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I have been sick for quite some time with stomach problems and lung problems. I recently had a D Dimer done which resaults were 2.0 as well on a ct scan they found There is atelectasis in the lingula anterolaterally and inferiorly. Atelectasis versus scarring is seen in the midaspect of the lung bases. There is a tiny, non calcified nodule in the left major fissure measuring 0.4 cm in diameter. That was directly from the resaults. Quite a few family members including aunts uncles and mother had blood clots in their lungs. As well my grandfather passed of lung cancer when I was about 12 years old. Is there any advice you can give me? I have tried getting answers from my primary who just blows me off stating I have mood problems (which they said I had right after the lose of my 25 day old son so yes I would be majorly depressed.) I have tried getting answers for a while now with no real answers just that it is in my head because “I have Depression due to the lose of my son.” This same doctor tried telling me that all my lower left abdominal pain was from a cyst on my overy which I was diagnosed with Diverticulitis by a different Dr who ordered a colonoskopy(spelling?) My dr wanted me to cancel that procedure which I am not going to because I feel that procedure is nessasary to find the full cause of my stomach pain but my dr perscribed 2 antibiotics because my wbc was elevated. (he said that was caused because of diverticulitis yet according to him I dont have that) I know it dont make since. Also when I eat certion foods my stomach pain gets worse.

It appears as if you have two major issues: family history of pulmonary emboli (blood clots in the lungs) and recurrent gastrointestinal pains.

A family history of pulmonary emboli can mean there is either a family history of cancer or a genetic component that is causing the blood to be hypercoagulable (easier to form clots). Cancer is one of the major causes blood thickening that results in clots in the veins of the leg (deep vein thrombosis) which can break off and float to the lung. Genetic causes for hypercoagulation are known to run in families. Factor V Leiden is one of the most common genetic causes of hypercoagulability occurring in 3-7% of the general population. Other causes include Prothrombin 20210A, Lupus Anticoagulant, Protein C or S deficiency, etc. These genetic diseases result in blood that clots more readily and can result in blood cloots in the deep veins of the leg (deep vein thrombosis) which can break off and end up in the lung. Blood tests can determine if you any clotting disorder – your d-dimer test appears to be normal given the clinical circumstance. If your doctor suspect blood clots in the leg, a doppler study of the lower can visualize the veins.

You second condition relates the the gastrointestinal tract. Most common causes of abdominal pain in young females include ovulatory pains, endometriosis, irritable bowel syndrome, gastroesophageal reflux, peptic ulcer disease or food allergies (including lactose intolerance). More rarer are diseases such as ulcerative colitis or crohn’s disease. Your gastrointestinal condition should be evaluated by a gastroenterologist who can properly test you for the conditions. If you are indeed experiencing symptoms of diverticulitis (which is rare in someone of your age), a CT scan of the abdomen and pelvis with a colonoscopy to follow if there is suspicion of colonic pathology.

In the end, if your doctor is blowing you off and does not seem interested in diagnosing your condition, it might be time to search for a new one.