Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

133 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for gastrointestinal bleeding

Answered by
Dr.
Dr. Ratnakar Kini

Gastroenterologist

Practicing since :1996

Answered : 1897 Questions

default
Posted on Sat, 11 Apr 2015 in Digestion and Bowels
Question: I am a 62 year old female with a history of digestive problems. Only serious one was a run of pancreatitis about 10 years ago. It was treated and have not had issues until the past 12-18 months. Apparently, I have an intestinal bleed somewhere. Has not yet been found. I've done endoscopy, colonoscopy, and camera pill. I've become anemic and have had 10+ iron infusions and with the last hemoglobin result of 7.5 I was given a blood transfusion. I am seeing both a hematologist/oncologist and gastroenterologist. 5 days ago I started with what I believed to be a stomach virus. On the 3rd day I went to the local ER for fluids and was released. Since that time I've had chronic diarrhea. I've been taking zofran and bentyl. Tomorrow I am scheduled for a double balloon enteroscopy. Hopefully, I can get that done inspite of the current issues going on. I have never had a definitive diagnosis for any of these issues. The best "guess" from the camera pill was gastritis. Really?
I live in the XXXXXXX area and have access to wonderful physicians and facilities. What do I do? I am miserable with myself.
doctor
Answered by Dr. Ratnakar Kini 18 minutes later
Brief Answer:
CT angiogram & Enteroscopy

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

The thing to worry about is the low hemoglobin.
I presume it is an occult GI bleed and confirmed with a stool occult blood test.

Gastroscopy has ruled out bleeding source in esophagus, stomach and initial few centimeters of small intestine.
Colonsocopy has ruled out bleeding source in colon and probably the last few centimeters of the small intestine.

So what it left to be screened is the small intestine. Screening small bowel is a difficult thing.
Capsule endoscopy didnt reveal anything.
The options available to you are -
1. Enteroscopy
2. CT abdominal angiogram.

These two will reveal the bleeding source in the small intestine and appropriate treatment can be planned.

Let me know if you have any more questions.
Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ratnakar Kini 21 minutes later
Thank you.....both test are on my "to do" list.
doctor
Answered by Dr. Ratnakar Kini 3 minutes later
Brief Answer:
Welcome

Detailed Answer:
.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Medical Procedures ,  
Lab Tests ,  
Medical Topics ,   ,  

Recent questions on  Chronic diarrhea

doctor1 MD

My son is 14 and has chronic diarrhea . I know is lactose intolerant but the diarrhea is pretty much every day. He also has bouts of nausea . About once a month he will wake me out of a dead sleep at night and say he feels like he is going to throw up. I m so frustrated and don t know what to do. I always think its the flu , but I know that can t be every month. Please help!

doctor1 MD

My daughter would turn three in november. Her problem is that she has been having chronic diarrhea for the last two months. She has under eye circles. She is getting thinner but her weight is normal-16 kgs. She eats paper, tissue paper, newspaper, infact any paper she gets hold of, once or twice I have seen her eating crayon as well. She drinks milk a lot and eats choosily. She doesn t want to leave the feeder bottle and switch to glass. What should I do?

doctor1 MD

Hi I am very confused. I have Celiac Disease going on 8 years and have been on a gluten-free diet also. My problem is I cannot figure out why i don t feel better. I have had several endoscopies a new diagnosis after each one. I have Nutcracker esophagus , several food and drug allergies , chronic diarrhea, gerd for some and my last one showed Gastric erosion on my last endoscopy this past week. My 3rd GI. opionin the last 2 said they can no longer do anything for me. I am just hoping to feel better.

doctor1 MD

The back of my left thigh was very itchy couple days ago...now.it is covered in bruises. I have also had chronic diarrhea for the last month and an unexplained high ANA titer-although it is over 900 homogenous my doctor does not feel it is lupus. Is it possible these symptoms are connected?

doctor1 MD

I take medication and cannot take pills so I cruch them and put them in water and wait til they dissolve then drink it my medication list is metoprolol tartrate 50 mg I daily.i also take metformin hcl 1000 mg 1/2 tablet twice a day lisinopril 10...

doctor1 MD

Will a HIDA scan help in the diagnosis of Habba Syndrome?

doctor1 MD

I have heard on t.v. about a problem called nets I have had bowel problems since 1999 after radiation and I am wondering if this could possibly be the problem as I have lost 8 kgs in less than 2 months