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flat and black spots in stool
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flat and black spots in stool

i have stool that is flat and has black spots and sometimes blood but the black spots look like something in it,ranging from pepper to eraser sizes.it also is light colored alot 80% of the time and floats about 40% of the time.

i can't have a bm without taking something.it's like somewhere in my intestenes is flat or really small.it also hurts alot burning sharp pains rolling bad gas,so bad i can feel it moving in my lower abdomen.mainly on what foods i eat.

they said i have ibs but i also have alot of symptoms like lupus or celiac or chron's.i have many syptoms (symptoms) like kidney urine problems,cheek/nose rash dizzyness almost passing out heart racing nerve problems,muscle spasms shaking twitching very tired arthiritis eypididimitis swollen glands and prostate rectum swells around during bm and alot more,i did have fissure and inner hem. surgery but just made it worse. and weight loss.

i'm only 21 and have had some of this since i was 12 including depression anxiety exc. please help,thanks
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Avatar_m_tn
Yellow stool is from the lack of the bile, and floating stool is from excreted fat, which was unabsorbed due to the same lack of the bile. You should have these tests:
1. stool fat test, and stool culture test for parasites (thos black specks may be clumps of bacteria or candida)
2. an ultrasound of liver/gallbladder to find the cause of bile flow obstruction.
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Avatar_m_tn
thanks,i will do that.would that cause it to be flat also?
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Avatar_m_tn
Flat stool is not really characteristic for gallbladder/liver problems, they are actually lose stools which are more common here. Flat stool is simply a sign of constipation from some cause. Intestinal worms could cause this, the other possibility would be bacterial overgrowth in the colon, which could occur if you have diverticulosis.

About floating stools again: it could be also from a lot of ingested fibers, and maybe from lot of (normal) bacteria.

Floating stool in fat malabsorption, as I mentioned it in above post, is foul smelling, sticks to the toilet, greasy, spongy. If it does not have all these characteristics, then it's not from fat. Fat in the stool is called steatorrhea.

Anyway, if above testing won't show nothing, you can also have a x-ray with barium enema which can show diverticulosis. But start with stool tests.

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Avatar_m_tn
it does have all that,flat smelly greasy light colored some times with food undigested especially lettuce.and i'm have a hard time having a bm,it's not really like constipation,it just doesn't want to move and my left leg goes numb during bm.i am taking mirlax every other day or i do get constipated.

i'm not sure when i can have these test(no insurance)any suggestions on foods ,vitamins exc.i did take antibiotics for over a month and didn't help(cipro and bactrim)thanks.
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Avatar_m_tn
About the diet: As low fat-diet as you can afford. Fats are in (mostly red) meat, egg yolk, nuts, oil, cakes, chocolate, cheese (and other hard dairy products).

I've read your first post again.
If you're dizzy, be sure to drink enough (you should excrete about 200 ml of clear urine every morning). Dizzines may also be from anemia (someone said, you have a pale skin?). In this case iron supplements would help.

What about this:
Have a stool fat test. If it will be positive, this is a sign of malabsorption (probable small intestinal disease. Hemmocult test shows blood in the stool (in Crohn's). Bloodwork may show anemia or signs of inflammation. If all this will be positive, Crohn's disease is possible (rash, losing weight and your age also speak for it). Calculate the costs and have these basic tests.

If you're from US, you may want to check for some help within "Medicaid" or "Medicare". I'm pretty sure someone will be willing to pay your health bills, if it comes out you need more investigations like colonoscopy. Try to have some basic tests, if you can. If you can't afford this, go straight to some charity organiosation and explain your situation. Leaving Crohn's disease untreated for a long time may cause more complications than you want.

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Avatar_m_tn
Nerve problems and muscle twiching may be due to potassium malabsorption, or from irregular food intake. Blood work can reveal this. Iron, vit B, white blood cells - well complete blood work, this is maybe the first thing you need.
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470024_tn?1242512706
The flat stool and pain you speak of and the black specks are all indicative to Ulcerative Colitis. Which I have. The inflammation inside the colon causes the stool to be either flat or pencil size and the inflammation can go all the way to the anus making it extremely painful to have a bowel movement. The black specks suggest that you have bleeding in the beginning part of your bowel or even in the small intestine. With Ulcerative Colitis which takes place only within the large bowel to the anus the pain is usually to the right and left and upper abdomen. If your pain also centers around the belly button you may be experiencing inflammation in the small bowel as well which could be a sign of Crohn's disease.  All of your symptoms suggest you need to see a Gastroenterologist or Internist for a Colonoscopy. People who have inflammation in the bowel are prone to polyps which can lead to cancerous growths. If you have an inflammatory condition most doctors want you to have a colonoscopy every two to three years. A Colonoscopy is no big deal and you're asleep for the whole thing. I had one a year and a half ago and had three polyps removed and was diagnosed with UC. I take Cholestyramine twice a day and use a probiotic called Culturelle which is fabulous. Get a Colonoscopy ASAP. Good luck!

Sheilathatsme!
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470024_tn?1242512706
Oh Yeah, UC can cause absorption problems. Also, you should be taking Vitamin D3 every single day. Get your Vit D levels checked. If you have an autoimmune disease researchers have found defiency in Vitamin D is fairly common too. Good luck!

Sheilathatsme!
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Avatar_m_tn
thanks both of you that really helps.i had medicaid until two days ago.(americhoice).i do have pains in lower left and right abdomen.sometimes sharp but i also hurt around the belt line but it's differnet it's like burning and pressure which anus pain is bad during bm.

and bad gas and can't seem to get it to move out of my lower stomach and urine problems also(like blood protein swollen prostate exc.).i think uc is one of my problems thanks again .
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Avatar_m_tn
It's colonoscopy, what you need, you know...
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Avatar_m_tn
yeah,i definatly do.i had one schedualed.but i'm trying for insurance help first.

also something i didn't mention is my rectum lining or around it on the outside is real soft and painful and during bm (and other activities)it swells out,but not inside just the skin all the way around.sometime it swells over top over the rectum.it feels like a scar?standing but during bm it pokes out all around feels like from pressure.

it won't do it at visits and all the docs have no clue!it's the reason i went for surgery and it come out worse.it also has sharp pains and twitching sneezing causes it too and hard to untense muslces(sphicher i think).which they said was fine.

it's been this way for 4 or 5 months is it muscles falling out or what it feels like a fat lip or something(it's soft)and it's in bubble sections like  4 or so around rectum but it goes back.nothing acually comes out it's just around it.

what does this sound like because no one here has a clue.thanks
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Avatar_m_tn
oh,i also wanted to add that i have (looks like)dead skin.thanks again
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470024_tn?1242512706
I'm not certain what your experiencing with the anus issues. The only thing I can say is that UC can cause a lot of damage to the rectum and anus. Bowel moments can be horribly painful and it can feel like you're passing a slow moving rock. Do you pass puss? If you do you may also be experiencing and infected Diverticulae or Diverticulitis. I wish you good luck with your insurance. God bless!
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470024_tn?1242512706
Oops! I forgot to mention if you are experiencing a lot of pain and discomfort in the bowel due to colitis you may need to do a 10 day round of Sucralfate. This drug is taken about one hour before each meal and at bedtime. This drug coats the digestive tract and binds to raw areas in the bowel allowing food and waste to pass without irritating already swollen tissue. With continued use the inflammation usually recedes and the bowel starts to heal. Good luck k28!
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Avatar_m_tn
Inflammation of around-the-anus skin is quite characteristic for Crohn's disease. Things coming out and then back may be internal hemorrhoids. The problem may be a prolapsed rectum.  

If abscess develops in anal area, it may result in fistula. If all your skin there is soft you may get a fissure after straining.

If it is IBD - Inflammatory Bowel Disese (disease) - what includes Crohn's disease and Ulcerative colitis, then this has to be treated with antiinflammatory drugs and local procedures like abscess draining, hemprrhoids repair and such.
But - colonoscopy first.

Eat fibers and drink enough to have soft stools to prevent further rectum damage.
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Avatar_m_tn
thanks,you both really help.i will try to get some inflammatory med you said,i know i have inflammatory problems.i also think i had a fistula(doc included)but i think it is getting better i was urinating air after surgery.

i don't really have pus,it's like thick watery stuff.it can't be hemorrhoids(i dont have inner)and nothing comes out of rectum.it's hard to explain.i thought prolapse,but it's around the rectum.i don't know.thanks again
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Avatar_m_tn
i looked into hemorrhoids a little more,and there is veins around the anus which where im swelling so,i may have hemorrhoids which i had surgery for!!!thanks
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Avatar_m_tn
i wanted to add that my sugar is 200,what would this have to do with all of this,diabetes,or does a bowel disease cause this also?thanks
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Avatar_m_tn
Sugar 200 is the upper limit of normal glucose. Theorethically, high sugar can lead to atherosclerosis...this would cause bowel ischemy...after prolonged uncontrolled diabetes...in old people. In your case it all speak for inflammation. Do not start with some anti-inflammatory drugs before colonoscopy.
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Avatar_f_tn
I was diagnosed with CC Stage 2A around 18 months ago. I had a section an adjuvant chemo done. My warning signs were pains behind my right rib cage. I have a scope, PET, CAT scans every year. My last was in October and was all clean. But I have inflamation (inflammation) and have to take these small enemas. I experience flat stool, this is just recent. Just hoping a tumor hasn't formed already since nothing was there six months ago.
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Avatar_f_tn
After reading your post, I think you might have a severe gluten intolerance. You probably have problems with all grains, not just wheat. I had similar issues for a very long time, and began to follow the paleo diet and all my symptoms cleared up including my acid reflux. Look up gluten-free warriors, and paleo diet for answers.
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