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

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest treatment for severe abdominal pain, weakness, fatigue and shortness of breath

Answered by
Dr.
Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3614 Questions

default
Posted on Thu, 22 Sep 2016 in Digestion and Bowels
Question: Stomach pain....excessive deep belching....weight loss -45 pounds in past 8 to 9 months without trying. I had an endoscope test. I did have an ulcer which dr said was not significant. severe fatigue and weakness and shortness of breath. I had blood transfusion 2 months ago because my blood count was 6.9. ER dr said I had blood in stool. I can't sleep through the night...usually end in in recliner. Reduced hours at work.
doctor
Answered by Dr. Shafi Ullah Khan 1 hour later
Brief Answer:
Needs work up and management

Detailed Answer:
Thank you for asking

I read your question and i understand your concern. Stomach pain, belching, significant weight loss, gastric ulcer on GI endoscopy, blood in stools and low HB count points towards internal GI bleed and it appears to be more than an ulcer. I dont want to worry you but i think you need further work up to rule out inflammatory bowel diseases like crohns and ulcerative colitis as well. You should get XXXXXXX swalloing studies, x ray defecography, colonoscopy and rectal examination.

Blood in stools once sorted out for the cause which may be just due to stomach ulcer you had, the management tailored accordingly will sort it out. Till then modify diet and lifestyle , take more fiber and fluids, avoid triggers like alcohol, spices, soda, beverages, tea , coffee and processed canned foods. Visit a gastroenterologist and let them take it from there.

I hope it helps. Take good care of yourself and dont forget to close the discussion please.

Regards
Khan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Shafi Ullah Khan 2 hours later
With all the symptoms I have......what would your first most likely diagnosis be? I know without testing first, it will be a professional guess. I have no insurance at the moment and unable to pay for numerous test. Which test should I start with?
doctor
Answered by Dr. Shafi Ullah Khan 2 hours later
Brief Answer:
Differentials listed

Detailed Answer:
Thank you for getting back to me

Well going from commonest to rarest, i would follow in descending order of peptic ulcer disease, irritable bowel syndrome, inflammatory bowel diseases (crohns ulcerative colitis ) followed by some rare causes on work up and colonoscopies. Diet and lifestyle adjustments, as we discussed above, will help the symptoms along with supportive care.

I hope it helps.
Regards
Khan
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

Recent questions on  Severe fatigue

doctor1 MD

good morning sir, this is narayana from india, i am brain haemorage patient and had an operation. iam diabetic now becoz of the steroids given...

doctor1 MD

Hi, I m a 50 year female. I ve been experiencing pain in the lower left side of my body, sometimes it s difficult to walk. I m also experiencing...

doctor1 MD

I was released from the emergency room on Friday - unable to walk with shooting pains down the front of my calves - body will freeze in position...

doctor1 MD

My doctor thinks I have adrenal fatigue or insufficiency after coming off a week of Prednisone (which was for sinusitis that hadn t resolved after...

doctor1 MD

Hi, Dr. My PCP put me on 5,000 units of vitamin D a few months ago due to severe fatigue every day. For a few days I took 1000 units of vit. D at...

doctor1 MD

I've had years of joint pain and muscle pain . My wrist, elbows, fingers also. I have severe fatigue . Also I have butterfly rash . Lab word...

doctor1 MD

I m experiencing significant changes with my health in last 12 months. Lately, frequent higher blood pressure, severe fatigue , muscle weakness ,...