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Just to state I am a 23-year-old male. I went to a walk-in…

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Hello just to state I...
Hello just to state I am a 23-year-old male. I went to a walk-in clinic for some stomach issues, particular pain on the left side, that came out of nowhere. He told me to go to ER and get a CT scan done. The hospital did a CT scan of my stomach with contrast, and found nothing admormal, except for a 4 mm nodule on my lower lung. I then proceeded to have a CT scan done of my chest and the found 2 other nodules of around the same size. Im still having diahrrea, with some slight dull pain in the lower left side of my stomach. What are the chances that it could be stage IV colon cancer? I have experienced no blood in my stool yet and i havent been losing much weight. Should I get a colonosopy done? Is this most likely metastasized from potential colon cancer? Any input would be appreciated. Many Thanks!
Submitted: 5 months ago.Category: Oncology
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Answered in 1 minute by:
12/27/2017
Oncologist: Dr. Arun Phophalia, Doctor (MD) replied 5 months ago
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Oncology
Satisfied Customers: 38,194
Experience: MBBS MS (Surgery)
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Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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Customer reply replied 5 months ago
Thank you very much
Oncologist: Dr. Arun Phophalia, Doctor (MD) replied 5 months ago

Two things;

A) Your symptoms of abdominal pain and diarrhea are suggestive of viral gastroenteritis (stomach flu). This is treated as following

1) PeptoBismol

2) Lomotil; may only be given if the diarrhea is vigorous.

3) Gatorade / Pedialyte

4) Plenty of fluids

5) BRAT diet; banana, rice, applesauce, toast. Vegetable broths / vegetable soups, coconut water also can help.

6) Probiotics

This does not need a colonoscopy unless symptoms persists for more than a week.

B) Your lung nodules are incidental findings and may not be clinically significant. Please read this reference resource;

http://pubs.rsna.org/doi/pdf/10.1148/radiol.2017161659

Four mm nodules are in all likely benign. These may be confirmed by a CT scan at 6 months later.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

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Customer reply replied 5 months ago
My symptoms have lasted for longer than a week I’ve started to notice these symptoms about 3 weeks ago
Customer reply replied 5 months ago
I have not lost weight and I do not have any blood in my stool as I’ve bought a take home test to confirm that. My symptoms seem to switch from diarrhea to constipation and there isn’t really true painful symptoms I’m experiencing just slight dull pain
Oncologist: Dr. Arun Phophalia, Doctor (MD) replied 5 months ago

There are two things;

1) Lung nodules; these are nothing to worry and not disease process.

2) Your intestinal symptoms if persists may need following investigations as these can be due to intestinal motility disorder.

One of the commonest is called as irritable bowel syndrome (IBS). Following investigations may be considered (if not done);

1) The complete blood count (CBC); altered in irritable bowel disease (in whom leukocytosis / high WBC count is the more frequent result).

2) Protein electrophoresis pattern may show alterations of both albumin and globulins (especially alpha-1 and gamma globulins) in IBS.

3) Thyroid function tests; a high thyroid may cause loose and frequent bowel motions.

4) A barium meal is a helpful study in the diagnosis of intestinal motility disorders.

5) Nuclear magnetic resonance examinations are also necessary.

6) Defecography

7) Scintigraphic study of the small bowel or colonic transit time is currently most preferred investigation for your symptoms. It shows the intestinal progression of the meal.

Medications like neostigmine, bethanechol, metoclopramide, cisapride, and loperamide may help you.

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Oncologist: Dr. Arun Phophalia, Doctor (MD) replied 5 months ago

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