“Frustrated with unusual medical workup?”
I am currently undergoing an investigational workup for chronic fatigue, GI issues involving stomach pain, diarrhea w/ excessive gas and bloating, and severe neutropenia (neutrophils <800, dipping below 500 at times). I received my EBV test and results as follows: EBV IgM <36.0, EBV IgG 42, EBVNA 53.2...Could this be causing my symptoms? Do I have recurrent or chronic EBV?
The GI issues started almost 2 years ago. The pain is there daily - usually, I sit on the toilet and "Try" - mostly producing large amounts of gas, but only stool half of the time. My stomach always feels full and bloated, it's never a "Calm" feeling in there. Description: It's usually sharp like I have an immediate need to have a BM.
I have h/o gastric cancer, colon cancer, GERD pretty consistent on my Mom's side. I've been in and out of my PCPs office and the ED for 2 years with these same symptoms. Even weirder my labs have shown NRBC (nucleated RBCs) and just weird stuff. I have the EBV results, I tested +Rotavirus antigen (I'm a 22 yo male and no one in my house is sick - 2 kids, 1 adult, besides me.
I am have had trouble with jobs due to constant/frequent bathroom trips - actually lost 2 jobs in the last 2 years. My fiance' is tired of carrying the weight, and I'm tired of feeling bad. I'm ONLY 22.
The GI issues started almost 2 years ago. The pain is there daily - usually, I sit on the toilet and "Try" - mostly producing large amounts of gas, but only stool half of the time. My stomach always feels full and bloated, it's never a "Calm" feeling in there. Description: It's usually sharp like I have an immediate need to have a BM.
I have h/o gastric cancer, colon cancer, GERD pretty consistent on my Mom's side. I've been in and out of my PCPs office and the ED for 2 years with these same symptoms. Even weirder my labs have shown NRBC (nucleated RBCs) and just weird stuff. I have the EBV results, I tested +Rotavirus antigen (I'm a 22 yo male and no one in my house is sick - 2 kids, 1 adult, besides me.
I am have had trouble with jobs due to constant/frequent bathroom trips - actually lost 2 jobs in the last 2 years. My fiance' is tired of carrying the weight, and I'm tired of feeling bad. I'm ONLY 22.
Male | 22 years old
Complaint duration: 2 years
Medications: recently started protonix
Conditions: GERD, neutropenia, past MVC with T4 fracture
1 Answer
Focusing on the GI symptoms of diarrhea, pain, gas and bloating, these are very common and are usually from a benign cause like irritable bowel, carbohydrate malabsorption, etc. The neutropenia might be unrelated. You need to have a thorough history and physical done by a GI doctor to try to make a diagnosis to help with the GI issues. An inflammatory GI problem should be ruled out.
