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Black, fishy smelling stool. Pain in groin and hip joints. Taken Iron. Cause for concern?

Should i be worried? I have been having black fishy smelling stool, mostly constant, for months. when its not its dark brown and liquid or bright white-orange and slimy.
Smears green grey, isnt 100% solluable in water if diarrhea; sits on top of water or as droplets in water almost like oil but also turns water dark orange-grey-brown.
Pain on far left side at belt line like bad gas or a red hot poker, sometimes on right like stabbing rock and pain down into groin and hip joints and shooting as far up as rip cage on left.
originally diagnosed as epiploic appendigitis but never got better after almost half a year.
was on iron for poor iron absorption and a strong left shift in blood that seen on the CBA done as part of the diagnosis.
thought the colour might be that but it didn't go away without the iron.
have had 'episodes' of this since birth but never for over 8 months.
aunt had same and it did not end well for her.
what is it; is there cause for concern?
Asked On : Fri, 26 Apr 2013
Answers:  1 Views:  104
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General Surgeon 's  Response
Hi ! You have not mentioned whether your stool got tested or not for ova/cyst. It does not look like a case of appendicitis as the pain is more on the left. It goes more towards chronic collitis may be an amoebic collitis. In that case a course of Metronidazole might solve the problem. But consult your doctor before starting on the drug.
Sometimes, a diet very much rich in fat may also give rise to such characteristics in the stool. I would suggest you to modify your dietary habits towards more of roughage and liquids and see if that helps.
Iron ingestion may give rise to slight blackish discolouration of the stool, but it should go away once it is off.
You are advised to consult a gastro-enterologist in person who can clinically examine you, and may advise on some specialised investigations to arrive at a conclusion.
Hope this helps you.
Answered: Fri, 26 Apr 2013
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