ThaiPauly Posted March 17, 2018 Share Posted March 17, 2018 Just got out of hospital, pain still bad , still have the runs, still stomach pain which they are treating with paracetamol 3 times a day. It's just like it was before I started all these tests and I am $5,000 dollars worse off, which makes CMR $5,000 better off. Luckily I was able to self insure. I have no idea what to do other than wait for the lifestyle changes to properly kick in as there is absolutely nothing wrong with me, so I am suffering from severe stress! Link to comment Share on other sites More sharing options...
Sheryl Posted March 18, 2018 Share Posted March 18, 2018 You say "stomach pain" which would not respond to paracetemol. Do you actually mwan abdominal pain? Where exactly is the pain and what type? (Cramping, burning, sharp etc).Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app Link to comment Share on other sites More sharing options...
ThaiPauly Posted March 18, 2018 Share Posted March 18, 2018 Lower abdomen Sheryl, it's a throbbing pain, , comes and goes, but is mostly there, I can't get out of the house as my stomach is unreliable Link to comment Share on other sites More sharing options...
Sheryl Posted March 18, 2018 Share Posted March 18, 2018 Did they do a colonoscopy? And please list all meds you are on Link to comment Share on other sites More sharing options...
ThaiPauly Posted March 18, 2018 Share Posted March 18, 2018 Colonoscopy has been done, nothing to show. Dexilant (Deexlansoprazole) Moltilium-M (Soltab) Remeron 30mg Colofac 135mg (Mebeverine) Tylenol Arthritis 650mg Those are all the tablets I have left. Hope this info helps Link to comment Share on other sites More sharing options...
Sheryl Posted March 18, 2018 Share Posted March 18, 2018 I am guessing the motilium for prescribed fro your GERD, Thai doctors tend to add that to the mix (though in my experience makes little difference) Abdominal cramps are a known side effect of motilium. So is diarrhea. Its mode of action is to increase movement of the GI tract. Colofac is a treatment for irritable bowel syndrome. Remeron as I assumr you know is an anti-depressent. So it sounds liek you have been diagnosed with IBS. You may find this article helpful https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016 And I would suggest trying some probiotics, can't hurt and may help. Likewise an elimination diet might be a good idea, starting with dairy products (eliminate them for say 2 weeks, if things improve eliminate permanently, if not, go back to eating them and eliminate something else such as wheat, and repeat process as a means of identifiying any foods that you may be intolerant to). Link to comment Share on other sites More sharing options...
ThaiPauly Posted March 19, 2018 Share Posted March 19, 2018 Sheryl With the probiotics, would you suggest buying capsules over the internet or in live yogourt? Thanks Link to comment Share on other sites More sharing options...
Sheryl Posted March 19, 2018 Share Posted March 19, 2018 Both Pharmacies may have the capsules or you can get from Lazada Link to comment Share on other sites More sharing options...
ThaiPauly Posted March 20, 2018 Share Posted March 20, 2018 Sheryl, I have just re-read the results of my CT Scan and something right at the end bothers me "IMPRESSION" Mild dilation and thickened wall of small bowel loops at left sided abdomen, the first impression is bowel ileus from infection/ inflammation process, further close follow up study or further investigation is advised" Well there was no further investigation and from the meds I have told you I am on do you think that they are helping me to get better? Many thanks Link to comment Share on other sites More sharing options...
Sheryl Posted March 20, 2018 Share Posted March 20, 2018 The meds you are on are just for symptomatic management of what is being presumed to be "irritable bowel syndrome" which is a catch all term for symptoms for which a cause could nto be found. You'd have to tell me whether they are helping - is the pain any better? Link to comment Share on other sites More sharing options...
ThaiPauly Posted March 20, 2018 Share Posted March 20, 2018 No Sheryl, The pain is not any better, sometimes it is and then others worse. Seriously thinking about going to see a specialist at Sripat, I am really fed up with this now. Link to comment Share on other sites More sharing options...
Sheryl Posted March 20, 2018 Share Posted March 20, 2018 Yes, you should. Bring all records with you including the CT and endoscopy CDs (not just the reports) Suggest: Assoc Prof Taned Chitapanarux Link to comment Share on other sites More sharing options...
ThaiPauly Posted March 20, 2018 Share Posted March 20, 2018 Thanks Sheryl Link to comment Share on other sites More sharing options...
ThaiPauly Posted March 21, 2018 Share Posted March 21, 2018 I have made an appointment to see the Professor on Monday evening. My wife rang RAM about the cd's. They don't provide them anymore for endoscopy reports, they just provide them for CT Scan's and MRI's so I will have to take the paper folders as I have no choice ! Link to comment Share on other sites More sharing options...
Sheryl Posted March 21, 2018 Share Posted March 21, 2018 As long as the paper folders include pictures (i.e. not just the report).Glad you got the appointment. While waiting have a look through your various blood test results and see if they include a serum amylase and serum lipase. If not when you see the Prof ask about this. (Check for pancreatitis).Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app 1 Link to comment Share on other sites More sharing options...
ThaiPauly Posted March 26, 2018 Share Posted March 26, 2018 The Prof reckons it could be Chrone's Disease as I am displaying many of the symptoms relating to it and the wording in the CT Scan would seem to fit the bill. He has taken blood and wants a stool sample next week and given me worm tablets (just to rule out an infection from worms) and Metronidazole 200mg. Luckily I have been following the right diet and that kept me pain free for 3 days, but it flared up again today. The GERD problem seems to have sorted itself out, Ram got that right I think but not the right diagnosis for my stomach pain saying it was all in my head.......talking of which, it never rains but it pours, last week I had a funny turn where I started talking in tounges for about 2 minutes, so he wants me to see a neurologist next week....oh the joys of getting old !! Link to comment Share on other sites More sharing options...
Sheryl Posted March 26, 2018 Share Posted March 26, 2018 Glad at least that you have seen a senior specialists who is taking the matter seriously. indeed, should see a neurologist too - what you describe could have been a TIA. Link to comment Share on other sites More sharing options...
ThaiPauly Posted March 26, 2018 Share Posted March 26, 2018 Excuse my ignorance Sheryl but what is a TIA? Link to comment Share on other sites More sharing options...
ThaiPauly Posted March 26, 2018 Share Posted March 26, 2018 35 minutes ago, ThaiPauly said: Excuse my ignorance Sheryl but what is a TIA? Got it...crickey, they cannot see me till next Tuesday....should I go elsewhere Sheryl? If so where in CM? I'm not going back to CMR Link to comment Share on other sites More sharing options...
Sheryl Posted March 27, 2018 Share Posted March 27, 2018 Could try Dr. Kanokwan Watcharasaksilp at Sripat Or: Chiang Mai Neurological Hospital https://www.cmneuro.go.th/TH/index.php A government hospital specifically for neurological problems Likely they have an after hours clinic arrangement Ask for: Prof. Sasiwimol Kosachunhanun 1 Link to comment Share on other sites More sharing options...
ThaiPauly Posted April 3, 2018 Share Posted April 3, 2018 I DID have a TIA, I have seen the nuerologist and after all the appropriate tests including an MRI I am OK but will have to take tablets to thin my blood for life. I went to see the Prof at Sriphat for the results of my blood tests, x-ray and stool test and he informs me that I have NOT got Chron's Disease, rather it's the ulcerative colitis that although he says it is in remission he has no idea why I am experiencing such regular discomfort...in other words HE DOES NOT KNOW what is wrong with me. He wants to do ANOTHER colonoscopy which I am refusing to have as I only had one 5 weeks ago and nothing has changed since then. So the quest to find the answer goes on, now I need to find another specialist. TBH I was not at all impressed by the Professor there and won't be going back there in a hurry. just another waste of good money. I would not be in any hurry to recommend him to others suffering gastro problems. Link to comment Share on other sites More sharing options...
Sheryl Posted April 3, 2018 Share Posted April 3, 2018 It is hardly the case that they do not know what is wrong with you when they have diagnoses Ulcerative Colitis (as well as a prior diagnosis of gastritis). I note that you keeps saying this and similar things ("tests showed nothing" etc) when in fact tests did show something, doctor did make a diagnosis etc. Perhaps what you mean is that they were unablt to produce an immediate cure for your symptoms? Ulcerative colitis is quite rare in Thailand, only a few docs with much experience in it. It would be worth your while to travel to Bangkok to consult one of these few, bringing all records and especially the CD or films from the colonoscopy with you. I suggest Assoc. Prof Somchai Leelakusolvong at Siriraj. he traiend at the Mayo Clinic i nthe US and has published in UC. Siriraj has a private wing where you can book appointment by phone. If Prof Somchai is unavailable then try Prof. Supot Pongprasobchai http://www.siphhospital.com/en/home By the way did the test serum amylase? I am still a bto concerned re possible inflammation of the pancreas if not. Link to comment Share on other sites More sharing options...
ThaiPauly Posted April 3, 2018 Share Posted April 3, 2018 (edited) Hi Sheryl, I do not know what you refer to in your last paragraph? Yes I will go to Bangkok...this has to be sorted out Thanks for the referals Edited April 3, 2018 by ThaiPauly Link to comment Share on other sites More sharing options...
Sheryl Posted April 3, 2018 Share Posted April 3, 2018 serum amylase is a blood test. I mentioned it before in post #45. Check your test results and see if they ever tested for amylase and lipase tests. It would be in with other blood chemistries. If these have nto been done, they should be, just to rule out a pancreatic issue. Link to comment Share on other sites More sharing options...
ThaiPauly Posted April 4, 2018 Share Posted April 4, 2018 Yes they did Sheryl. The result was within normal ranges. My number was 34. The safe numbers are 30.00-118.00 Link to comment Share on other sites More sharing options...
Sheryl Posted April 4, 2018 Share Posted April 4, 2018 Good.Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app Link to comment Share on other sites More sharing options...
ItDontMeanAThing Posted April 4, 2018 Share Posted April 4, 2018 On 2/27/2018 at 12:10 PM, ThaiPauly said: and eat more fish than anything else After my heart attack I learned that tilapia has 15mg of cholesterol per ounce, squid 66mg. Stopped eating both. Link to comment Share on other sites More sharing options...
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