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DIEGO BONILLA
DIEGO BONILLA, Doctor
Category: Oncology
Satisfied Customers: 264
Experience:  Pulmonary/ Critical Care at Boston University
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I'm pretty scared I have cancer. A little background info.

Customer Question

I'm pretty scared I have cancer. A little background info. Beginning approx 2 months ago I started with joint ache in my knees, that then progressed to all my joints,also horrible sacral pain then nerve pain that has me wailing on the floor, I sweat at night sometimes and I have chills every morning on cue. I can't eat, terrible reflux. I had an endoscope that just showed gastritis. I also developed thrush in my mouth twice. I've had 5 cbcs done with differentials, all normal. I've had metabolic testing, liver function, kidney function, ldh, test for myeloma, c3 and c4 testing, ace, cpk, thyroid, Ana, vitamins. I've had a cat scan of my abdomen and pelvis, chest x Ray, ultrasound of my abdomen, pelvis and kidneys. I've had x rays of my spine. The only abnormal things I've had were a high Ana 1:640, vitamins d, ferritin, and potassium deficient. I'm so scared I have something awful and no one can find it. I know loss of appetite is a sign of cancer. I guess I just need help. I'm getting no where with my pcp. Please help me go in the right directions
Submitted: 1 month ago.
Category: Oncology
Expert:  DIEGO BONILLA replied 1 month ago.

Hello

This is Dr. Bonilla. I understand your concerns.

The symptoms you have are unlikely to be secondary to cancer. Your age, labs and imaging are negative for malignancy. Your symptoms could be secondary to rheumatological conditions. The diagnosis is complex, you should see a rheumatologist and have a full assessment done. Let me know if you have any other questions. Please leave a positive rating.

Customer: replied 1 month ago.
Also I had additional auto immune testing for RA and Lupus that were neg
Customer: replied 1 month ago.
Could I have brain cancer; I mean the only thing not checked was my head
Expert:  DIEGO BONILLA replied 1 month ago.

Very unlikely. Cancer is very low in the differential.

Customer: replied 1 month ago.
I'm just so depressed. What could I have. It seems all my symptoms match to lymphoma but I have no swollen nodes
Expert:  DIEGO BONILLA replied 1 month ago.

Malignancy is unlikely. Your symptoms could be secondary to rheumatological conditions.

The diagnosis is complex, you should see a rheumatologist and have a full assessment done.

Please leave a positive rating.

Thanks

Customer: replied 1 month ago.
I have seen a rheumy, he just wrote me off because all I had was the positive Ana
Expert:  DIEGO BONILLA replied 1 month ago.

Your symptoms are persistent and you should see him again. Cancer is very unlikely. Please leave a positive rating.

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