My mum has had a serious problem with her stomach as described here:
I think we've definitely ruled out gall bladder so now looking at pancreatitis due to the few things she can eat without problems or other more unspeakable things.
She finally got the appointment with the consultant - after three months but he did little apart from finally action the endoscopy/colonoscopy which they knew she needed anyway and yet another scan - dates not yet confirmed so worried about long this is now going to be!!
Obviously she's now on an extremely restrictive diet and the massive weight loss has stopped because of it but is still losing weight slowly but surely so I got a whole heap of tests done to see where she is with everything and to see if anything pinged up of interest.
HBA1C and uric acid were fine. Sex hormones showed post menopausal as expected apart from over range LH which I will ignore and Blood count all fine except with the only difference to the last being that MCV and MCH have moved to top of range.
Her thyroid results are as follows:
THYROID STIMULATING HORMONE *0.01 mIU/L 0.27 - 4.20
FREE THYROXINE 22.000 pmol/L 12.00 - 22.00
FREE T3 5.31 pmol/L 3.10 - 6.80
She had not taken her thyroid meds that morning as usual so have told her to reduce levo by 25mcg. With the weight loss etc, I would rather her be slightly hypo than high anyway.
Her iron panel cam back as:
IRON 7.88 umol/L 6.60 - 26.00
T.I.B.C *39.68 umol/L 41.00 - 77.00
TRANSFERRIN SATURATION *19.86 % 20.00 - 55.00
FERRITIN 149 ug/L 13.00 - 150.00
Obviously low in iron but won't be treating this as likely caused by whatever is going on and clearly won't help.
Her liver function and protein test were okay although proteins are low in range as expected on diet although she is eating a tonne of fish.
Cholesterol tests were all fine apart from under range HDL but I suppose this is to be expected but again, is eating a tonne of fish but probably not enough in general over the course of a day and very low fat otherwise.
Her kidney function tests were okay apart from sodium has gone over range. She is not eating any salt at all on her restricted diet and not eating enough. Going by the rest of her kidney results, I will assume nothing to do with her kidney and doesn't seem dehydrated.
Magnesium is over range - no reason for this.
Also calcium is showing spot on at 2.43 however this is unexpected - she's always been low in range and has stopped all dairy etc so theoretically she should still be low in range or lower even
Very unexpectedly - these came back:
ACTIVE B12 *208.000 pmol/L 25.10 - 165.00
FOLATE (SERUM) *2.7 ug/L 2.91 - 50.00
Her B12 levels last checked were fine and she stopped all supplement 4 months ago when her stomach started having problems and her results were no where near top end at the time. Where she's on a restricted diet, she's been gorging on salad, veg and fruit all day every day and is eating nutribix every morning which is fortified in folate 100 rda. so I do not know why her folate is now under range as for once, it shouldn't be and it's even lower. will explain the mcv and mch getting higher and could be making the iron situation worse but I can't work out whether to treat this or not until we get some answers as the relationship between folate and other stuff is not clear and maybe a reason for it. Do you think I should get her to take some or leave until we have some conclusive answers???? Maybe it provides a clue as to what part of her stomach might be good to have a thorough check in -upper third of lower intestine and apparently abnormal jejunal structure or function may reduce folate absorption??
Vit D was 57.9 - am going to leave this for now until work out what's going on especially where calcium is increasing regardless.
So obviously her electrolytes are going a bit whacky with all over range or increasing so am tempted to get these looked into further, I have a feeling potassium might be really low and can't find anything that explains high magnesium and high sodium at the same time and really don't think her kidneys are a problem in themselves at the moment.
I'm going to get her adrenals looked at properly also but I'm sure they are being overworked at the moment anyway.
Obviously her B12 and folate make little sense but I have no idea what to do in regards to the folate.
Obviously, I can see certain things which may be an issue so I'm going to step in now and chase these appointments as it's taking far too long for comfort now.
Just wondering if anyone else has any further suggestions.
Many thanks, Sarah