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What Causes Back Stool While Undergoing Treatment Of GBM?

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Posted on Mon, 23 Feb 2015
Question: Husband had 1 black tarry stool then a grey watery stool about 14 hours later. Being treated for GBM and possible viral infection. First email has more details.
doctor
Answered by Dr. Divakara (1 minute later)
HI

Black tarry stools indicate Bleeding inside the stomach . Kindly get Upper Gastrointestinal endoscopy done immediately.

Kindly vote thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Divakara (6 minutes later)
My husband has Glioblastoma Multiforma. He is on Keppra daily, a lot f dietary supements such as D3, K2,C, Papaya Enzymes, etc. his two chemos are Temador 5 days per 28 days and avastin infusion every 3 weeks. For a month now as we are trying to get hm off the steroid dexamathasone he has been fighting what seems like a cold. Abut 30 days ago he was on an antibiotic and then yesterday he was given a z-pack prescription. Last night he started gagging and dry heaving. This before has to led to what seemed like a seizure the two times steroid has been removed completely. However he had no visible seizures but has continued the deep coughing and dry heaving with very little productivity and extreme exhaustion. Overnight this continued and this morning he had an extreme headache as in he could not think. I went with giving him the .5 my of steroid as advised by Nuerologist Oncogist. This seemed to ease the headache slighty and he slept. Later in the morning he told me he had a black tarry bowel movement. At this time I made caps to his oncologist team and made plans to take him to the emergency room. I care the oncall and clarified I could wait a few hours as he is very stubborn and was refusing to go until I got my sons orthopedic appointment completed (our grown son broke three bones in his foot last week and the next day is when my husbands cold/flu like symptoms started getting worse). I got an ok with that. After I returned home he was sleeping and I allowed him to sleep a little while. When he got back up he was still feeling the headache which was at a 10 and he was saying about a 7. The coughing had reduced a little however the gagging increased but he was getting some mucus coming out. He then went to the bathroom and had a loose to watery stool he states was grey. I got myself and him ready to visit the hospital and almost out the door and he said he was to tired and we would wait till the morning. I realize he must see a doctor, we are waiting for a primary care appointment to get a primary in place and he has been using Urgent Care while waiting. With the Glioblastoma effects and his normal hard headed stubborn personality it is extremely hard to get him to participate sometimes. My question at this point is what could be the causes of a black tarry stool and a grey watery stool that would be related to each other. I understand that many things especially the treatments for the Cancer can harm the body however I am looking for something ideas that I can share with him that might assist me in getting him help. Telling him it could be internal bleeding is not enough for him as he believes the grey means it is ok and fixing. I go through this with the headaches and swelling also however since he was in a coma for 4 days and woke up after a partial resection he accomodates my requests a little better with that issue. Thank you for any advise and ideas you may give me. I am not looking for a diagnosis and realize tests have to be run for such a conclusion however help with suggestions to use in reasoning conversations would be very very much appreciated
doctor
Answered by Dr. Divakara (1 hour later)
Brief Answer:
Rebleeding can happen anytime.

Detailed Answer:
Hi

I went through your query. The explanation you can give him is the dark stools is due to staining of stools with blood . But this bleeding in the stomach is not a continuous phenomenon and hence when there is no bleeding there will be grey coloured stools .

Just because stools are not dark coloured now doesn't mean that bleeding will never occur again . It can occur and it can occur in any severity . Also it is very essential to find out the cause bleeding and hence he needs to consult doctor and get the Endoscopy done .

Hope this logic seem rational for him .

Any clarifications feel free to ask .

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Divakara (9 minutes later)
Thank you very much. I read and research so much however sometimes as you can imagine with a person dealing with GBM explaining what I learn and why it is important to get doctors involved can be somewhat challenging.
I know the prognosis for his Cancer is bad but I see no reason to give up and let the rest of the body go through extra stresses without trying to battle them.
Thank you for assisting me in understanding how i can reason with him enough to get assistance. I very much appreciate your time and knowledge that you have given me.
doctor
Answered by Dr. Divakara (2 minutes later)
Brief Answer:
You are welcome .

Detailed Answer:
HI

You are welcome .

Hope I was of some help to you.

Kindly don't forget to rate my answer .

Any further queries do revert back.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Divakara

Internal Medicine Specialist

Practicing since :2006

Answered : 2358 Questions

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What Causes Back Stool While Undergoing Treatment Of GBM?

HI Black tarry stools indicate Bleeding inside the stomach . Kindly get Upper Gastrointestinal endoscopy done immediately. Kindly vote thanks.