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Dr chip. I am sitting here absolutely terrified

Dr chip. I...
Dr chip. I am sitting here absolutely terrified
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Answered in 6 minutes by:
7/10/2013
Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 34,440
Experience: Over 20 yrs of Family Practice
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Why so?
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Customer reply replied 4 years ago
Because i dint know whats going on. My uncle said treatment for high gastrin level is to Take out most of stomach or part of pancreas making too much gastronomic
I noticed you changed accounts. You owe me a rating on the previous question and I see that on this account you talked to to other experts about high gastrin levels which is fine but you rated their answers and they basically told you what I had told you. And your uncle is talking about what has to be done with some gastrinomas and we don't know yet that you have one.
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Customer reply replied 4 years ago
Im scared
OK but what do you want me to tell you?
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Customer reply replied 4 years ago
Tell me what you would tell any of your friends or patients
What I've told you--this doesn't mean you have a gastrinoma so there's no need to freak out just now. And sometimes the surgery isn't that extensive and it's certainly curable.
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Customer reply replied 4 years ago
Do you think i can go home tonight? They probably wont do any tests this week right?
Are you supposed to do more there tomorrow?
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Customer reply replied 4 years ago
No but the mayo dr said that if the gastrin was elevated hed do more testing to see where its from. I dont wanna go home to ight if he calls tomorrow and tells me he wants me to come in and do tests
Then the sensible thing to do is stay tonight and get in touch with him tomorrow.
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Customer reply replied 4 years ago
Tell me everything else it could be
I have already. One question--how long had you been off the Zantac and the PPI before the test was run?
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Customer reply replied 4 years ago
2 weeks and a day. Tell me again
Tell you again what?
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Customer reply replied 4 years ago
Everuthing it could be
It might actually mean nothing at all. It could be a lowering of gastric acid that you didn't have before. And very unlikely it could be a gastrinoma but seriously you need to have the Mayo doc tell you exactly what he thinks.
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Customer reply replied 4 years ago
Do you honestly think its nothing? Or do you think its a significant finding in trying to find out why i keep getting ulcers
It still is significant if it's a case of atrophic gastritis but seriously here--we can't really do or say anything more about it right now. Talk to the Mayo doc tomorrow and let me know what he says. And, again, you owe me a rating on the previous page.
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Customer reply replied 4 years ago
I fid give you a rating on the other page
Sorry--I wasn't notified of that
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Customer reply replied 4 years ago
Ive been up since 3 am throwing up
Talk to the Mayo doc as soon as you can
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Customer reply replied 4 years ago
I wanna go home
Not yet--finish the job first and talk to him and get back to me in about three hours
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Customer reply replied 4 years ago
I dont wanna wait. I wanna go home now
Whatever--I have to be off for three hours
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Customer reply replied 4 years ago
He still
Has not called me
Have you tried to call him?
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Customer reply replied 4 years ago
I called his office again this morning. They told me they will send the message and mark it as ASAP like they did yesterday
Well, it's a bit early still--give him a little time
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Customer reply replied 4 years ago
I dont wanna stay here all day
I don't want to here that again--your choice but unless you want to freak out all day about what the elevated gastrin level might mean, you should make every attempt to talk to him.
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Customer reply replied 4 years ago
You used the wrong hear. He can call me and tell me what it means. I dont necessarily have to stay in Rochester right? What's your recommendation
Stay there until you hear from him
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Customer reply replied 4 years ago
Please don't be mad at me
I'm not but be sensible and wait a while longer.
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Customer reply replied 4 years ago
Btw h pylori was negative
OK
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Customer reply replied 4 years ago
Why are you so hard on me
How so?
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Customer reply replied 4 years ago
You just are.
Don't have any idea what you're talking about. Any sensible person would tell you to hang on a little longer to speak with the GI and you drip info to me like the H pylori and what do you expect me to say?
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Customer reply replied 4 years ago
Ill give it yntil 11 then i have to check out of thehotel. Deal?
Customer reply replied 4 years ago
Whatever
Had to opt out because it wouldn't allow me to respond. 11:00 is fine
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Customer reply replied 4 years ago
He wants to do a ct of the pancreas
you talked to him? What all did he say?
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Customer reply replied 4 years ago
That they are doing a ct to check for tumors. He said hes not overly concerned because the gastrin levels
Not over 1000.
OK--did that at least make you feel better?
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Customer reply replied 4 years ago
No. It woukd make me feel
Better if i didnt have to have a ct to check for tumors
Why did it make you feel worse? I don't understand
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Customer reply replied 4 years ago
I dont know. And he wants me to stay here an extra day so he can go over the ct results with me in person. I think ct results can be given over the phone so i can go home
True but you really need to sit down with him and ask all the questions you can so you can get the most out of the trip and have a better idea of what exactly he thinks the problem is.
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Customer reply replied 4 years ago
But i really want to go home. And i can ask him all my wuestions over the phone
Up to you but I don't think that would be the best way to do it
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Customer reply replied 4 years ago
Just talked to my boss. I have to be at work tomorrow so he is going to have to call me with the results. Do
You think the ct will show anything. I had a ct a month ago that was normal
I really don't think it will but it will be directed at your upper abdomen so it needs to be done.
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Customer reply replied 4 years ago
you are thinking its not gastinoma
I told you before that it's unlikely but that needs to be ruled out
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Customer reply replied 4 years ago
I have so much anxiety about all of this. I hate it. If the ct is normal does that rule out anything bad
It will rule out tumors so yes it will rule out the bad things.
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Customer reply replied 4 years ago
If its normal then do they have to do any more tests to see why gastrin was elevated
Maybe another gastric pH but ask the GI all those questions
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Customer reply replied 4 years ago
If something does show up then what
That's why you need to ask the GI exactly what his opinion is--we can't just go round and round with what if's
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Customer reply replied 4 years ago
I feel like im about to
Throw up
I can't help with that and you know it
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Customer reply replied 4 years ago
What uf i throw up in the ct machine?
Won't do it any damage and we're starting to chat again
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Customer reply replied 4 years ago
Excuse me fir being worried
No problem
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Customer reply replied 4 years ago
Guess who threw up everywhere
In the scanner?
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Customer reply replied 4 years ago
Yep.
Did they at least get the scan done?
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Customer reply replied 4 years ago
They let me go. But idk how goos the image will be since i was vomitting while it was taking them
We'll just have to see
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Customer reply replied 4 years ago
The iv dye always makes me puke
We're chatting again
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Customer reply replied 4 years ago
Followup visit.
IMPRESSION/REPORT/PLAN
Mrs. Miller is a pleasant 24-year-old female who came today for followup visit for uncontrolled epigastric pain secondary to recurrent gastric ulcers. She mentions that her pain was severely exacerbated once she stopped the Nexium and ranitidine for today's tests. We collected blood today for a gastrin level after stopping the PPIs for over a week. We will wait on the results of this test.
#1 Recurrent gastric ulcers
#2 GERD
Seems like Nexium and ranitidine were helping control her symptoms. We will switch her Nexium to AcipHex and wait for her insurance approval. In the meantime, we recommend continuing the Nexium and the ranitidine while we wait for the results of the tests. Depending on the results of the gastrin levels, we will proceed either with further acid studies or symptomatic management of her persistent epigastric pain. This was discussed with the patient.
#3 Bulimia nervosa
We appreciate the recommendations of our eating disorders specialist, and the patient decided to continue working with her therapist at home. She will cancel her further appointments with our specialist.
We will contact the patient with the results of the gastrin.
Addendum:
Gastrin level elevated 378 pg/ml. The result is suggestive of gastrin producing tumor in this patient who has been without acid suppressing medications for 1 week. We will proceed with a CT scan of the pancreas, triple phase protocol.
DIAGNOSES
#1 Recurrent gastric ulcers
#2 GERD
#3 Bulimia nervosa
Original: AJA:csm by aja
Electronically Signed: 11-Jul-2013 11:09 by A.J. Acosta Cardenas, MD, PhD
Doesn't say much new.
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Customer reply replied 4 years ago
But he says it suggestive of a tumor
Just suggestive--that doesn't say it is a tumor
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Customer reply replied 4 years ago
But reading it makes it seem like he thinks i have a tumor. He didnt say suggestive of atrophic gastritis
You're not a doctor so don't try to interpret it. I don't read it as saying a tumor is likely.
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Customer reply replied 4 years ago
But he didnt mention anything else
We aren't really getting anywhere with this page.
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Customer reply replied 4 years ago
Im fricken scared ok
I know but our just talking about what if's isn't helping that
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Customer reply replied 4 years ago
Would you be scared if you were me
A little concerned but no, not scared
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Customer reply replied 4 years ago
Does gastrin cause ulcers
it can
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Customer reply replied 4 years ago
If i have a tumor whay do they do for it
Here you go again. It depends on the exact location as to what the surgery would entail and I can't tell you any more than that.
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Customer reply replied 4 years ago
You are getting frustrated with me. So do you want to give me an answer now so we can close the page
I'm just not going to go over something that hasn't even been established as yet and again it doesn't help you to ask these kinds of questions. I'm trying to help you out here by not talking about your "possible" tumor--that's a great way to fuel your anxiety. But unless you have something more specific and different to discuss right now, we should close the page.
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Customer reply replied 4 years ago
Todays a crappy day. My dogs missing
How so?
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Customer reply replied 4 years ago
How so what?
How so is your dog missing?
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Customer reply replied 4 years ago
My sister put my dog at 9 this am and then went to work; leaving me dog outside. When she got home at 130 she wasnt outside anymore. And they cant find her
Is that the usual way it goes? The dog is just let loose outside?
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Customer reply replied 4 years ago
We have a fenced in backyard. But my dog is little and she will dig under the fence when shes left outside too long. Im sure shes run over somewhere
Has she ever gotten loose before? What has your sister done to try to find her?
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Customer reply replied 4 years ago
She gets out and comes to the front door to be let in. My sister has walked around town looking for her.
Well, it doesn't mean she's been run over. Could be that someone picked her up
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Customer reply replied 4 years ago
No she doesnt like strangers
Well, still doesn't mean she won't show up. If she'd been run over I'd assume whoever might have done so would not have stopped and taken the body somewhere
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Customer reply replied 4 years ago
I hope not. I love that dog
I have three cats and I've lost a lot of pets over the years so I know how you feel.
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Customer reply replied 4 years ago
What if she got eaten by a coyote? Or even worse what is shes scared and injured somewhere
Can't say anything about that except to let me know if she's been found
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Customer reply replied 4 years ago
Shes still missing :(. If she doesnt come home tonight she is for sure going to get eaten by coyotes
We can't keep going on like this so let's close the page
Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 34,440
Experience: Over 20 yrs of Family Practice
Verified
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Dr. Chip
Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 34,440
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Experience: Over 20 yrs of Family Practice

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