h-pylori

I had an colonoscopy and endoscopy done in july and found i had acid reflux real bad and h-pylori and a bleeding hemoroid ,the hemmoroid was fixed or so with laser and was put on med for the h-pylori but now i think the bleeding hemmoriod is back cause when i whipe it burns and there are spots of blood, and i threw up some green and black looking stuff the  other night what could it be

[Ratnakar Kini, MD]

Hi,
The black looking stuff could be altered blood due to bleeding in the stomach.
An upper GI endoscopy may be done for confirmation.
Take prilosec for relief. Complete the course of antibiotics for H.pylori.

For hemorrhoids-
Dot wipe too much or repeatedly. Take high fiber diet and plenty of fluids.