Not DS related - Trying to avoid scans but have left upper quadrant pain with fever?

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hilary1617

First time at the rodeo.
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Jan 6, 2014
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So, there's something going on for which a scan would probably be helpful, but I am trying to avoid, so I haven't told my doctors:

(1) For past two nights and all day yesterday I had a fever of 102-103ish, with chills and sweats.
(2) My left upper quadrant right by the ribs feels like I stubbed it - for lack of a better description - just like a stubbed toe only in my abdomen. Constant, pretty intense pain that is tender to touch and hurts more when I move.
(3) I've been eating and drinking - has no impact on the pain and everything is coming out as usual waste-wise.
(4) Both types of waste are moving though the system as usual, though volume of urine output is super high. All of my lipo-lymphedema and the swelling normally present in my abdomen is gone. Hooray!
(5) No blood or tarry stuff in stool. Just usual DS poop at usually frequency and consistency.

I was going to "go in" if my fever got to 104, but it maxed out at 103.2. I was also going to go in if my pain got unbearable, but it has remained constant at 6-7, which I can manage.

- As of mid morning today, the fever is gone, yet the pain persists unchanged.

- Does anyone have any clue what this could be? I'm thinking diverticulitis or some kind of viral infection?

- Am I being a fool not to go in, or am I probably ok now that fever has passed?

I have a history of distal pancreatectomy and liver resection (grew back) from 2013 that has led to persistent hepatosplenomegaly. No heart problems and I feel great, better than usual probably because I am actually rested, having spent yesterday in bed, and all the swelling I normally have has abated.

The long and short of avoiding scans it is that due to history of Pancreatic Neuroendcrine Tumor I travel to experts in NOLA to get CT and MRI twice a year. I get an octreoscan on one of those visits as well. I am working hard to fight with insurance to get Gallium 68 Netspot instead of octreoscan as it is much better at imaging NETS and recently was FDA approved. I am scheduled in January 2018 for this. If I get another scan now, my insurance may disallow the Jan scans on that basis. Plus, I generally have enough exposure to radiation, heavy metals, nuclear meds etc. that I don't want any scans that aren't absolutely necessary.
 
It sounds like you have had more scan experience than I have, but because of the frequency I've had to get them, I get MRI if possible because I've had so much radiation. I do think you need to go in (I would) and request something without all the radiation. I was also wondering about renal stones and getting an infection with those, but it sounds like you have some history that would also make me want things checked out as well.
 
It sounds like you have had more scan experience than I have, but because of the frequency I've had to get them, I get MRI if possible because I've had so much radiation. I do think you need to go in (I would) and request something without all the radiation. I was also wondering about renal stones and getting an infection with those, but it sounds like you have some history that would also make me want things checked out as well.

Thanks @bearmom Good point and a voice of reason as always. Maybe they could do an ultrasound.

I'm thinking stones aren't likely, as I have no history there and my lower back feels great. This pain is high up in the front only, like right under the ribs.

If it doesn't improve by tomorrow, I will go in and try to end up leaving without being radiated! Maybe some blood tests would tell the story of what is going on. Just, darn it, I have been waiting so long and fighting so hard for the Ga-68 scan, and if this is related to NET cancer - that's the scan that will really tell us what is going on. I also am convinced that the extent of my exposure is going to cause harm at some point.
 
When I read location, it was similar to where I'd had renal stone pain (more in my side, up under ribs, but back could ache at other times) but your history would give more reason to look closer.

I would at least *ask* if the ga-68 scan could be done a bit sooner, as it could save cost and they may expedite it for that reason. They have done combined ones for my in the past, but not all scans are equal for showing different things, so usually the answer is no. It's worth an ask though.
 
I was thinking kidney stones as well. Based on my experience and about of month or so of intermittent pain, I may be in the same boat. I don't have the history of scans that you have, I just try to avoid them. Unfortunately, there is no other way to diagnoses stones. The pain isn't always in the lower back.

I hope you get it figured out. I have to get DH through a colonoscopy on Monday so I might finally call for an appointment after that. My stones have a history of making major appearances on holidays so I'm hoping I won't be at the ER tomorrow.
 
I was thinking kidney stones as well. Based on my experience and about of month or so of intermittent pain, I may be in the same boat. I don't have the history of scans that you have, I just try to avoid them. Unfortunately, there is no other way to diagnoses stones. The pain isn't always in the lower back.

I hope you get it figured out. I have to get DH through a colonoscopy on Monday so I might finally call for an appointment after that. My stones have a history of making major appearances on holidays so I'm hoping I won't be at the ER tomorrow.

Ouch. Hope we both just have indigestion!!!! Guess the reality is we both know what we are in for but are just hoping to make it through to the other side of the holidays. I've got a son recovering from neurosurgery and an Alzheimer's parent that necessarily are taking priority in the health department now. Feel better soon!
 
Ouch. Hope we both just have indigestion!!!! Guess the reality is we both know what we are in for but are just hoping to make it through to the other side of the holidays. I've got a son recovering from neurosurgery and an Alzheimer's parent that necessarily are taking priority in the health department now. Feel better soon!
Yes, but if you don't care for yourself, you can't help them.
 
Yes, but if you don't care for yourself, you can't help them.

You're absolutely right, of course. I'll go in tomorrow if not improved.


When I read location, it was similar to where I'd had renal stone pain (more in my side, up under ribs, but back could ache at other times) but your history would give more reason to look closer.

I would at least *ask* if the ga-68 scan could be done a bit sooner, as it could save cost and they may expedite it for that reason. They have done combined ones for my in the past, but not all scans are equal for showing different things, so usually the answer is no. It's worth an ask though.

That's a good idea, but unfortunately, I'm stuck in Chicago this week. I have to get the ga-68 in NOLA and I still haven't gotten the pre-auth - NOLA docs are the ones fighting the good fight for coverage.

I'll go in and ask if bloodwork or an ultrasound could help figure this out. And with two votes for possible kidney stones, that will definitely be a consideration!
 
So sorry. Bad any time, but having this on a holiday is nasty. If you're like me when I had pancreatitis on Xmas, you also feel like you're hampering the family's holiday fun, so you feel bad AND feel bad about it.

Kidney stones don't cause fever. A kidney infection would but I've never experienced front pain with my many stones or infections, just back pain.

Actually it sounds like pancreatitis... but you don't have one.

103 is high. With your history I wouldn't monkey around. Go in tomorrow and get an ultrasound. This can show stones and any hydronephrosis. It's not terribly accurate regarding size and bad at seeing very small stones, but it's safe and a good place to start. It could also show if you have formed gallstones around the stalk of where your gallbladder was. (I assume your GB is gone.)

Take care of yourself so you can take care of others.
 
So sorry. Bad any time, but having this on a holiday is nasty. If you're like me when I had pancreatitis on Xmas, you also feel like you're hampering the family's holiday fun, so you feel bad AND feel bad about it.

Kidney stones don't cause fever. A kidney infection would but I've never experienced front pain with my many stones or infections, just back pain.

Actually it sounds like pancreatitis... but you don't have one.

103 is high. With your history I wouldn't monkey around. Go in tomorrow and get an ultrasound. This can show stones and any hydronephrosis. It's not terribly accurate regarding size and bad at seeing very small stones, but it's safe and a good place to start. It could also show if you have formed gallstones around the stalk of where your gallbladder was. (I assume your GB is gone.)

Take care of yourself so you can take care of others.

Thanks, I'm feeling a touch better and couldn't get ahold of my doctor because of the holiday, so figured I'd wait one more day and see what happens. Pain is starting to diminish a bit so maybe this whole thing is resolving itself naturally.

I do have a good portion of pancreas left - only parted with the tail end and with steady hands, they were able to dissect and preserve my splenic artery to save my spleen. So, pancreatitis is possible as is some spleen challenge. I am gallbladder free, though!

Happy Thanksgiving!
 
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