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Gastroenterology  (Expert Forum)
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Can any one help please
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.

Can any one help please

by Pewee212002, May 17, 2004 12:00AM
Can anyone help?!
My problems started over two years ago when I was rushed to hospital with blood (dark) gushing out of my rectum.
It was so scary to say the least I stayed in for five days and they did a sigmoidoscopy and found nothing. After that I had boughts of  Diarrhea until 9 months later when my stool went black! tests where done on this and confirmed Blood present. I lost loads of weight and was lined up for a Colonoscopy which revealed nothing! and a endoscopy that revealed a small Hietal hernia I went to see a nutritionist who put me on the hay diet (still on it today) which seemed to help. I gradually got better and over the following 7 months started putting weight on again. Then we went on holiday to Majorca and I was so ill I had to go to hospital there! I had cramps, pain, bloody diarrhea and was put on a drip and various tests revealed nothing.
I came back to the UK and for the first time they did some tests on my stool and found Amoebic Dysentery!!!!
Why this wasn’t picked up before I don’t now! Anyway they gave me Antibiotics (and got rid of it) and also performed a Barium meal x-ray study (last feb) of the small bowel which revealed nothing!!! since then I have been feeling quite well
Until last month when the loose stools returned and last weekend my stools went dark brown/green and I had a panic attack followed by racing pulse and a strange lump below my navel that comes and goes (feels like gas stuck in the small intestine) I have loose pale stools now once a day. Also Im not sleeping well and I feel very anxious about whats going on!!! My diet is pretty good mostly organic veg and rice and lots of ginger and garlic I take fish oil and b-vits. And I drink loads of water. No dairy, wheat or sugar and no alcohol!

1. I am at a total loss as what to do now?
2. Is there a possibility of IBS going on?
3. Can Dysentery recur?
4. Should I be worried about this?

Thanx for any replies

Peter

by Kevin Pho, MD, May 17, 2004 12:00AM
It sounds like you are having dark stools without a clear source of bleeding.  Tests that have been in your description includes a colonoscopy, barium enema, small bowel series, and upper endoscopy.  You note that you were treated for dysentery.  

If you are indeed having continuing dark stools, you need further investigation.  Typically if the source of bleeding is not revealed in the studies that you mentioned, it may be in the small bowel - which can be difficult to scope.

One option would be a video capsule endoscopy.  This is a relatively new technique that can be discussed with your personal physician.  It entails a capsule with a camera that is swallowed and then images can be evaluated.

Regarding your questions about dysentery, it is certainly possible that it can recur - however I would ensure there are no dangerous causes of your dark stools first.

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.
Medical Weblog:
kevinmd_b
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