Sick daughter goes undiagnosed

Posted by ghennel @ghennel, Nov 15, 2019

My 26 year old daughter has had on going health problems since her teens. She has been from doctor to doctor and no once can seem to pinpoint what is wrong with her. She weights 89 lbs, can't gain weight, has chronic pain in her abdominal area and a small mass that can be felt. She has had 4 MRI's which found nothing. She lives in Arizona and was in the Scottsdale Mayo ER, they thought it was an ovary or endometriosis and they did an ultrasound, blood work and pelvic exam. Found nothing, sent her home but told her to come back if things got worse. They never get better. I wish they would have looked further to see what the problem really is if it isn't female issues. She is so slim you can feel there is something going on, a mass. She also gets chronic inflammation in her rib cage on one side, on and off. No one can explain that either. Her blood work shows she produces very little progesterone. No one really has done anything to address that. Her diet is very limited because she gets ill very easily. She gets night sweats that soak her sheets just about daily. She runs low grade fevers frequently. She has had many tests done over the years, and while things may come back "slightly" off, no one has a diagnosis or explanation for why she is chronically sick. The chronic pain is affecting her mental state as well. She can barely function enough to keep a part time job. Her income level is low so she could never pay out of pocket to get diagnosed by Mayo. Her government insurance policy that she pays for doesn't want to approve many tests or specialists. Even when they do, they are mediocre and all they want to do is give her pain meds and anti nausea. She does not take the pain meds and the anti nausea just provides a bit of relief. She needs a diagnosis, not meds that cover up symptoms. What is causing all of this? I wish she could afford to go to Mayo to at least get a diagnosis. She is deteriorating and no one helps her. We do not know what to do. I am her mother and I live in Wisconsin and do what I can to help her keep afloat. At 89 lbs she is frail and dragging herself through her days not living life. I am scared for her. I wish I could find her some help.

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@ghennel Good morning and welcome to MayoClinicConnect. I can just imagine how worried you are about your daughter and what she’s going through. I’m glad that you found this site. I’m going to tag @ethanmcconkey to see if he will move this discussion to a site where it will be seen by more people. You will get some emails and you can just click on the reply button.

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@becsbuddy

@ghennel Good morning and welcome to MayoClinicConnect. I can just imagine how worried you are about your daughter and what she’s going through. I’m glad that you found this site. I’m going to tag @ethanmcconkey to see if he will move this discussion to a site where it will be seen by more people. You will get some emails and you can just click on the reply button.

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Thank you! Any help is greatly appreciated!

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Hi @ghennel I'd like to join @becsbuddy in welcoming you to Connect. That must be so gut-wrenching to see your daughter struggle so much and find no answers.

Here is a link to another discussion that you may find helpful within the Autoimmune Diseases (https://connect.mayoclinic.org/group/autoimmune-diseases/) group: https://connect.mayoclinic.org/discussion/undiagnosed-and-dont-know-where-to-go-next/

In addition here is a discussion in the Chronic Pain group (https://connect.mayoclinic.org/group/pain/) that may be helpful as well: https://connect.mayoclinic.org/discussion/has-anyone-been-diagnosed-with-abdominal-wall-pain/

Lastly, I thought that @contentandwell and @yrose have experience with searching for a diagnosis and may be able to offer their support.

Back to you @ghennel, has your daughter been given any diet guidance to try and help with symptoms? Additionally, how are you handling all of this? Are you finding the support you need while you try to help her?

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@ethanmcconkey

Hi @ghennel I'd like to join @becsbuddy in welcoming you to Connect. That must be so gut-wrenching to see your daughter struggle so much and find no answers.

Here is a link to another discussion that you may find helpful within the Autoimmune Diseases (https://connect.mayoclinic.org/group/autoimmune-diseases/) group: https://connect.mayoclinic.org/discussion/undiagnosed-and-dont-know-where-to-go-next/

In addition here is a discussion in the Chronic Pain group (https://connect.mayoclinic.org/group/pain/) that may be helpful as well: https://connect.mayoclinic.org/discussion/has-anyone-been-diagnosed-with-abdominal-wall-pain/

Lastly, I thought that @contentandwell and @yrose have experience with searching for a diagnosis and may be able to offer their support.

Back to you @ghennel, has your daughter been given any diet guidance to try and help with symptoms? Additionally, how are you handling all of this? Are you finding the support you need while you try to help her?

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Ethan,
Thank you for the additional groups. I will definitely try posting there.

My daughter, Shannon, has been given some diet guidance and it has helped a bit. She is unable to put weight on and keep it on. She has had 4 CAT scans, an MRI, endoscopy, ultrasounds,loads of blood work and more ER visits than I can count over the years. When they can't pinpoint anything specific they prescribe an anti nausea and pain medications and send her on her way. She opts not to go down the path of pain medication reliance and the pain meds end up causing digestive upset anyways. They know something is off, but no one has dug far enough to figure out where this is all coming from. This started in her teens.

As far as I go, I worry about her every day and am constantly on the search for answers. It makes no sense to me how so many doctors know something is wrong, but no one goes the extra mile to figure it out. It has to be something outside the normal list of disorders. Part of the problem is insurance as well and the limit of quality care she can actually seek out. She is barely holding a part time job because she is exhausted and tells me that she thinks she is just going to feel like garbage her entire life. She is starting to give up hope she will ever be helped. She is 26, I can't accept that for her. So am I okay? No, not really. I am sad that I as her mother, can't fix this for her or at the very least get some answers so she can manage her health problems. It is hard to manage an illness when you don't know what it is.

Thank you for your time,
Ghennel

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My 26 year old daughter started having some digestive problems as a teen along with abdominal pain that came and went unexpectedly. They found 2 lymphatic formations in her small intestines which they removed, but were not sure if that was the cause of her pain and digestive problems. The sharp pains she was experiencing did go away, but nothing else. No one had an answer as to how or why she had these growths. Birth defect was the best guess there, but why didn't it bother her until she was a teen? As time went on after this surgery she had constant problems with digestion, bloating, constipation/diarrhea, inflammation, vomiting and night sweats. Since her teen years she has had 4 CAT scans, 1 MRI, ultrasounds, loads of blood work and more specialist and ER visits than I can count. She can't keep weight on and weighs 89 lbs right now, can barely hold a part time job due to pain, nausea and exhaustion and it is affecting her mental state. She has been to many, many specialists over they years and they seem to run the same few basic tests. They know something is off, but no one goes the extra mile to figure out where this is all coming from. You can feel a hard "mass" for lack of a better word, in her abdomen. Nothing shows up on the scans so no one bothers to check further. One guess is scar tissue, but from what and why and do you just leave it? They found that she is producing very small amounts of progesterone, so her hormones are way off as well. No idea if the two issues are somehow related....and different specialists don't seem to talk to each other. She also gets inflammation on one side of her where her rib cage is so inflamed it distinctly sticks out further than the other side and is tender to the touch. No one has an answer as to why that happens from time to time either. Every time she has gone in for tests or the ER, they don't find anything specific, however they all think something is going on and tell her to go to a specialist. So she gets prescribed anti nausea and pain meds. She refuses to rely on pain meds so doesn't fill them, and the anti nausea only does so much. Pain meds also cause her GI upset. She doesn't want meds to cover the symptoms, she wants to know what is causing all of this. Her insurance limits her ability to get quality care and a decent diagnosis. I really wish she could be examined at Mayo, because I feel this is the only place that would go the extra mile to actually diagnose what is causing all these problems. She is on a very limited budget so her options are very slim. She is 26 and is deteriorating. She thinks that she is just doomed to spend the rest of her life this way and that she will never find answers or help. Even if she has a health issue that will need constant care, it is hard to take care of a problem when you don't really know what it is. Pain meds and anti nausea are not health care.

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@ghennel

My 26 year old daughter started having some digestive problems as a teen along with abdominal pain that came and went unexpectedly. They found 2 lymphatic formations in her small intestines which they removed, but were not sure if that was the cause of her pain and digestive problems. The sharp pains she was experiencing did go away, but nothing else. No one had an answer as to how or why she had these growths. Birth defect was the best guess there, but why didn't it bother her until she was a teen? As time went on after this surgery she had constant problems with digestion, bloating, constipation/diarrhea, inflammation, vomiting and night sweats. Since her teen years she has had 4 CAT scans, 1 MRI, ultrasounds, loads of blood work and more specialist and ER visits than I can count. She can't keep weight on and weighs 89 lbs right now, can barely hold a part time job due to pain, nausea and exhaustion and it is affecting her mental state. She has been to many, many specialists over they years and they seem to run the same few basic tests. They know something is off, but no one goes the extra mile to figure out where this is all coming from. You can feel a hard "mass" for lack of a better word, in her abdomen. Nothing shows up on the scans so no one bothers to check further. One guess is scar tissue, but from what and why and do you just leave it? They found that she is producing very small amounts of progesterone, so her hormones are way off as well. No idea if the two issues are somehow related....and different specialists don't seem to talk to each other. She also gets inflammation on one side of her where her rib cage is so inflamed it distinctly sticks out further than the other side and is tender to the touch. No one has an answer as to why that happens from time to time either. Every time she has gone in for tests or the ER, they don't find anything specific, however they all think something is going on and tell her to go to a specialist. So she gets prescribed anti nausea and pain meds. She refuses to rely on pain meds so doesn't fill them, and the anti nausea only does so much. Pain meds also cause her GI upset. She doesn't want meds to cover the symptoms, she wants to know what is causing all of this. Her insurance limits her ability to get quality care and a decent diagnosis. I really wish she could be examined at Mayo, because I feel this is the only place that would go the extra mile to actually diagnose what is causing all these problems. She is on a very limited budget so her options are very slim. She is 26 and is deteriorating. She thinks that she is just doomed to spend the rest of her life this way and that she will never find answers or help. Even if she has a health issue that will need constant care, it is hard to take care of a problem when you don't really know what it is. Pain meds and anti nausea are not health care.

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Contact the Mayo patient services office. I have read that other people have qualified for financial help so they could receive medical services there.

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@ghennel

My 26 year old daughter started having some digestive problems as a teen along with abdominal pain that came and went unexpectedly. They found 2 lymphatic formations in her small intestines which they removed, but were not sure if that was the cause of her pain and digestive problems. The sharp pains she was experiencing did go away, but nothing else. No one had an answer as to how or why she had these growths. Birth defect was the best guess there, but why didn't it bother her until she was a teen? As time went on after this surgery she had constant problems with digestion, bloating, constipation/diarrhea, inflammation, vomiting and night sweats. Since her teen years she has had 4 CAT scans, 1 MRI, ultrasounds, loads of blood work and more specialist and ER visits than I can count. She can't keep weight on and weighs 89 lbs right now, can barely hold a part time job due to pain, nausea and exhaustion and it is affecting her mental state. She has been to many, many specialists over they years and they seem to run the same few basic tests. They know something is off, but no one goes the extra mile to figure out where this is all coming from. You can feel a hard "mass" for lack of a better word, in her abdomen. Nothing shows up on the scans so no one bothers to check further. One guess is scar tissue, but from what and why and do you just leave it? They found that she is producing very small amounts of progesterone, so her hormones are way off as well. No idea if the two issues are somehow related....and different specialists don't seem to talk to each other. She also gets inflammation on one side of her where her rib cage is so inflamed it distinctly sticks out further than the other side and is tender to the touch. No one has an answer as to why that happens from time to time either. Every time she has gone in for tests or the ER, they don't find anything specific, however they all think something is going on and tell her to go to a specialist. So she gets prescribed anti nausea and pain meds. She refuses to rely on pain meds so doesn't fill them, and the anti nausea only does so much. Pain meds also cause her GI upset. She doesn't want meds to cover the symptoms, she wants to know what is causing all of this. Her insurance limits her ability to get quality care and a decent diagnosis. I really wish she could be examined at Mayo, because I feel this is the only place that would go the extra mile to actually diagnose what is causing all these problems. She is on a very limited budget so her options are very slim. She is 26 and is deteriorating. She thinks that she is just doomed to spend the rest of her life this way and that she will never find answers or help. Even if she has a health issue that will need constant care, it is hard to take care of a problem when you don't really know what it is. Pain meds and anti nausea are not health care.

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Hi @ghennel,

I’m sorry to hear about your daughter’s health struggles – as a mother, I can imagine just how worrying it must be!
If you’d like to make an appointment at Mayo Clinic, please call one of our appointment offices – you can also request an appointment online. The contact information for all 3 Mayo Clinic locations (Minnesota, Arizona, Florida) can be found here:
http://mayocl.in/1mtmR63
The Clinic’s representatives will ask questions to help direct you to the best specialist, either at Mayo or closer to home.

Might I also suggest you use the following resources for insurance and billing questions? Or you can contact Patient Account Services for help – https://www.mayoclinic.org/patient-visitor-guide/billing-insurance/contact-us

– Billing & Insurance https://www.mayoclinic.org/patient-visitor-guide/billing-insurance
– Charitable Care and Financial Assistance https://www.mayoclinic.org/patient-visitor-guide/billing-insurance/financial-assistance

A lymphatic malformation is a clump of lymph vessels that form a growing, jumbled, spongy cluster, but they are benign (not cancerous). When the condition affects the lymph nodes in the membrane that connects the bowel to the abdominal wall (mesentery), it's called mesenteric lymphadenitis.
Lymphatic malformations in the gastrointestinal tract (gut) or pelvis can cause:
- Pain in the abdomen, often on the lower right side
- Abdominal tenderness
- Fever
- Nausea
- Vomiting
- Diarrhea or constipation
- bladder obstruction (trouble peeing)
- infections
- protein loss due to poor absorption and loss of lymph into the gut
https://www.mayoclinic.org/diseases-conditions/mesenteric-lymphadenitis/diagnosis-treatment/drc-20353803
The most common cause of mesenteric lymphadenitis is a viral infection, such as gastroenteritis, or it could be a bacterial infection, inflammatory bowel disease and lymphoma. I’d encourage you to read this Mayo Clinic article about
"The complexities of pediatric motility disorders” https://www.mayoclinic.org/medical-professionals/pediatrics/news/the-complexities-of-pediatric-motility-disorders/mac-20452819

Here is a related Connect conversation that you might find useful:
https://connect.mayoclinic.org/discussion/mesenteric-panniculitis-or-schlerosing-mesentertis-auto-immune-around-small-intestine/
I’m tagging @chensley638 @seaotter @subhi @snoopdog @gmeg @ritaz1964 @kimh @constancelee @gussypup333 @dinayo @mp333 @pcfromfm so that they can share their valuable insights – it always helps to know that you are not alone.

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@ghennel

My 26 year old daughter started having some digestive problems as a teen along with abdominal pain that came and went unexpectedly. They found 2 lymphatic formations in her small intestines which they removed, but were not sure if that was the cause of her pain and digestive problems. The sharp pains she was experiencing did go away, but nothing else. No one had an answer as to how or why she had these growths. Birth defect was the best guess there, but why didn't it bother her until she was a teen? As time went on after this surgery she had constant problems with digestion, bloating, constipation/diarrhea, inflammation, vomiting and night sweats. Since her teen years she has had 4 CAT scans, 1 MRI, ultrasounds, loads of blood work and more specialist and ER visits than I can count. She can't keep weight on and weighs 89 lbs right now, can barely hold a part time job due to pain, nausea and exhaustion and it is affecting her mental state. She has been to many, many specialists over they years and they seem to run the same few basic tests. They know something is off, but no one goes the extra mile to figure out where this is all coming from. You can feel a hard "mass" for lack of a better word, in her abdomen. Nothing shows up on the scans so no one bothers to check further. One guess is scar tissue, but from what and why and do you just leave it? They found that she is producing very small amounts of progesterone, so her hormones are way off as well. No idea if the two issues are somehow related....and different specialists don't seem to talk to each other. She also gets inflammation on one side of her where her rib cage is so inflamed it distinctly sticks out further than the other side and is tender to the touch. No one has an answer as to why that happens from time to time either. Every time she has gone in for tests or the ER, they don't find anything specific, however they all think something is going on and tell her to go to a specialist. So she gets prescribed anti nausea and pain meds. She refuses to rely on pain meds so doesn't fill them, and the anti nausea only does so much. Pain meds also cause her GI upset. She doesn't want meds to cover the symptoms, she wants to know what is causing all of this. Her insurance limits her ability to get quality care and a decent diagnosis. I really wish she could be examined at Mayo, because I feel this is the only place that would go the extra mile to actually diagnose what is causing all these problems. She is on a very limited budget so her options are very slim. She is 26 and is deteriorating. She thinks that she is just doomed to spend the rest of her life this way and that she will never find answers or help. Even if she has a health issue that will need constant care, it is hard to take care of a problem when you don't really know what it is. Pain meds and anti nausea are not health care.

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I am going to have her contact patient services to see if she can qualify for financial help. The information you just gave me is more than we have received anywhere in the past 10 years. Her symptoms sound exactly like mesenteric-panniculitis. It would be amazing if she could be a patient and finally get a diagnosis. I stumbled upon these message boards doing some research for her. Thank you so much!

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@ghennel

Ethan,
Thank you for the additional groups. I will definitely try posting there.

My daughter, Shannon, has been given some diet guidance and it has helped a bit. She is unable to put weight on and keep it on. She has had 4 CAT scans, an MRI, endoscopy, ultrasounds,loads of blood work and more ER visits than I can count over the years. When they can't pinpoint anything specific they prescribe an anti nausea and pain medications and send her on her way. She opts not to go down the path of pain medication reliance and the pain meds end up causing digestive upset anyways. They know something is off, but no one has dug far enough to figure out where this is all coming from. This started in her teens.

As far as I go, I worry about her every day and am constantly on the search for answers. It makes no sense to me how so many doctors know something is wrong, but no one goes the extra mile to figure it out. It has to be something outside the normal list of disorders. Part of the problem is insurance as well and the limit of quality care she can actually seek out. She is barely holding a part time job because she is exhausted and tells me that she thinks she is just going to feel like garbage her entire life. She is starting to give up hope she will ever be helped. She is 26, I can't accept that for her. So am I okay? No, not really. I am sad that I as her mother, can't fix this for her or at the very least get some answers so she can manage her health problems. It is hard to manage an illness when you don't know what it is.

Thank you for your time,
Ghennel

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@ghennel I can understand what you are going through as Shannon's mother. I have a daughter and son, and I know if there is anything wrong with either of them it tears me apart.
You mentioned she had been to the Mayo ER. They told her to come back if nothing got better, has she gone back there? Having a condition that took a very long time to get diagnosed locally I now know if that ever happened again I would be heading down the highway to Boston - I live in southern NH.
Medical tests are of course very costly but if she is below a certain income level maybe she could some type of assistance. You mention she has government insurance. Is that ACA (Obamacare)? If so are you sure they won't cover the medical testing?
I sincerely hope that she can get to a top medical facility that will be able to come up with a diagnosis for her. The bigger and better the facility, the more they have seen. Where she is currently being seen is obviously not able to figure this out. She needs an exceptional diagnostician.
Please let us know how she is doing and if she able to get an appointment to be seen elsewhere, somewhere excellent.
JK

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Hello, she is on an ACA policy and it does not cover anything at Mayo. We actually spoke to the insurance company as well as someone from billing at Mayo and they confirmed that. She is going to try to see if she would qualify for financial assistance at Mayo. They do have a program she can apply to. Right now she only works part time because of her health problems so I think her income level would certainly be low enough. I agree, she needs an exceptional diagnostician. Hopefully she can qualify for help at Mayo, because she really doesn't have any other options at this point. The amount of doctors she has seen is unbelievable. We know what she doesn't have! She was in the ER earlier this week. She is considering going back again to see if maybe some other tests could be run. The ones they ran ruled out ovarian cysts and endometriosis which is what a different doctor she had been seeing thought was the problem, as well as the ER doctor who treated her. Once they ruled that out, she was sent home with anti nausea and pain medication. She was hoping for some sort of answer. They suggested a GI doctor. She saw two from her current insurance and they didn't really listen to her nor did they want to run any new tests. One told her that the "so called" surgery she had when she was a teenager would never have been done laparoscopic. He didn't listen to anything she said. Her insurance did not want to approve more GI consults. So here we are.

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