Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
Pale stools and dark urine may indicate obstructive jaundice.
With the symptom of back pain, the possibility is a mass in the head of pancreas.
Since I have not examined you personally and have not gone through your test reports, this is the possibility I can think of.
Kindly upload the test reports including CT scan report so that we can discuss more about your symptoms.
Patient replied :
Thanks for your response.
To clarify, i don't have coffee coloured urine, it's only dark some times. and my stool is alternating between pale and normal(ish) - i don't have yellow skin.
I attach my results that i have so far. Bloods, Endescopy, and Ultrasound.
thanks again, i hope it's not issue with my pancreas, i am only 23 :(
Thanks for the additional information.
But I don't find the ultrasound report you have mentioned.
The nausea and the bloating you have could be due to the gastritis you have. The report mentions that clo test was done. But the report is missing. If positive you need to take treatment for helicobacter pylori infection. Otherwise you need to take PPI for 6 weeks as suggested by your doctor.
The bilirubin and the alkaline phosphatase are normal. So obstructive jaundice is unlikely. So the pale stools could be due to increased fat in stool.
This again could be due to high fat content of food that you take or fat malabsorption. Chronic pancreatitis is a common cause of fat malabsorption. The CT Scan you have done will help you to know whether you have chronic pancreatitis. Stool analysis may be done to know the fat content.
I hope that answers your query.
Let me know if you have any more questions.
Patient replied :
thanks for following up. I attach again Ultrasound Report (nothing of note was found)
i just got my CT results: Everything was clear, Pancreas, Liver and Gallbladder all normal. He did find a number of enlarged Lymph Nodes though? - I am now getting a biopsy taken next week..
I should also mention that i got a ECG done, i have Sinus Tachy rhythm with irregular T-Wave Vaules.. not sure if that has impact?
hmmm all these sytoms and still no answers :-(
Thanks for getting back to me with more information.
Sinus tachycardia does not have any impact on your symptoms.
As per the information you have given, pancreas is normal. So pancreatitic issues as a cause of pale stools is rule out. Now a stool test should be done to see whether the fat content is high.
I would like to know which group of lymph nodes is enlarged and their size.