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Treatment for loss of blood while passing stools - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   Hi, may I answer your health queries right now ? Please type your query
Doctor :   Hi
User :   This morning my bowel movement was 95 percent black. This has never happened before. What does it mean?
User :   Hello Can you answer my question.
Doctor :   Plz wait
User :
Doctor :   Black stools means blood stained stools
User :   I looked on the internet of course and it indicated the likelihood of upper GI bleeding which has made me nervous
User :   I understand that.
User :   Is this an emergency situation or something that can wait until I see my doctor on Monday.
Doctor :   ok
Doctor :   Do you have any medical problems?
Doctor :   Do you have dizziness/ palpitations /
Doctor :   How old are you?
User :   High Blood Pressure...controlled by medication
User :   59
User :   I have GERD controlled by Prevacid
Doctor :   ok
Doctor :   for the black stools , usually the source is Upper Gi
User :   Peripheral vascular disease... 2 stents in Iliac artery
User :   no history of ulcers
Doctor :   or it could from colon
Doctor :   Mostly is could be stomach or duodenum
User :   Is it possible that it is a one time situation
Doctor :   Do u have any aalming symptoms now?
Doctor :   like dizziness or palpitatipns or sweating or
User :   I don't think so. I think that most of what I am feeling right now is stress
Doctor :   It can happen
Doctor :   Ok
User :   That kind of shocky feeling you get when you are scared..that is how I feel. But I am scared to that makes sense to me
Doctor :   To confirm whether it is blood or not, u need stool occult blood test
Doctor :   Your fears are genuine and needs work up.
User :   Honestly I can't see how it could be anything else.
User :   I haven't eaten anything odd that might discolor my stool
Doctor :   Get the physical examination to look for hemorrhoid
User :   that would cause bright red blood wouldn't it?
Doctor :   Because you 59, u need colonoscopy
User :   I have had several colonoscopies. But I haven't had one in a few years.
Doctor :   bright red blood in stool come from hemorrhoids, popolyps
Doctor :   You need every 3-5 yrs
User :   All have been positive, except for some minor polyps
Doctor :   Because u had black tarry stools u need it now
User :   they were removed, tested and all was fine.
User :   How soon?
User :   I am supposed to go out of town on Tuesday and not return until Thursday
Doctor :   ASAP
Doctor :   1 mo is ok
User :   So, if I have it done in a week or so it should be okay>
User :   Is there any chance that tomorrow morning all will be well again
Doctor :   earliest is the best
Doctor :   But it is black u need not worry
Doctor :   it is upper GUi source
Doctor :   could be gastritis
User :   I'm sorry I don't need to worry if it is what
Doctor :   Becuase it is balck stools , the source of bledding is Upper GI
Doctor :   you need worry
Doctor :   If it is fresh bleeding it is a alarming sign
Doctor :   But Our goal is ruling out colon cancer in ur age
User :   fresh as in it just happened this morning?
User :   I know I am asking the same questions over, but I want to make sure I understand.
Doctor :   Yes
Doctor :   is ir bright red?
User : with maybe a tinge of green. ick!
User :   I could see where the first stools were normal and then it changed to black
Doctor :   You need colonoscopy
Doctor :   It is not alarming now
Doctor :   Do you follow me?
User :   Mostly...but I am a bit alarmed. I wish I wasn't goinf out of town, but it is important
User :   going*
Doctor :   That is normal. I can understand
Doctor :   But you must need colonoscopy
User :   importatnt that I go. But I won't go, if this should be dealt with in less than a week.
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