I am a 40 year old male, a non smoker 5'11 190 pounds. I suffer from depression, anxiety, and panic attacks. I have Asthma, IBS, Gout, Fybromyalgia & acid reflux. The medicines I take are alluporinol (Gout) Ventolin, Prevacid, Flovent, Serevent. Celexa and ativan as needed for panic attacks. I have a benign fatty liver confirmed by Biopsy 5 years ago, which causes elevations in GGT ALT AST ALP.
Recently about 3 weeks ago I started having mid-chest & back pains and thought I was having a heart attack. I have had allot of recent tests including a chest x ray followed by a chest and Abdominal CT scans both with contrast and they were normal. Numerous normal blood workups including, CBC, Calcium, Magnesium all lytes, PTH, TSH T4, CPK, LDH ESR, Creatinine, Albumin, cholersterol, INR, Billirubin Lipase Amylase. Unrinalysis was also normal.
In addition while having chest pain on different days I have also had 3 normal ecg's with heart blood panel. The Stress test was normal, Gastrocopy was okay
I am concerned because of the back /chest pain and the slightly high ALP of 145 (lab says up to 129 u/l is in the normal range) and what I have read about bone cancer on a few sites. My calcium and PTH are normal and my doctor is says he is not concerned about bone cancer. My family doctor says I have had a very thorough workup and enough tests and that I don't need a bone scan, which is more radiation. Because the ALP is just above normal and is likely liver related because of the ast alt ggt elevations caused by my benign fatty liver (Isoenzymes a couple of years ago showed the alp was increased to liver). He also says that the chest and abdominal CT scans with contrast are quite accurate and look at everything including bone, ribs, thoracic and lumbar spine and everything in between such as lungs liver pancreas spleen gallbladder etc. He says that my anxiety, depression, Fybromyalgia, IBS & fixating on the pain make is worse