Concerns About Poisoning and Health Checkups After Water Purchase

Suspected poisoning?

Last month, I went out to pick up a large container of drinking water.
After getting the water, I thought about going to the market to buy some things.
I left the water on the motorcycle footrest, not next to me.
When I returned from shopping, I wondered if someone might have taken the opportunity to put an odorless and tasteless poison in it.
(I noticed the same man, who looked to be around 60 years old, was near my motorcycle both when I parked and when I returned.
Of course, I am just suspicious, but it might not have been him; it could be someone else with a mental condition.) Are there poisons that can take weeks or even months to show symptoms? Could they also be carcinogenic? Should I get a comprehensive health check-up? Including more in-depth tests, such as for the pancreas?
Additionally, I would like to ask the following:
1) For the past two months, my stomach has felt a bit uncomfortable, and it has been like that for several days.
Recently, it seems to be causing some mild pain.
I am unsure if this is related to the left-sided hernia surgery I had at the end of February or if it is psychological.
Is there a need for a gastroscopy? If I wait until the discomfort becomes more pronounced to see a doctor or get a gastroscopy, will it be too late? (For example, in cases of late-stage stomach cancer, as I have read that by the time weight loss or anemia occurs, it is often already in the advanced stage.)
2) Should I have a special examination for the pancreas? Because by the time symptoms of pancreatic cancer appear, it might be too late.
However, are there concerns about adverse effects from contrast agents?

danxin, 30~39 year old female. Ask Date: 2020/06/29

Dr. Liao Yaopan reply Family Medicine

Hello, regarding the issue of "toxins," if there are any concerns, it may be necessary to report it to the authorities.
For the second question, it is recommended to visit a nearby hospital for a self-paid health check-up.
Please note that online consultations are not equivalent to an in-person examination and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2020/06/29

More Info

Your concerns about potential poisoning and health checkups after purchasing water are valid, especially in today's world where safety is paramount. Let's address your questions and concerns systematically.

Concerns About Poisoning
1. Possibility of Poisoning: It is understandable to worry about the possibility of someone tampering with your water, especially if you left it unattended. While the risk of someone introducing a colorless, odorless poison into your drink exists, it is relatively low in everyday situations. Most poisons that are colorless and odorless are not commonly used in public settings. However, if you ever feel suspicious or unsafe, it is advisable to report your concerns to local authorities.

2. Delayed Symptoms: Some poisons can indeed take time to manifest symptoms. For example, certain heavy metals or chemical toxins may not show immediate effects and can accumulate in the body over time, leading to chronic health issues. Symptoms can vary widely depending on the substance involved, and some may even lead to cancer after prolonged exposure. If you have any reason to believe you may have been poisoned, it is crucial to seek medical attention promptly.

Health Checkups
1. Comprehensive Health Check: Given your concerns, a comprehensive health checkup is a wise decision. This should include blood tests, liver function tests, and possibly imaging studies to rule out any underlying issues. If you are particularly worried about exposure to toxins, you might want to discuss this with your healthcare provider, who can guide you on the appropriate tests.

2. Specific Concerns About the Stomach: Regarding your stomach discomfort, it is essential to monitor your symptoms closely. If you have been experiencing persistent discomfort or pain, especially after a surgical procedure like a hernia repair, it would be prudent to consult a healthcare professional. They may recommend an endoscopy (gastroscopy) to visually examine the stomach lining and check for any abnormalities such as ulcers or signs of cancer. Waiting until symptoms worsen could potentially delay diagnosis and treatment, so it is better to err on the side of caution.

3. Pancreatic Health: Concerns about pancreatic cancer are valid, especially since symptoms often appear late in the disease. If you have risk factors such as a family history of pancreatic cancer, smoking, or chronic pancreatitis, discussing these with your doctor is essential. Imaging studies like a CT scan or MRI can help assess the pancreas, and your doctor can guide you on the necessity of these tests based on your symptoms and risk factors.

4. Concerns About Contrast Agents: If imaging studies are recommended, you may have concerns about the safety of contrast agents used in scans. Most contrast agents are considered safe, but they can cause allergic reactions in some individuals. If you have a history of allergies or kidney issues, be sure to inform your healthcare provider, who can take necessary precautions.

Conclusion
In summary, while your concerns about potential poisoning and health issues are understandable, it is crucial to approach them with a level-headed perspective. Regular health checkups and open communication with your healthcare provider can help address your worries and ensure your well-being. If you experience any new or worsening symptoms, do not hesitate to seek medical attention. Your health is paramount, and proactive measures can lead to early detection and better outcomes.

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