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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Nausea, Diarrhea And Dark Urine. Suggest

For about a year now I have been suffering from nausea and suffering bad diarrhoea (English spelling as I'm in the UK) a while after eating. It doesn't seem to matter what I eat and I have a relatively healthy diet. Also I have really dark urine on occasion. That dark it is the colour of black coffee. I thought it might be down to dehydration, but is still the same after drinking copious amounts of water. Don't know if the two things are related, but seems to have started at the same time. Any ideas?
Sat, 27 Apr 2013
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General Surgeon 's  Response
Hello!

Thank you for the query.

Dark urine usually indicates bilirubin presence in it. Bilirubin appears in the urine in case of jaundice. Jaudice associated with nausea caused by a meal sounds like a gallstone in bile ducts which occasionally obstructs them. You may also suffer from whitish stool, upper right abdominal pain, radiating to the back.
Other jaundice reasons like liver cirrhosis, liver viral infection should be also considered.
I suggest you to have some tests done. Abdominal ultrasound, blood work, liver tests (AST,ALT,GGTP), bilirubin, amylase, urine amylase, urine analysis should be done at first. In case of lack of gallstones, liver viral tests should be also done.

Hope this will help.
Regards.
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Suffering From Nausea, Diarrhea And Dark Urine. Suggest

Hello! Thank you for the query. Dark urine usually indicates bilirubin presence in it. Bilirubin appears in the urine in case of jaundice. Jaudice associated with nausea caused by a meal sounds like a gallstone in bile ducts which occasionally obstructs them. You may also suffer from whitish stool, upper right abdominal pain, radiating to the back. Other jaundice reasons like liver cirrhosis, liver viral infection should be also considered. I suggest you to have some tests done. Abdominal ultrasound, blood work, liver tests (AST,ALT,GGTP), bilirubin, amylase, urine amylase, urine analysis should be done at first. In case of lack of gallstones, liver viral tests should be also done. Hope this will help. Regards.