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Dr. Cameron
Dr. Cameron, Doctor
Category: Medical
Satisfied Customers: 12910
Experience:  American Board Certified in Emergency Medicine and Ivy League trained. Medical Review Officer trained in Drug Testing
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for mysticdoc: still having light brown/tan stools. even after

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for mysticdoc: still having light brown/tan stools. even after all my testing over the last 6 months, not convinced im healthy. i feel like im not absorbing fat from what ive read and there is something wrong with my pancreas and the docs missed something.

Dr. Cameron :

Hi Mystic doc isn't on right now. Would you like me to help or would you like to wait?

Customer:

yes that is fine

Customer:

i appreciate opinions from other drs.

Customer:

can i give you some history of my condition?

Dr. Cameron :

I would love it

Customer:

ok

Customer:

i started having diarea back in march and had a history of stomach issues so even though my GI didnt feel anything was really wrong, i requested a colon and endoscopy. everything came back good

Customer:

in late may, i started having episodes of diahrea again

Customer:

i went on a probiotic and decided to go gluten free....i felt maybe i was gluten intolerant

Dr. Cameron :

ok

Customer:

i use to eat alot of fried foods but completely changed my diet, the only foods i would that were fried would be fries.

Customer:

and cut down on my calorie intake

Customer:

i lost 15 pounds in three months

Customer:

the weight loss concerned me and i read and continue to read alot about pancreatic cancer

Customer:

i have had inconsisted stool since june....sometimes dark brown, brown, light brown, tan, yellow...once white but that went away right away

Customer:

i requested a CT scan and had that done 16 days ago, that also came back normal

Customer:

im still very concerned something has been missed and im sick. im only 25

Dr. Cameron :

Did they do a small bowel series or check you for celiac disease?

Dr. Cameron :

Or a pill endoscopy?

Customer:

no

Customer:

and it can have celiac disease

Customer:

i used to live off fried food

Customer:

actually, i think the diahrea from march was a side affect to a medicine i was taking for acid reflux. once i stoped taking it, it went away

Customer:

cant have*

Dr. Cameron :

I am sorry- it can have celiac disease?

Customer:

i cant have*

Dr. Cameron :

why?

Customer:

i use to eat alot of fried foods and never had a problem

Customer:

im back to eating fried foods and not having pain or diahrea

Dr. Cameron :

Did you get tested for it?

Customer:

no

Customer:

i had blood work done, but that was for liver and pancreas

Dr. Cameron :

Something is going on because you are not feeling well and your stool is off, right?

Dr. Cameron :

Okay

Customer:

its not that im not feeling well

Customer:

i feel fine

Dr. Cameron :

Well, the testing for celiac disease is :

Dr. Cameron :

  • EMA - anti-endomysial

  • TTG - anti-tissue transglutaminase

  • DGP - Deamidated Gliadin Peptide

Customer:

but wouldnt have something shown the GI doctor that?

Customer:

during my colon and endo?

Dr. Cameron :

If they thought you may have celiac disease, they would have done that

Dr. Cameron :

No, the celiac disease is in the small bowel

Dr. Cameron :

and endoscopy is only for your stomach and esophagus

Dr. Cameron :

the colonoscopy is for your large bowel

Dr. Cameron :

You are missing checking out the small bowel

Dr. Cameron :

Which is how you absorb food

Dr. Cameron :

You may need these antibodies tested but you may also need a small bowel biopsy

Dr. Cameron :

Pancreatic cancer would be incredibly rare in your age

Customer:

i know that

Customer:

but ive read about people my age getting it

Dr. Cameron :

Your symptoms are more consistent with a malabsorption problem

Dr. Cameron :

right

Dr. Cameron :

but pancreatic cancer is weight loss, and then you turn yellow

Dr. Cameron :

your stool really doesn't change that much

Customer:

and doesnt that come from a pancreas, gall bladder, liver problem?

Customer:

well ive lost weight

Customer:

15 pounds

Customer:

i know i stopped eating alot of the foods i normally ate

Dr. Cameron :

your liver can change your stools if your are not making bile salts

Customer:

but i didnt exactly quit eating bad foods. instead of chicken nuggets, i got grilled chicken

Dr. Cameron :

I understand you have lost weight- it sounds like you are not absorbing what you are eating

Dr. Cameron :

but pancreatic cancer doesn't really change stool until it is really advanced

Dr. Cameron :

because it blocks the enzymes from digesting

Dr. Cameron :

If you are concerned about it, a MRI is the better screening test

Dr. Cameron :

But I would think about getting a pill endoscopy to look at your small bowel

Customer:

so a CT scan is not as good a MRI?

Customer:

i had a ct scan 2 weeks ago

Dr. Cameron :

Not even close

Customer:

wow

Dr. Cameron :

It is a good test, but the MRI can find so much more

Dr. Cameron :

Particularly if you are continuing to have symptoms

Dr. Cameron :

Like I said, MRI is better, but I would also consider the pill endoscopy to check out the lining of the small bowel and see what is going on

Customer:

ok. i will look into these things

Customer:

everyone has told me that im out of the woods with all these tests

Customer:

but i always thought there must be a better test

Dr. Cameron :

I agree with you

Dr. Cameron :

You can read about the pill endoscopy here

Dr. Cameron :

http://www.mayoclinic.com/health/capsule-endoscopy/MY00139

Customer:

but basically

Customer:

your saying that a CT scan can miss things?

Dr. Cameron :

Yes, a CT scan can miss small things

Customer:

ok

Customer:

so let me ask you this

Customer:

after all ive told you

Customer:

do you think i have a serious problem that is being missed?

Dr. Cameron :

Well, CT is a great modality for looking for pancreatic cancer

Dr. Cameron :

In fact, it is better than the MRI in many cases- so that was the right choice

Customer:

o

Customer:

ok

Dr. Cameron :

But I am not sure, based on what you have told me that you have pancreatic cancer

Dr. Cameron :

It sounds like from the stool and the weight loss, you need to look at a major organ which you have not-

Dr. Cameron :

the small bowel

Dr. Cameron :

this organ does the absorption of food

Dr. Cameron :

The weight loss is concerning, which is why I think that this needs to be checked out

Dr. Cameron :

It can be a simple issue which may entail dietary changes

Customer:

so

Customer:

even though i cut out alot of carbs and went gluten free for three months

Customer:

losing 15 pounds is too much?

Customer:

is the small bowel, the small intenstine?

Dr. Cameron :

losing 15 pounds is a lot

Dr. Cameron :

yes, the small bowel is the small intestine

Customer:

that was checked in my colon and endo

Customer:

the dr told me that the large intestine and stomach was good, no ulcers and there was very minor inflamation in the small intestine

Dr. Cameron :

You cannot check out the small intestine in an endoscopy or a colonoscpy

Dr. Cameron :

the scopes do not reach that far

Customer:

im very certain he said that to me

Customer:

but i could be wrong

Dr. Cameron :

the endoscopy only goes through to the end of the stomach and the very beginning of the small bowel

Dr. Cameron :

The colonoscopy can only go to the colon

Dr. Cameron :

The ONLY thing that can SEE the bowel is the capsule endoscopy- because it travels the entire system

Dr. Cameron :

the small bowel is VERY VERY long

Customer:

o ok

Customer:

ill look into that as well

Dr. Cameron :

It can be up to 20 feet long!

Customer:

wow

Customer:

i did not know that

Dr. Cameron :

:-)

Customer:

well ill look into all this

Customer:

i hope im not dieing

Dr. Cameron :

you are welcome to print out this chat for your GI doctor so you can remember what to ask

Customer:

im 25, just bought a house and have alot to look forward to

Dr. Cameron :

People usually do not die from small bowel problems- but they do need to be addressed :-)

Customer:

ok

Customer:

but are you saying that this being a liver or pancreas problem is not the case?

Customer:

with the other tests?

Dr. Cameron :

I don't think that this is a liver or pancreas problem with a normal CT and labs

Customer:

ok

Customer:

thank you

Dr. Cameron :

you are welcome!

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