Mysterious condition here, help needed

[Guest guest]

DOB: 07/01/1972

HISTORY:

· No prior medical problems.

· Tonsillectomy at age 14.

Note: In 2004 I lived on a sailboat in Ft. Myers, Florida during

three hurricanes.

Note: Couple of weeks prior to the onset of these symptoms I

consumed very large quantities of very salty boiled peanuts.

Note: I am usually outdoor active and have been exposed to ticks,

mosquitos, etc.

Note (November of 2005): Weighing 335 pounds, inactive, having

headaches, stress, and pain in my lower back and right hip area I

began to diet and exercise.

One Friday I took a water bottle enema (just water) and felt very

uneasy afterwards. I went to sleep and woke up a couple of hours

later with the sudden urge to have a bowel movement. I passed out

when I got to the bathroom. Came to after a few seconds feeling

very, very dizzy and nauseous and continued to empty my bowels. Felt

very shaken and weak after this episode for a couple of weeks. Went

to the emergency room two days after this incident with EKG and lab

work showing negative results.

Since this episode, with continued episodes, I have had lab work,

fecal occult blood test, ultrasound of the abdomen, HIDA scan, upper

endoscopy, CT of the abdomen, liver functions, hepatitis scan, all

negative but for slight fatty liver and gallbladder.

On 03/31/06, I underwent a laparoscopic cholecystectomy with no

improvement of my condition.

Note: Since November 2005 I have lost 75 pounds.

RECENT HISTORY:

· Low-fat, high fiber diet.

· Walking throughout the day.

· AM bowel movements (3 typically, consisting of 1 hard, 1

soft, 1 loose).

· Sufficient hydration.

CURRENT MEDICATIONS:

· Colace 300 mg

· Fiber therapy, 15 pills a day.

· Zantac 300 mg a day.

SYMPTOMS:

· Generally localized pain (dull) under the bottom, right side

ribs.

· Pain radiating into back (right side), also up into mid to

right side of chest.

· Pain gets into abdomen as symptoms increase in severity,

abdomen feels inflamed, can feel my pulse in my abdomen.

· Constipation and heartburn follow.

· Pain in right side under ribs may subside but never goes

away completely.

· Lightheadedness comes on during these episodes and

intensifies when there is a noticeable movement of bowels in lower

abdomen.

· I also get very dizzy when I rise from a squatting position

or when I get hot. Noticed I do not sweat much when I get hot,

whereas I used to sweat alot.

· Pain can only be slightly relieved when I lay down on my

right side.

*These symptoms begin without provocation (increased activity,

especially with use of right arm and shoulder movement may

contribute) and last from three to seven days or more. I begin to

feel pretty good for a few days between episodes although the dull

pain in my right side never really goes away and my lightheadedness

when I stand from squatting doesn't go away.