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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Diarrhea , Fatigue And High Blood Pressure

No energy - fatigue Had severe diarehha for two days and ate very little. Have dark stools, but they are no longer watery. Have eliminated nuts, berries and raisins from diet thinking it might be from diverticulitis. Have blood pressure problems - which I am prescribed Lisinopril/hydrocloothiazide 20/25 and because of the illness with diareaha my blood pressure is running 110/81 . I feel slowed, am 66 years old and have had history of colon cancer, diabetes and high blood pressure and high heart rate. My last colonoscopy was October 2014.
Wed, 30 Sep 2015
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Cardiologist 's  Response
Hello!

Welcome and thank you for asking on HCM!

I understand your concern and would explain that dark stools are very concerning about a gastro intestinal hemorrhage (related to diverticulitis or any other disorders).

Your past medical history for diverticulitis and colon cancer could be related to these symptoms.

But a common viral gastro enteritis as the cause of this symptomatology can not be excluded.

I recommend consulting with your gastroenterologist for a careful physical examination, an abdominal ultrasound, a stool analysis, some lab blood tests including: a complete blood count, PCR, sedimentation rate, CEA, CA19.9 (tumor antigenes), etc.

A GI endoscopy is necessary to exlude possible lesions of the digestive tract if suspicions are raised.

Meanwhile, I agree with your decision to temporary reduce the antihypertesive drugs doses (because of low blood pressure and dehydration) and take plenty of fluids.

Hope to have been helpful!

Best wishes,

Dr. Iliri

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Suggest Treatment For Diarrhea , Fatigue And High Blood Pressure

Hello! Welcome and thank you for asking on HCM! I understand your concern and would explain that dark stools are very concerning about a gastro intestinal hemorrhage (related to diverticulitis or any other disorders). Your past medical history for diverticulitis and colon cancer could be related to these symptoms. But a common viral gastro enteritis as the cause of this symptomatology can not be excluded. I recommend consulting with your gastroenterologist for a careful physical examination, an abdominal ultrasound, a stool analysis, some lab blood tests including: a complete blood count, PCR, sedimentation rate, CEA, CA19.9 (tumor antigenes), etc. A GI endoscopy is necessary to exlude possible lesions of the digestive tract if suspicions are raised. Meanwhile, I agree with your decision to temporary reduce the antihypertesive drugs doses (because of low blood pressure and dehydration) and take plenty of fluids. Hope to have been helpful! Best wishes, Dr. Iliri