Question by coolfloridian: Question to medical professionals ONLY. Looking for a second opinion?
23 y/o w/f with constant and severe abdominal pain usually in RUQ but sometimes radiates to the LUQ or LLQ, constant nausea, always cold, occasional vomiting, excessive weight gain (40 lbs—all weight loss efforts have been unsuccessful.)
Symptoms began (2 years ago) with bloating, gas and occasional diarrhea. Slowly over time symptoms increased to constant pain with alternating diarrhea and constipation. She was initially diagnosed with cholysistitis and had a cholysistectomy. A liver biopsy during the surgery showed a fattly liver. When the symptoms didn’t resolve, she was diagnosed with gastroparesis. The treatment for that isn’t working either. Recent labs showed mild hyperlipidemia and mildly elevated liver enzymes. Celiac disease and ulderative colitis have been ruled out. Parasites have been ruled out. We cannot seem to find a diagnosis and therefore she does not have a treatment plan.
My question to professionals ONLY: Do you have a suggested diagnosis that I can take to her doctors? They are out of ideas too.
Answer by Ryan
How do you someone is a medical professional on here? How do you know I’m not a cat? In all seriousness, it’d be much more difficult to diagnose you than a doctor with access to an examination and history of you.
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