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Dr. Andrew Rynne

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What Causes Black Stools With Swelling In The Legs?

my friend is diagnosed to have stage 4 adenocarcinoma lung.Her PET scan showed liver and vertebral and pelvic metastasis. since yesterday she is getting blackstools and from today afternoon she started getting swollen legs. whats her condition as of now?
Thu, 31 Jan 2019
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General Surgeon,  's  Response
Hi,

Noted the history and understood the concerns.

Stage 4 Adenocarcinoma is a terminal condition and cause any complications since the cancer spreads to other parts of body.
Black stools indicate that there is a possibility of bleeding in intestinal tract and can be confirmed by stool test.
May also need an upper GI Endoscopy and colonoscopy for finding and treating the site of the bleed.
Swollen legs can be due to sudden blood loss causing hypoproteinemia and anemia.
Needs correction of these condition.
She must be on chemotherapy, which itself can cause many a complications. Hence needs attendance.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant,
General Surgeon
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What Causes Black Stools With Swelling In The Legs?

Hi, Noted the history and understood the concerns. Stage 4 Adenocarcinoma is a terminal condition and cause any complications since the cancer spreads to other parts of body. Black stools indicate that there is a possibility of bleeding in intestinal tract and can be confirmed by stool test. May also need an upper GI Endoscopy and colonoscopy for finding and treating the site of the bleed. Swollen legs can be due to sudden blood loss causing hypoproteinemia and anemia. Needs correction of these condition. She must be on chemotherapy, which itself can cause many a complications. Hence needs attendance. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, General Surgeon