I suffer from digestive issues, doctor has no answers?

I am 23 y/o male and suffer from digestive issues for around 2 years. Here are the symptoms: yellowish stool, very smelly and floating. Tiredness and inability to sleep past 2-3 am. Acne and skin issues. Brain fog. Occasional 1-2 times a month stabbing dull pain in liver area, especially after meals containing lots of fat(think bacon, eggs, avocados).

So far, I went to do tests and I have elevated ALP at 150(upper limit 125). ALP is always raised, I had 4-5 liver tests in 5 months period and it is always above 140. Other liver enzymes and bilirubin are normal. Doctor ruled out bone issues connected to ALP. Vitamin D level is well above normal. Ultrasound shown no abnormalities in hepatic region. Doctor said he hit the wall with testing and I suggested to inspect hepatic region with more details. Is it wise to go for CT or MRI? Raised ALP can be either due to bones(ruled out) issues or liver.

Can I get advice regarding this? I feel constantly tired, have bad sleep and skin issues in addition to digestive problems I mentioned.


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Dr Ahmed Fawzy
Member
Dr Ahmed Fawzy

I think it is wise to do ct or MRI ,also you should check for hyperparathyroidism

Did you do virus C CPR ?

Good Luck

Dr Masr
Member
Dr Masr
First of all i recommend you to do stool analysis to rule out any GIT PARASITIC infections, I do believe its most probably irritable bowel disease , i t could be resolved bu dietary modification like eliminating high-gas foods and problem food like you mentioned above, high fiber diet is gonna be great, do regular exercise, Regarding your liver function test, do the test again after a while to recheck , but nothing to be worried about. Regarding your other problems in skin and acne , it could be an allergic reaction like whats happening in your intestine that your… Read more »
Dr. Ayman Darrag
Member
Dr. Ayman Darrag

In my opinion you are suffering thyroid disturbance issues ..
We can go for a ct liver and abdomen and a thyroid profile is also important to consider according to your symptoms .
Thanks

Dr Mahaveer
Member
Dr Mahaveer

hi
before reaching to a perfect diagnosis,you need to get a few more tests done.
CT / MRI of abdomen with or without a CT guided biopsy along with thyroid / parathyroid blood tests should be done.
consult a endocrinologist.
thanks

shw12
Member
shw12

HI
I DO NOT FEEL THAT THIS IS RELATED TO BONES.
YOU NEED A DETAILED EXAMINATION WITH HIGH RESOLUTION CT SCAN WITH CONTRAST.
A CT GUIDED BIOPSY MAY ALSO BE NEEDED IF ANYTHING SUSPICIOUS IS DISCOVERED ON THE CT SCAN.

mrsshalini14
Member
mrsshalini14

hello there
raised ALP warrants a detailed look at the liver functions.
thyroid derangements can be a associated factor.
go for CT /MRI and come to a pinpoint diagnosis.

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