can you tell me more?
how long has it been hurting?
what medical problems do you have?
how old are you?
male or female?
are you there?
I will check back with you when you can answer my questions above.
but can you tell me about the quality of the pain and if it feels like your ulcer/reflux pain... also, any other symptoms at all?
have you contacted your physician?
because this extreme of pain is worrisome for other possibilities
well two things...
1. the reflux meds do not work right away so this may simply be a time thing
2. we can not be sure that this pain is from your reflux/ulcer disease....
it could easily be any number of other things
and if you have not had a physician look at you with this pain then it is time to get this done
and Wednesday may be too long to wait
do you have a physician you can see tonight?
what are they looking for with the octreotide scan?
are they concerned you may have a zollinger Ellison syndrome problem?
so I do think they are looking for a gastrin secreting tumor
do you have periods of time without pain?
would you say that this pain pattern is stable, in other words, you hurt, but you aren't geting worse and worse are you?
and you are not having fever or vomiting?
does your mayo doctor know this?
have you told them you are having a really hard time?
I think that your case is complicated
that is evident from the tests being performed
well I think they may be about to figure it out with the octreotide scan
so the question is how to get you from tonight to Wednesday safely
and with the amount of pain you are in I wonder if going to mayo now or in the morning and showing up at their clinic or ER might not be the best idea?
can you at least get checked out at your local ER? they might at least be able to control your pain.
Well the problem is that abdominal pain is notoriously difficult to diagnose (as you know) and prior to giving medicine for pain one needs to be sure that it is SAFE to suppress the pain.
in other words, one needs to understand the source of the pain prior to giving pain medicine because suppressing abdominal pain without knowing this can lead to catastrophe
I wonder if you have a phone number for a contact at Mayo?
Is there someone you can call
well, that's something
I wish I could tell you what to do but it really sounds like you need pain medicine and that's not going to happen without an evaluation and in your case it looks like they are zeroing in on the diagnosis at Mayo and if you went locally they would have to try and reinvent the wheel.
so my advice would be to keep taking your current medicine
and if you can't stand the pain I would not hesitate to go to the ER
or if you develop new symptoms, like vomiting or fever.
I wish I could do better for you but you are in a very tough spot.
Actually, you may want the scan to show something.... Perhaps that would be better than no diagnosis. In any case, I hope you do get answers and a cure for this.
but I am serious about the ER
if you get worse as I mentioned above, you must go.
do you have any final questions for me?
oh, one more thing
I assume you are also trying rolaids or Tums or pepto
you could do this is you wish unless you have been instruced otherwise
it seems you have have stepped away from your computer
I do need to step away too so I am going to switch this to a Q and A session in case you have further questions
if you do not, positive feedback is always appreciated
I hope you get good answers at Mayo, and that you can get some relief from your pain
and thanks for your question
There is absolutely no way for me to give you an accurate answer on this question. I think that is one of the things they are considering.
I think it's time to go to the ER or get to Mayo now. My concern is that it's five hours away and becoming VERY ill on the road is a bad idea indeed. I wish I could help you more and I wish you could speak with someone at Mayo but if you can't you need to go to the ER.
Please do not leave there without speaking with a doctor about your pain. Sometimes you come for a scan and go home. Make sure they know you are having great pain in your abdomen and that someone addresses it.