IBS or is it something else?

I am a 46 year-old male, and about 1

[Kevin Pho, MD]

I agree with the colonoscopy.  This would rule out masses as well as diseases like inflammatory bowel disease.   Other causes of bleeding like polyps or cancer can also be considered.  

If the stool is dark black, this may be suggestive of upper GI disease.  An ulcer or inflammation of the upper digestive tract can be considered.  An upper endoscopy would be the most reasonable test.  

If the tests are negative, irritable bowel syndrome can be considered.  Increasing the amount of fiber in the diet, as well as the antibiotic Rimaxamin can be considered.

These options can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
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