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How Can Be Bleeding Ulcer In The Stomach Be Identified?

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Posted on Mon, 22 May 2017
Question: Hello, My Name is XXXXXXX and I have already had an blood transfusion a few months back. My doctors thought it may have been an ulcer. However, they fixed the problem with a band. I am still suffering blood loss, or the lack of my body making blood. I am fading fast as far as my symptoms. My husband and I have moved to the coast from the central valley in California. I have been trying to wait it out until we get setteled before starting all the testing processes again. What do you think?
doctor
Answered by Dr. Ramesh Kumar (3 hours later)
Brief Answer:
Just watch for emergency signs.

Detailed Answer:
Hello.
Thank you for choosing HealthcareMagic for your query.
I've gone through your details and I appreciate your concern.

Answers are as follows:

When an ulcer starts bleeding, your blood neutralizes the stomach acid around the area of the ulcer, when this happens the neutralized stomach acid will not 'burn' the raw areas around the ulcer.

Basically this means that you will not feel any pain and this can present some major problems.
If you do not experience stomach pain, then this may lead you to think that your ulcer may have healed. In reality, the opposite may be true. The ulcer may have gone worse, and it could be actually bleeding which is not being experienced by any pain.

As per your query, yes, you can wait for few days but look for the following symptoms. In case they appear, do contact your gastroenterologist at the earliest.

Signs are-

-The passing of foul smelling black, tarry stools could be one of the first symptoms of a gastric ulcer or a duodenal ulcer that has started bleeding

-The presence of dark red blood in your stool.

- Vomiting of new blood which is bright red in color - this indicates that a gastric ulcer has started bleeding. This will be accompanied by repeated episodes of nausea.

- Unplanned or unexplained weight loss

- Intense and more localized pain in people with penetrating ulcers - the pain may also radiate to your back

-Faintness and dizziness when standing up - this is due to loss of blood. Over a long period of time, you may become anemic and feel weak, dizzy, or tired all the time. This is typical of a slow bleed left untreated.

Please watch out for those signs, and in case they appear, do contact your primary at the earliest, otherwise yes you can wait for few days to weeks.

Let me know if I can assist you further.
Regards.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Ramesh Kumar (1 hour later)
Thank you, latly I have grown very weak, suffered with being out of breath again. I am very tired. I haven't noticed the blood in my stool again however. Just the other symptoms, thats why I havent really ran to find a new doctor in my new vicinity.
doctor
Answered by Dr. Ramesh Kumar (4 hours later)
Brief Answer:
Follow up answer..

Detailed Answer:
Hi again,
Fatigue , lassitude, Malaise, Shortness of breath, angina etc are all classical features of Anemia.
Most of the times patient with upper G.I bleed does not have XXXXXXX blood in their stools rather would present with black tarry stools.
The only way out is to again find out the source of bleeding and treat it.
As anemia will settle down your problems will settle down.
Test recommended are-
Complete blood count.
Total iron binding capacity
Serum transferrin
Ferritin
Peripheral smear of blood
Stool for occult blood.

These basic tests should initially be done to rule out the nature of anemia which could be treated after that.

Regards.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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How Can Be Bleeding Ulcer In The Stomach Be Identified?

Brief Answer: Just watch for emergency signs. Detailed Answer: Hello. Thank you for choosing HealthcareMagic for your query. I've gone through your details and I appreciate your concern. Answers are as follows: When an ulcer starts bleeding, your blood neutralizes the stomach acid around the area of the ulcer, when this happens the neutralized stomach acid will not 'burn' the raw areas around the ulcer. Basically this means that you will not feel any pain and this can present some major problems. If you do not experience stomach pain, then this may lead you to think that your ulcer may have healed. In reality, the opposite may be true. The ulcer may have gone worse, and it could be actually bleeding which is not being experienced by any pain. As per your query, yes, you can wait for few days but look for the following symptoms. In case they appear, do contact your gastroenterologist at the earliest. Signs are- -The passing of foul smelling black, tarry stools could be one of the first symptoms of a gastric ulcer or a duodenal ulcer that has started bleeding -The presence of dark red blood in your stool. - Vomiting of new blood which is bright red in color - this indicates that a gastric ulcer has started bleeding. This will be accompanied by repeated episodes of nausea. - Unplanned or unexplained weight loss - Intense and more localized pain in people with penetrating ulcers - the pain may also radiate to your back -Faintness and dizziness when standing up - this is due to loss of blood. Over a long period of time, you may become anemic and feel weak, dizzy, or tired all the time. This is typical of a slow bleed left untreated. Please watch out for those signs, and in case they appear, do contact your primary at the earliest, otherwise yes you can wait for few days to weeks. Let me know if I can assist you further. Regards.