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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Lower GI Pain. High Lactic Acid And WBC Count. Black Stringy Stools. What Is Wrong?

Hi, I am a 63-year old male who was hospitalized in December with unbearable lower GI pain, I had a high white blood cell and lactic acid count. Was given Flagyl and Cephex ?? anti-biotics via IV for 36 hours and released. My stools were black upon returning home for about a week then begin to return to almost normal. Beginning in February, I began having chronic diarrhea and Immodium does no good. It is not a lactose problem either. I went on a pro-biotic and added yogurt daily, but nothing has changed. Tonight, I noticed some slightly clear-yellow spheres with tiny black worms/threads ?? dangling out of them. I do eat a banana every day, in case this might be the problem. What is going on? Thank you in advance. Bo Cash, NC
Mon, 29 Jul 2013
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General Surgeon,  's  Response
Hello!

Thank you for the query.

Lots of banana intake is know to cause tiny black spots in the stool. This is quite common, so most likely worms are not your problem.
However diarrhea, lower abdominal pain at the age over 50 can indicate colon cancer. This should be ruled out at first. To do that colonoscopy needs to be done.
Lower abdominal pain could be also caused by diverticulitis. This disease is caused by chronic constipation. To diagnose it, also colonoscopy needs to be done.
Bacterial infection or parasites are also possible. That is why if colonoscopy will be negative, stool tests needs to be done.

Hope this will help.
Regards.
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Severe Lower GI Pain. High Lactic Acid And WBC Count. Black Stringy Stools. What Is Wrong?

Hello! Thank you for the query. Lots of banana intake is know to cause tiny black spots in the stool. This is quite common, so most likely worms are not your problem. However diarrhea, lower abdominal pain at the age over 50 can indicate colon cancer. This should be ruled out at first. To do that colonoscopy needs to be done. Lower abdominal pain could be also caused by diverticulitis. This disease is caused by chronic constipation. To diagnose it, also colonoscopy needs to be done. Bacterial infection or parasites are also possible. That is why if colonoscopy will be negative, stool tests needs to be done. Hope this will help. Regards.