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From: m19peters on 6 Nov 2007 13:29
A brief synopsis of my symptoms currently are:

Gas (especially bad during the morning/night)
Bloating
Greasy/Wet, sometimes floating stools (1 to 2 a day)
Anxiety
Rough vertical lines in fingernails
Pain in upper left abdomen that comes and goes in very short spurts (1
out of 10 on pain scale)
Frequent indigestion

My story...

A year ago I had what I think was a mild pancreatitis attack that sent
me to the ER.
I'll put this in a list to make it easier to read...


October 06 - What I think was a mild pancreatitis attack a year ago
(lipase not too high, 340, in ER but the pain had somewhat subsided
when I went
the hospital, pain lasted about 6-7 hours, was a 5 out of 10 on pain
scale, with
pain I had nausea and diarrhea, ER released me with a strained rib
muscle)
November 06 - Saw Gastro and diagnosed with GERD just from describing
symptoms,
had CT scan negative, stool studies showed nothing, upper GI endoscopy
negative
January 07 - Diagnosis of type 2 diabetes due to two high fasting
blood sugars (180)
March 07 - another CT scan negative, upper GI endoscopy negative
March 07 - Diagnosis of type 1 diabetes due to GAD antibody positive
test, celiac blood panel negative, A1C of 7.9
May 07 - Gallbladder utrasound negative
July 07 - MRCP negative
September 07 - endoscopic ulrasound negative... checked gallbladder
and pancreas


NOTES: during a 4-5 month period with unknown type 1 diabetes I went
from 215lbs to 175lbs.
215 was heavy for my 5'9 frame...I am now back up to 188lbs...
enzyme tests throughout the past year have had fequent lipase
elevations (usually in low 300's)...
amylase has always been fine as has my liver enzymes. In March I
started with just 5 units of Lantus... I now am up to 20 units and
take Novalog for meals on a 20 carb/1 unit scale

My blood sugars are fairly regulated with diet, exercise, ...
my last A1C was 5.9... I can seem to have weeks of normal digestion
and then have weeks
of abnormal digestion without any known cause. I've tried cutting out
trigger foods
like tomatoe sauce, alcohol, caffeine, etc... tried fasting for a
day... nothing seems to help.

Can these symptoms above be just IBS? Greasy/wet stools? Celiac
disease,
I was tested with a blood test; could this be missed through that
test?

Would it be possible to rule out malabsorption? Concerns about my
fingernails and stools? Pancreatic Insufficiency?

I've never had a colonoscopy; should this be next step?

While I understand from reading and going through what I have, that it
is very hard to diagnose
certain digestive problems... I would really appreciate any thoughts
that anyone has to my
current situation. And I cannot ignore that these problems started a
year ago
the day that I had a pancreatitis attack and later found I have LADA
(type 1.5 or
type 1, however you want to classify) diabetes.

Thanks

From: m19peters on 6 Nov 2007 13:36
I am 26 years old...

From: Don Wiss on 6 Nov 2007 19:05
On Tue, 06 Nov 2007 10:29:18 -0800, m19peters(a)gmail.com wrote:

>Can these symptoms above be just IBS? Greasy/wet stools? Celiac
>disease,
>I was tested with a blood test; could this be missed through that
>test?

How long ago was this? A few years ago they weren't very accurate. One lab
was tested giving out 45% false negatives. Then they developed the much
more reliable tissue transglutaminase (tTG) test. But even with it being
available some doctors may be too cheap to use it, and instead fall back to
the cheap unreliable ones.

You need to know exactly which test was used, and I can think of at least
five serum tests that exist.

Don <www.donwiss.com> (e-mail link at home page bottom).
From: m19peters on 6 Nov 2007 19:56
On Nov 6, 7:05 pm, Don Wiss <donwiss(a)no_spam.com> wrote:
> On Tue, 06 Nov 2007 10:29:18 -0800, m19pet...(a)gmail.com wrote:
> >Can these symptoms above be just IBS? Greasy/wet stools? Celiac
> >disease,
> >I was tested with a blood test; could this be missed through that
> >test?
>
> How long ago was this? A few years ago they weren't very accurate. One lab
> was tested giving out 45% false negatives. Then they developed the much
> more reliable tissue transglutaminase (tTG) test. But even with it being
> available some doctors may be too cheap to use it, and instead fall back to
> the cheap unreliable ones.
>
> You need to know exactly which test was used, and I can think of at least
> five serum tests that exist.
>
> Don <www.donwiss.com> (e-mail link at home page bottom).

Thanks Don... I will find out what test was ordered... will call them
tomorrow. It was done in November of last year I believe.

From: Janice on 8 Nov 2007 20:27
Have you seen a Naturopathic Doctor? It is always good to work with a
professional, rather than self-diagnose.

Your intestinal troubles sound like celiac problems. Your nails
indicate low iron or haemoglobin. Many times iron does not work for
this but, B12 and L-isoleucine or L-leucine work as cofactors for
converting iron to haemoglobin. These are further indicators of long
term mal-absorption...usually. Research and professional help are
required.


<m19peters(a)gmail.com> wrote in message
news:1194373758.918471.209870(a)50g2000hsm.googlegroups.com...
>A brief synopsis of my symptoms currently are:
>
> Gas (especially bad during the morning/night)
> Bloating
> Greasy/Wet, sometimes floating stools (1 to 2 a day)
> Anxiety
> Rough vertical lines in fingernails
> Pain in upper left abdomen that comes and goes in very short spurts
> (1
> out of 10 on pain scale)
> Frequent indigestion
>
> My story...
>
> A year ago I had what I think was a mild pancreatitis attack that
> sent
> me to the ER.
> I'll put this in a list to make it easier to read...
>
>
> October 06 - What I think was a mild pancreatitis attack a year ago
> (lipase not too high, 340, in ER but the pain had somewhat subsided
> when I went
> the hospital, pain lasted about 6-7 hours, was a 5 out of 10 on pain
> scale, with
> pain I had nausea and diarrhea, ER released me with a strained rib
> muscle)
> November 06 - Saw Gastro and diagnosed with GERD just from
> describing
> symptoms,
> had CT scan negative, stool studies showed nothing, upper GI
> endoscopy
> negative
> January 07 - Diagnosis of type 2 diabetes due to two high fasting
> blood sugars (180)
> March 07 - another CT scan negative, upper GI endoscopy negative
> March 07 - Diagnosis of type 1 diabetes due to GAD antibody positive
> test, celiac blood panel negative, A1C of 7.9
> May 07 - Gallbladder utrasound negative
> July 07 - MRCP negative
> September 07 - endoscopic ulrasound negative... checked gallbladder
> and pancreas
>
>
> NOTES: during a 4-5 month period with unknown type 1 diabetes I went
> from 215lbs to 175lbs.
> 215 was heavy for my 5'9 frame...I am now back up to 188lbs...
> enzyme tests throughout the past year have had fequent lipase
> elevations (usually in low 300's)...
> amylase has always been fine as has my liver enzymes. In March I
> started with just 5 units of Lantus... I now am up to 20 units and
> take Novalog for meals on a 20 carb/1 unit scale
>
> My blood sugars are fairly regulated with diet, exercise, ...
> my last A1C was 5.9... I can seem to have weeks of normal digestion
> and then have weeks
> of abnormal digestion without any known cause. I've tried cutting
> out
> trigger foods
> like tomatoe sauce, alcohol, caffeine, etc... tried fasting for a
> day... nothing seems to help.
>
> Can these symptoms above be just IBS? Greasy/wet stools? Celiac
> disease,
> I was tested with a blood test; could this be missed through that
> test?
>
> Would it be possible to rule out malabsorption? Concerns about my
> fingernails and stools? Pancreatic Insufficiency?
>
> I've never had a colonoscopy; should this be next step?
>
> While I understand from reading and going through what I have, that
> it
> is very hard to diagnose
> certain digestive problems... I would really appreciate any thoughts
> that anyone has to my
> current situation. And I cannot ignore that these problems started
> a
> year ago
> the day that I had a pancreatitis attack and later found I have LADA
> (type 1.5 or
> type 1, however you want to classify) diabetes.
>
> Thanks
>


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