Q. Why am I having stomach pain while eating with unintentional weight loss?

Hello doctor,

I have had stomach issues for a long time and had the gallbladder removed around four years back. My stomach issues have gotten worse. Then, ten months back I had started getting this horrible burning sensation on the right side near ribs. The doctor thought it was my liver and did blood work, everything was fine. Then six months back I got to a point where every time I ate I was in extreme pain. I have lost around 60 lbs since then. I went and saw a different doctor, they did blood work which came back abnormal (amylase 24 IU/L, lipase 8 IU/L, narrative current ADA criteria for glucose: normal: 70-99 mg/dL, impaired fasting glucose: 100-125 mg/dL, diabetes mellitus: at or above 126 mg/dL). The diagnosis of diabetes must be confirmed on a subsequent day by measuring fasting plasma glucose, two hour PG or random plasma glucose (if symptoms are present).

Sodium 139 mEq/L, potassium 3.5 mEq/L, chloride 106 mEq/L, carbon dioxide 26 mEq/L, anion gap 7.0 mEq/L, blood urea nitrogen 4 mg/dL, creatinine 0.70 mg/dL, glomerular filtration rate greater than 60 mL/min/1.73 m*2. A persistently reduced GFR is a specific indication of chronic kidney disease. The eGFR calculation has not been validated in patients greater than 70 years. Calcium 9.1 mg/dL (8.4 - 10.5 mg/dL), glucose 88 mg/dL (70 - 100 mg/dL), protein total 6.5 g/dL (6.0 - 8.0 g/dL), albumin 3.9 g/dL (3.5 - 5.0 g/dL), alkaline phosphatase 68 IU/L (40 - 150 IU/L), aspartate aminotransferase 21 IU/L (10 - 40 IU/L), alanine aminotransferase 42 IU/L (6 - 31 IU/L), bilirubin total 0.6 mg/dL (0.2 - 1.2 mg/dL).

Ultrasound impression showed probable cavernous hemangiomas in the left hepatic lobe although the ultrasound appearance is nonspecific. Recommend CT of the abdomen with IV contrast utilizing triphasic hepatic protocol. Then sent for CT and the impression is previous cholecystectomy. The focus of abnormal echotexture on recent ultrasound through the liver is felt to correlate to an area of low attenuation on CT. CT findings are nonspecific. This may represent an atypical hemangioma. Neoplasm is felt less likely. This is well visualized with ultrasound. Short-term follow-up ultrasound in 2 to 3 months recommended to ensure stability. If this is unchanged it can be followed at larger interval increments. Right renal cyst. It states I was given oral contrast, I was not. The doctor had also told me these are something I was born with. I had an ultrasound of liver and they seem nothing on my liver. So is this something I should keep worrying about and get another opinion?

Thank you doctor,

Do you personally think it is something I should worry about since I have severe stomach pain while eating and the sudden unintentional weight loss?