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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pain With Black Spots In Stool?

I keep having pain in my abdomen, I have had an inconclusive CT scan and the pain is generalized in the RUQ, I have had an inconclusive hydascan (? spelling), and still have this pain. I also suffer from a painful type of arthritis and take tylenol 3-4 g and naproxen 1 g daily I recently have been constipated and there have been some black spots on the stool. Is this anything to be concerned about? I have also had an elevated bilirubin at 2.1 for the last few months. I am scared that my gual bladder is not working properly or there is something wrong with my liver? Thanks for any help.
Thu, 30 Oct 2014
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General Surgeon,  's  Response
Hi.
The history of constipation with black spots in the stool and pain in the right upper quadrant are suggestive of a problem in the colon.
I would suggest you to undergo Colonoscopy and biopsy if required. This is necessary to see the bleeding point which may not be picked up by any scans .
CT scan and HIDA scan would have picked any problem with the Liver or gall Bladder.
The treatment will depend upon the findings of the Colonoscopy and biopsy.
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What Causes Abdominal Pain With Black Spots In Stool?

Hi. The history of constipation with black spots in the stool and pain in the right upper quadrant are suggestive of a problem in the colon. I would suggest you to undergo Colonoscopy and biopsy if required. This is necessary to see the bleeding point which may not be picked up by any scans . CT scan and HIDA scan would have picked any problem with the Liver or gall Bladder. The treatment will depend upon the findings of the Colonoscopy and biopsy.