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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hard Stomach With Increased Heart Rate And High BP?

Although I have had gastrointestinal problems over the years, I have never had a bout like I have presently been enduring. In addition to the normal concerns, for the past month, I have had an unusually increased sense of "hard-belly", which is accompanied by a tremendously increased heart rate (105bpm) and crazy blood pressure (158/98). with a history of ulcerative colitis, should I be especially concerned about these symptoms? I am a 49 year old male with a history of relatively good health outside of prolonged rectal bleeding experiences and gastrointestinal discomfort. thanx so much for your ideas.
Mon, 9 Oct 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history of ulcerative colitis, prolonged rectal bleeding and gastrointestinal discomfort for a long time. Now have hard belly, raised Blood Pressure and Heart rate too.
All this can occur due to eh bleeding and inflammation of the intestines as you are a known patient of ulcerative colitis.
I would advise you the following in such a situation:
Get an opinion of a Gastroenterologist.
Get admitted to the hospital for urgent investigations of blood and stool.
Contrast enhanced CT scan of the abdomen.
Colonoscopy if the condition allows.
You may need blood transfusion, a course of metronidazole and antibiotics.
Further management as per the reports of investigations and clinical response to the treatment.
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What Causes Hard Stomach With Increased Heart Rate And High BP?

Hi. Thanks for your query. Noted the history of ulcerative colitis, prolonged rectal bleeding and gastrointestinal discomfort for a long time. Now have hard belly, raised Blood Pressure and Heart rate too. All this can occur due to eh bleeding and inflammation of the intestines as you are a known patient of ulcerative colitis. I would advise you the following in such a situation: Get an opinion of a Gastroenterologist. Get admitted to the hospital for urgent investigations of blood and stool. Contrast enhanced CT scan of the abdomen. Colonoscopy if the condition allows. You may need blood transfusion, a course of metronidazole and antibiotics. Further management as per the reports of investigations and clinical response to the treatment.