Pancreatic cancer (yellow stool, back discomfort, masses on liver)? Ultrasound, lab results
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About me:
- 29 years old, 85kgs, doing sport, so barely have any stomach and 190cms, male, white, Hungarian
- No smoking, no drinking
- In the family history there were a few cancers (one grandfather beat prostate, the other died from lung cancer, but was a chain smoker for 55 years before that)
- Currently taking probiotics, 40mg otilonium bromide once a day (spasmomen, taking it only for a few days) and calcium carbonate (600mg, once a day before going to bed because of my colon problems) and some vitamins
- Never smoked, never was an alcoholic, and I do not use any other substance (tried marihuana for a few times but that is it)
Long story short:
- Have had stomach problems for over 5-10 years, almost always only stress related diarrhea, no pain etc
- Recently symptoms were getting worse (in the last year the amount of stress in my life went up a lot), so I went to the doctor
- Since 3-4 weeks my stools are yellowish, sometimes float, sometimes do not (it is never difficult to flush it though), and sometimes I see undigested pieces in them. I also head some watery-foamy diarrhoea, 3 times so far. I also have some lower back waist pain which is probably related to bad posture as it gets worse as I hunch over and disappear if I lay back. About a week ago I started to notice some pain in my back around my right shoulder blade. It seems that if I am not paying attention then I do not feel it, I only feel it when I am focusing whether I feel it or not, but it seems to getting worse gradually.
- I started to panic since the yellow stools and the back pain that came later, and since then I am afraid of having pancreatic cancer. Since this happened I am searching for hours every day about symptoms etc.
Examinations I have had:
- 2 ultrasound, one done by GP, one by someone who is an internist. The second one was done as I told him about my concerns about having pancreatic cancer, so he was focusing on that.
- Both ultrasound said that they had a clear look at my pancreas and all seemed fine. See the first ultrasound picture attached here:
I was told that this is an extraordinarily good picture of a pancreas made by an ultrasound.
- However, they have found 2 spots on my liver, but it was identified by the doctors as hemangiomas. The internist told me that he sees way more cancer and mets then hemangiomas and the look completely different. Both doctor emphasized that my pancreas is all good.
- Have had physical examinations and blood tests: lipase (31 U/l and normal range is everything below 60 according to my lab), amylase (72U/l and normal range is 15-94), AST (25 U/l, with normal range 2-37), ALT (33U/l and normal range is 2-45) all normal. All tumor markers negative (C 19-9 is 6.79, normal value according to the lab is 2-37). They have found elevated B12 levels (1026 pmol/L it should be normal in 138-652, but I take a multivitamin about every/every 2nd day that consist 50 times the daily recommended value of B12). The lab also identified slightly lower RBC (4.49T/l, normal range 4.5-5.8), HGB (135g/l, normal range is 140-180), and HCT (0,4l/l, normal range 0,42-0,51) and slightly higher bilirubin direct (3.5 umol/l, and considered to be normal below 3.4, but as far as I google-d it, other labs consider the normal level to be below 5). My alkaline phosphate level is 131 U/l, but my lab has a reference range of 80-300 (which seems high compared to the values I have found online, but everything that I have found said that normal ranges can vary from lab to lab). So, it seems that all my pancreatic/liver enzymes (and also bilirubin) are quite normal, I have some blood measure that are slightly below the normal ranges, and my tumor markers does not show any signs of cancer, neither the ultrasound results. AFP, CEA also negative.
Details (I translated from Hungarian, so I only translated the results):
Should I worry of having pancreatic cancer? Or should I go to a psychologist because of my anxiety? I am afraid because I know that normally US is not the most reliable in finding PC, but the doctors reassured me that in my case the pictures that they took were extraordinarily clear. Blood results are also find, but I am not sure whether I should push for CT/MRI?
I also uploaded the longer story with details regarding the ultrasounds and my symptoms to here:
Thank you reading and thank you for the help!
1 like, 17 replies
marcus1992 laci06
Posted
I have similar problems. I also feel pain in the abdomen where the pancreas should be. I already had a CT and MRI with contrast, MRCP and EUS. Nothing found in the abdomen. Pain persists. From one point I think to myself. I know the cancer is hard to diagnose, but after so many tests, especially EUS and MRCP - nothing suspicious found....