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Suggest Treatment For Stomach Pain With Vomiting
Question: Hi, My Mother 54 years old,Weight 96 Kgs. having stomach pain and her stool color is black. This is happening from last 10 days. In last 4 days she got loose motion and vomiting, After taking Rabicip-D and Vizylac, the loose motion and vomiting has been stopped. But still her stool color is black and she is suffering from stomach pain. Her Medical History is last 2 weeks back she is admitted to hospital due to Aastama attack and she is undergone stomach surgery due to Complete wound debiscence following post appendicectomy 10 years back. Now is she is taking Amcard 5mg, Anxit 0.5, Livogen ( taking from last 2 week) , Defnalone -6 mg, Inmecin - R ( for Knee problem) . Can you please suggest for her Stool color and stomach pain issue.
Brief Answer:
Admission and investigations and treatment accordingly
Detailed Answer:
Hi XXXXXXX
Thanks for your query for your Mother and an elucidate past and present history and the reports you have posted.
Noted everything in details.
The most probable cause of pain and black stools is bleeding in the gastrointestinal tract.
Black stool (Malena) indicate that there is an active bleeding in high up the intestinal tract and indicated investigations, alteration of the medicines if your Doctors too think of it, and active treatment for the bleeding if found.
I would advise you to get her admitted in the hospital as she is a known asthmatic and needs monitoring as she will need following investigations and active treatment as may be found on clinical / physical examination by the treating Doctors.
Upper GI Endoscopy
Colonoscopy
Complete blood picture, bleeding time, clotting time, prothrombine time, liver function tests, kidney function tests and other relevant tests as may be needed.
Blood transfusion if required
Needs a multidisciplinary approach so that all the concerned Doctors discuss for the best possible results.
I hope this answer helps you to get started with proper investigations and management
Please feel free to ask for more if you need to.
Wishing Your Mother an early diagnosis and best possible recovery.
Admission and investigations and treatment accordingly
Detailed Answer:
Hi XXXXXXX
Thanks for your query for your Mother and an elucidate past and present history and the reports you have posted.
Noted everything in details.
The most probable cause of pain and black stools is bleeding in the gastrointestinal tract.
Black stool (Malena) indicate that there is an active bleeding in high up the intestinal tract and indicated investigations, alteration of the medicines if your Doctors too think of it, and active treatment for the bleeding if found.
I would advise you to get her admitted in the hospital as she is a known asthmatic and needs monitoring as she will need following investigations and active treatment as may be found on clinical / physical examination by the treating Doctors.
Upper GI Endoscopy
Colonoscopy
Complete blood picture, bleeding time, clotting time, prothrombine time, liver function tests, kidney function tests and other relevant tests as may be needed.
Blood transfusion if required
Needs a multidisciplinary approach so that all the concerned Doctors discuss for the best possible results.
I hope this answer helps you to get started with proper investigations and management
Please feel free to ask for more if you need to.
Wishing Your Mother an early diagnosis and best possible recovery.
Above answer was peer-reviewed by :
Dr. Raju A.T
Dear Sir,
Thanks for you prompt replay, She was in hospital 2 weeks before for Aastamatic reason, The aastamatic is better now, as she is taking Nebulizer on routine. But the Main issue is now the Black stool and frequent stomach pain. As i discussed with her for Upper GI Endoscopy and Colonoscopy, she is denying due to her present condition. Is there any alternative to identify the stool issue. Please let me know.
Thanks for you prompt replay, She was in hospital 2 weeks before for Aastamatic reason, The aastamatic is better now, as she is taking Nebulizer on routine. But the Main issue is now the Black stool and frequent stomach pain. As i discussed with her for Upper GI Endoscopy and Colonoscopy, she is denying due to her present condition. Is there any alternative to identify the stool issue. Please let me know.
Brief Answer:
Capsule Endoscopy
Detailed Answer:
Hi XXXXXXX
Yes, even Doctor would deny upper GI endoscopy if the patient is in asthmatic attack. Colonoscopy can be done anytime - asthma is no contraindication.
The other alternative is capsule endoscopy... you city needs the facility and is a bit costly affair. Please talk to your Gastroenterologist.
It is good that she is well settled on nebulizer.
first of all go for the tests of stool to confirm black stool is indeed due to bleeding. Add on Ranitidine / Pantoprazole, antacid gel, soft bland diet. this will help to control the gastritis which is one of the commonest reasons of GI bleeding.
Capsule Endoscopy
Detailed Answer:
Hi XXXXXXX
Yes, even Doctor would deny upper GI endoscopy if the patient is in asthmatic attack. Colonoscopy can be done anytime - asthma is no contraindication.
The other alternative is capsule endoscopy... you city needs the facility and is a bit costly affair. Please talk to your Gastroenterologist.
It is good that she is well settled on nebulizer.
first of all go for the tests of stool to confirm black stool is indeed due to bleeding. Add on Ranitidine / Pantoprazole, antacid gel, soft bland diet. this will help to control the gastritis which is one of the commonest reasons of GI bleeding.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
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