Get E-Book on COVID-19

Q. What causes chest cold with weight loss, nausea, and dry heaves?

Answered by
Dr. Arvind Guru
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on Jan 06, 2020 and last reviewed on: Jan 10, 2020

Hi doctor,

My symptoms include a chest cold for approximately one month, 12 pound weight loss, nausea, dry heaves. Excessive bowel movements. Shortness of breath. Muscle aches. Left side rib pain. Fatigue. I had normal labs except mildly elevated alkaline phosphate. My doctor is now running a ALP isoenzyme test. Do I have multiple myeloma? Am I too young? What are my chances? What else besides my liver could make that test elevated?

Dr. Arvind Guru

General Surgery Surgical Gastroenterology Surgical Oncology


Welcome to

After reviewing your complaints and your blood investigation (attachment removed to protect patient identity), I can draw the following conclusions:

1. It is highly unlikely that you have multiple myeloma, as your globulins (in blood report) are normal. Though it is a rare scenario before 40 years, it can happen to people. Your case seems something else.

2. There is however abnormally low carbon dioxide level in your report. This occurs because of hyperventilation, anxiety, some lung pathology.

3 . More importantly your medication are the most likely reason for your anxiety. Sometimes these can cause diarrhea as well.

4. Raised ALP can be from many causes. Liver (uncommon if you do not have jaundice), bone, intestine and placenta being most common. Isoenzyme assay that your doctor is doing will help isolate the source to some extent.

5. Given your age and your month old respiratory problem I would suspect a lung infection including Tuberculosis (TB). TB can also cause the left sided chest, fatigue and weight loss. Pain itself can lead to hyperventilation.

6. Moreover your your ALP is only mildly raised which is against the diagnosis of multiple myeloma (where it can be in thousands). Mildly raised ALP can be due to vitamin D deficiency as well, given you live in Montana (low sunlight).

Please discuss with your doctor regarding need for a chest X-ray and possibility of TB and Vitamin D supplementation. Do not worry. The reason you might feel anxious is most probably your medications. Take a healthy balanced diet. Try some meditation as well.

Was this answer helpful?


Related Questions:
Please advise on the exceeded values of the blood report.
Am I at risk of multiple myeloma based on CBC and family histories?
Are fatty hump on back, red cheeks, purple stretch marks signs of Cushing's syndrome?

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

Is my weight loss due to hepatitis B?

Query: Hello doctor, I am a 28 year old male. I would like to describe the series of events to you and need your advice as I have been most disturbed post this event in my life. It has been eight months since my first ever sexual encounter, but I am still tensed and lost. I am too scared to get a blood tes...  Read Full »

My mother has multiple myeloma. How to find out the stage of her cancer?

Query: Hi doctor, My 97 year old mother, who is in a nursing home, is more tired and feeling unwell. A blood test has shown she has likely got multiple myeloma. She had left-sided paralysis from a stroke six years ago. She cannot speak, and she is slow in understanding and writing, but she has no dementia...  Read Full »

I have weight loss due to digestion issues. How to gain the weight back?

Query: Hello doctor, I am suffering from digestion issues, mostly bloating, from more than seven months. While taking medicines, I was feeling fine, and once I stopped them, my symptoms recurred. My present symptoms include indigestion, constipation, improper motions, low appetite, weight loss, inabilit...  Read Full »

Also Read

COVID-19 Testing
COVID-19 testing includes analyzing patient samples to determine current or past infections with SARS-CoV-2. Read the ar...  Read more»
I feel a restlessness in my legs, which decreases my sleep quality. How to get a refreshing sleep?
Hello doctor, I cannot get refreshing sleep some days in a week, and some days it is good. I also have difficulty sleep...  Read more»
I have redness in my eyes. How to stop it from getting redder?
Hello doctor,I am a 16-year-old boy. I have a problem with my eyes, and I had this problem for a very long time. I do no...  Read more»

Ask your health query to a doctor online?

Ask a Surgical Oncologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.