're right: It IS something involving the
    immune system, namely, Crohn's disease.

    Quoted message said:

    At this point the doctors I've seen don't have much to say.
    If someone were to offer me a clever idea as to what might
    be wrong, it might lead to this mystery being solved, and I
    would be forever grateful. I'll gladly answer any questions
    that you might have.

    Three words of advice: Get the colonoscopy.

    PF

  4. On 7 Jun 2004 15:44:18 -0700, [email hidden] (Brad

    Edwards) said:

    My apologies if this is too long. I'm posting my story in
    the hopes that someone will have a clue as to what is
    wrong with me. I'm not sure which group to post to, so if
    you have an idea as to a better place for it then please
    let me know.

    I am a male in my early 20s and have been underweight my
    entire life. I've never had much of an appetite or really
    enjoyed eating. My first meal of the day was usually after
    3pm. Four years ago I became severely dehydrated and
    malnourished, due to my poor eating combined with a lot of
    stress. During this episode I was extremely weak, and spent
    maybe a month in bed trying to eat/drink enough to rebuild
    my strength. Ever since this event I've been trapped in an
    endless cycle of trying to maintain my health.

    For some time after the dehydration episode I would wakeup
    in the morning with an urgent need to defecate, and had
    explosive bowel movements of strange color/variety. I also
    felt compelled to eat as much a I could every 2-3 hours
    beginning immediately after I awoke. If I didn't eat on
    schedule, my mind would start to feel strange, kind of
    cloudy like I was spacing out, and then once the hunger
    pains came I'd feel like there was an emergency and I'd
    exhibit panic symptoms. Some minutes after filling my
    stomach with some food I'd start to feel calm again.

    Since I had such tremendous anxiety all the time, I assumed
    I just had an anxiety disorder, and that was why my
    digestive system was behaving strangely. But as time went
    on, I began to learn how to relax a bit and keep the
    anxiety from escalating into panic attacks. I also noticed
    that there were periods of time when for the most part I
    felt fine. As long as I ate on schedule, then I'd feel good
    enough for up to 3 months. But this remission never lasted,
    eventually I'd be hit again with my body behaving
    erratically, with mind fog, memory problems, difficulty
    finding words to speak right, darkness when I stretched my
    arms up in the air like I was going to pass out, stomach
    pains, weakness and fatigue, etc.

    I visited a GP and he did some blood tests for general
    things as well as thyroid hormone levels. Everything was
    fine except I had an elevated ALT liver enzyme. I did some
    research on my own and the hype on the Internet led me to
    Celiac Disease. Unfortunately the doctor said that he
    couldn't test me for it, so I just went on the Gluten-Free
    diet instead. I took the diet to an extreme level, using a
    new kitchen with new pans/utensils, and only ate whole
    foods such as steak, fruits, vegetables, and nuts. I've
    been on this diet for over a year now, and despite feeling
    somewhat better, which could just be a placebo effect, the
    only other noticeable difference is a change in the way my
    feces looks. I have not gained weight, and I still get sick
    every so often. Though I do seem to have longer periods of
    remission with this diet.

    Since I haven't had a miracle recovery after a year of
    being on a GF diet, I figured I should explore
    alternatives. I visited a GI doctor, who ordered a bunch of
    blood/stool tests. He said the results were that I was
    dehydrated. The sheet shows the following with an H next to
    it, which I assume means high: C02, BUN, CREATININE,
    ALT/SGPT, VITAMIN
    B12. The doctor said the next step was to do some tests
    like a colonoscopy/gastroscopy in order to rule out
    Celiac Disease and Crohn's. But I'm already on the GF
    diet, and I read that there's no treatment for
    Crohn's, so I decided I'd rather not undergo the
    invasive testing procedures.

    All of the vague symptoms I experience while "sick" seem to
    be related to my gastrointestinal tract. During the days
    when I'm feeling pretty good, I can wakeup in the morning
    and calmly eat some breakfast. But on the days when I'm not
    doing so well I wakeup and immediately have to run to the
    toilet, and as I go I'm grabbing some juice or food to put
    in my stomach since it feels uneasy. Everyday, no matter
    how I feel, my abdomen distends after I eat in the morning
    and stays that way all day. On the bad days I have to
    defecate multiple times, probably 2-6 or more.

    The two symptoms I hate the most are when my mind becomes
    spacey, and when I become fatigued. There are some days
    when I feel like I don't have the energy to breath. I have
    to use a chair while washing the dishes I need to eat on,
    and then I spend the whole day sitting on a chair listening
    to relaxing music as I kind of just stare into nothing, not
    moving a single muscle, attempting not to use too much
    energy so that I have enough to cook my next meal. Those
    periods aren't fun, but I've always made it out of them and
    then have a stretch where I have enough energy to do what I
    need to do.

    My guess is that it is something involving the immune
    system, since when I don't feel well it sometimes feels
    like when you have a cold, but with none of the cold-like
    symptoms. It's just the overall feel, like your entire body
    is fighting something.

    At this point the doctors I've seen don't have much to say.
    If someone were to offer me a clever idea as to what might
    be wrong, it might lead to this mystery being solved, and I
    would be forever grateful. I'll gladly answer any questions
    that you might have.

    Thank you

    Brad Edwards

    Sounds like Crohn's Disease to me. My cousin suffers from it
    and her history is very similiar to yours. I'd suggest you
    get tested for Crohn's to either rule it out or learn to
    live with it. good luck

  5. Griffin <[email hidden]> wrote in message news:<2004060719051816807%nospam@herenet>...

    Quoted message said:

    On 2004-06-07 18:44:18 -0400, [email hidden]

    (Brad Edwards) said:

    My guess is that it is something involving the immune
    system

    Well, your guesses haven't been too accurate so far. Do
    you feel lucky all of a sudden?

    Listen: find a good generalist (e.g., family doc or
    general internist), let them get to know you a bit, and
    let *them* figure out what the hell is going on. You're
    clearly not doing yourself any favors with your attempts
    at self-diagnosis and a merry-go-round of specialists.

    Well, that's what a GP is. It stands for General
    Practitioner. The first one I saw stared at me like a dog
    shown a magic trick. He then wrote out a prescription for an
    IBS drug and told me I could experiment with it to see if it
    helped alleviate symptoms. He said the only other thing he
    could do for me besides the blood tests was to refer me to a
    gastroenterologist.

    The second guy I saw seemed to want to take more
    responsibility. He felt concerned and wanted me to
    immediately see a gastroenterologist. I did, but the
    specialist had zero interest in my story or any other facts
    other than my symptoms on that specific day.

    It would be wonderful to find a doctor with the time to
    actually think about each case. Based on what I've seen so
    far, I'd have to probably visit at least a handful of
    doctors before finding someone willing to play intellectual
    detective. That is why I am increasing the odds by helping
    push the research with my own efforts, and asking the
    community for any insight they might have.

    But thanks for the advice.

  6. [email hidden] (PF Riley) wrote in message news:<[email hidden]>...

    Quoted message said:

    On 7 Jun 2004 15:44:18 -0700, [email hidden]

    (Brad Edwards) said:


    How high were the BUN and creatinine?

    I'm not sure since I don't have the reference numbers for
    this particular test. I'll have to get a hold of them.

    Quoted message said:

    There most certainly are plenty of treatments for Crohn's
    disease. You may have read there is no CURE, but there is
    certainly treatment.

    You're correct, I should've said cure.

    Quoted message said:

    Hmm... intermittent, nonspecific symptoms related
    primarily to the gastrointestinal tract, abdominal
    pain, low weight, extraintestinal manifestations. No
    response to a gluten-free diet. Sure sounds like
    Crohn's disease to me.

    Quoted message said:

    My guess is that you're right: It IS something involving
    the immune system, namely, Crohn's disease.

    I'll admit your words scare me a bit. It's not a disease I'd
    wish to have. 🙂

    Quoted message said:


    Three words of advice: Get the colonoscopy.

    I will strongly consider it if I can find someone who will
    do the procedure without sedation.

    I was hoping that some deductive reasoning could be done
    based on the facts that I already have. First I need to know
    what are the possibilities? The doctors I saw thought of
    thyroid problems, IBS, IBD or Celiac Disease. But I wonder
    what else it might be?

    If those are my only choices then it should be fairly easy
    to narrow it down a bit. Gene testing would virtually
    eliminate Celiac Disease as a candidate if I don't have the
    common gene. That leaves IBS or IBD.

    I've looked at the IBD treatments, and I don't think I'd use
    any of the medications, or surgery. So that pretty much just
    leaves things like diet, and experimental approaches such as
    the ingestion of helminthic worm eggs. So it seems to me
    that if no one can offer me any other ideas, and Celiac
    Disease didn't seem to make complete sense, then I should
    narrow in on IBD. I should change my lifestyle based on the
    advice of those who have lived with it for years, and modify
    my diet a bit. I could also use the worm approach once it
    becomes publically available, and if I show improvement then
    everything should be okay.

    I've spent the past 4 years inside my house trying to manage
    my mystery illness and avoid the terrible days. I might not
    be cured, but whatever I'm doing has made me much better
    than when it first appeared. It is not easy for me to get to
    the doctors, and when I do go there they look at me and say,
    "What do you want me to do?". The colonoscopy will be a
    traumatic experience. If it is so difficult to just go there
    and visit with the doctor, and have blood drawn, then it
    will be a huge ordeal to prepare for the procedure.

    When I weigh my options, and I see that even if they told
    me, "Yes, you have Crohn's", it still wouldn't change that
    much that I can see. There is no cure, and I don't take
    medications, so basically it would just come in handy if I
    were to become seriously ill and had to be hospitalized.
    Then they would at least know what I had. But I've managed
    to survive this long, so it feels like a more secure
    decision to just refine my management and keep trying to
    find a way to get better.

    If people could help me with the list of possible causes
    then I could go through each one and eventually narrow it
    down. That would minimize the amount of testing required to
    find the solution, and it would be much easier than having
    to keep visiting the hospital.

    Thanks

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