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Re: endometriosis, GI difficulty being diagnosed

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 30 Jun 2001 08:22:59 -0500 (CDT)


At Fri, 29 Jun 2001, Melissa wrote: >
>I'm a 29 year old, overweight, never been pregnant, female.
>
>History: 1999, kidney stone. 2000, emergency gall bladder removal
>laproscopy. Family history of endometriosis, ovarian cysts. I have
>history of irregular menses (4-6 menses/year). Meds: Prilosec (1 of 3
>months) Zyban (2 weeks).
>
>In April, experienced bloody, explosive diarrhea followed by my mense.
>Pain grew more intense throughout the 10 days, diarrhea, no appetite,
>weight loss. Normal health returned following mense cesation. I
>attributed it to stress.
>
>May's mense was more painful-bleeding was irregular-dark clots after
>heavier pain, diarrhea with blood streaks. Emergency room diagnosed
>esophigitis and told to follow up with my physician who referred me to a
>GI.
>
>*the pain experienced in both menses- convulsions in lower abdomen,
>uncontrollable shakes, sweatting, cramping, nausea, fatigue.
>
>GI thought Chrone's or Ulcerative Collitis, ordered a colonoscopy, CT
>scan and endoscopy. Colonoscopy - removed/biopsied one polyp (normal)
>and some sort of mass that appeared as a circular organ or mass on the
>outside of the cecum - biopsied (normal). CT scan had 2 radiologists
>stating the finding of some type of mass near my right ovary - 2 others
>disagreed. Endoscopy revealed gastritis and esophigitis - biopsies
>normal. GI referred to OBGYN.
>
>(Mid-June)OBGYN believes endometriosis on the colon. Pap found
>inflammation -Metro-Gel for 5 days (normal labs-blood tests for
>poly-cystic ovarian syndrome returned borderline). 3rd day of
>Metro-Gel, had irregular blood -brown and red stringy substances, small
>clots. The symptons are back-not as painful as before-not yet. Ultra
>Sound is scheduled for July 12th and he's going to schedule the
>diagnostic/fix surgery (laproscopy).
>
>I'd appreciate your professional guidance-are we going down the right
>path-or do you have experience of something else we need to explore?
>
>Thank you, in advance, for your time.

Melissa

Sounds like a great plan to me.

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only. They are not meant to take the place of an examination by a qualified health care provider. They are not intended to be the start of a physician-patient relationship.






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