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I am 27 years old, but have had upper abdominal/epigastric pain for almost 8 months now. It has been getting worse, but it is not a sharp pain, just a dull pain that is ALWAYS there and sometimes feels like heartburn (though the pain is generally behind my right rib and center of ribcage). It does radiate to my back (which I have heard is a common symptom of PC), but I've always had back pain so that was the least of my concerns.
The upper abdominal/chest pain started to get worse, so I went to see my family doctor. She immediately noticed a very strong and fast pulse between my ribs (it is actually visible when looking at my abdominal area) which was cause for concern. And now, for the past month I have had really bad indigestion. I have never been someone to suffer from digestive problems, so this is also a red flag in my eyes.
My doctor ordered me some blood tests. My bilirubin was normal, same with my amylases and lipase levels. However, the thing that scares me, is my CA 19-9 is positive, at an elevated level of 39. I am worried because I am younger, but I want to continue to investigate, because this could help to detect something at an earlier stage.
My doctor, upon telling me these results, told me to immediately get an MRI/MRCP. The MRI/MRCP came back normal, but I am concerned that maybe it missed something, or that I didn't go to a 'high resolution' facility like my doctor suggested I go to- I just went to the first place that could get me in the fastest. I am going to see a GI doctor next week, and will be pushing for an EUS. Do you think that the MRCP could have missed something that an EUS could find? Which tests from your experiences were most effective?
Any help would be appreciated.
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