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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Gastric Bybass Surgery, High Fever, Nausea, On Antibiotics, Passed Black Tarry Stool. Stomach Bug?

My wife recently took an assignment in the Philippines. She s been there 3 months without any problems. Last weekend she developed a high fever and nausea. She treated fever with ibuprofen . Stomach issues have continued all week with diarrhea and then constipation . She has been taking antibiotic that her doctor gave her in case of stomach issues in the Philippines. A little food seems to temporarily sooth stomach. A little while ago she passed a bowel movement that she described as furry (Should also note she had one black tarry stool last week) She is a gastric bypass surgery patient (5 years ago). She s convinced she s got a stomach bug. She has not hooked up with a physician since arriving in the Philippines. Does this sound like a stomach bug or should she find a doctor and get this checked out?
Thu, 8 May 2014
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Emergency Medicine Specialist,  's  Response
Hi,
Thanks for writing your query.

After reading your post, it seems that she might be having a bleeding in the gastrointestinal tract resulting in black stool. It can be due to infection of the gastrointestinal tract.

I would advise that she should be clinically examined and investigated by a Gastroentologist. Endoscopy and a stool examination may be helpful.

She should take an antacid like Omeprazole 40mg once a day before meals along with Domperidone 30mg. Antibiotic and antiamoebic will help, if infection is present.
A probiotic will have an added beneficial effect.

Following precautions will be helpful :-
1.Avoid spicy and oily foods.
2.Avoid being empty stomach for long periods.
3.Avoid smoking and alcohol, if any.
4.Drink lots of water daily.
5.Eat light meals prepared under hygienic conditions.
6.Avoid self medications, especially pain killers and steroids.

I hope this is helpful to you.
Thanks.
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Gastric Bybass Surgery, High Fever, Nausea, On Antibiotics, Passed Black Tarry Stool. Stomach Bug?

Hi, Thanks for writing your query. After reading your post, it seems that she might be having a bleeding in the gastrointestinal tract resulting in black stool. It can be due to infection of the gastrointestinal tract. I would advise that she should be clinically examined and investigated by a Gastroentologist. Endoscopy and a stool examination may be helpful. She should take an antacid like Omeprazole 40mg once a day before meals along with Domperidone 30mg. Antibiotic and antiamoebic will help, if infection is present. A probiotic will have an added beneficial effect. Following precautions will be helpful :- 1.Avoid spicy and oily foods. 2.Avoid being empty stomach for long periods. 3.Avoid smoking and alcohol, if any. 4.Drink lots of water daily. 5.Eat light meals prepared under hygienic conditions. 6.Avoid self medications, especially pain killers and steroids. I hope this is helpful to you. Thanks.