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Gastroenterology (Expert Forum)
Gas pain and bloody and black stool
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.
Gas pain and bloody and black stool
by jfloz11, May 23, 2007 12:00AM
I am 26 years old and have had stomach problems for years. When I was 7 I developed an Ulcer that cleared up. I also have Gerd. My problem however seems worse this time. I have had a huge amount of gas. Gas so bad and it won't come out it wakes me up at night cause it won't come out. I basiclly live off Gas-X to get me through the day. This has been goin on for almost 4 months. The gas has folded me over and made me sweat, turn white and almost pass out due to the severe pain. I also have odd (BM's) one minute it's diarria the next hard and tough to come out. I have noticed mucus, blood and black stools. Also my urine is dark and smells like it never has before. I drink nothing but bottled water (about 5 per day) and maybe 2 sodas a week. Still these problems persist. I am afraid there is a serious problem and so far nothing from my doctor. Although the only things they've done are an ultrasound of my stomach, a blood test, and a HP Pilori test. It's affecting how I live, for instence right now I passed gas and I felt something come out. It was just mucus and blood not a lot but enough to scare me. Help!!
Doctor's Answer
by Kevin Pho, MD, May 24, 2007 12:00AM
, May 24, 2007 12:00AM
Black stools is suggestive of an upper GI bleed. I would consider an upper endoscopy to see whether an ulcer has recurred. I agree with the ultrasound and the H Pylori test, however the upper endoscopy needs to be done.
Depending on the cause, treatment options can range from PPI therapy to antibiotics (if H Pylori) is present.
The alternating patterns of constipation and diarrhea can be suggestive of irritable bowel disease. Increasing fiber in the diet would be the first step in treating this.
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.
kevinmd_
Depending on the cause, treatment options can range from PPI therapy to antibiotics (if H Pylori) is present.
The alternating patterns of constipation and diarrhea can be suggestive of irritable bowel disease. Increasing fiber in the diet would be the first step in treating this.
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.
kevinmd_
Member Comments
by harendra, May 03, 2008 11:24PM
A related discussion, stomach problem was started.
