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Dr. Andrew Rynne

Family Physician

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What causes blood in urine and vomit?

Answered by
Dr. Salah Saad Shoman

Internal Medicine Specialist

Practicing since :2004

Answered : 1666 Questions

Posted on Sat, 24 Mar 2018 in Digestion and Bowels
Question: I haven't been able to poop on my own since July. My Dr. kept telling me to take more magnesium and dismissed it. I have been steadily getting worse. I am tired all the time. I can't concentrate. I have 24/7 pains in my kidney area, like someone is stabbing me with a knife. My gall bladder has already been removed. Over the counter laxatives do nothing but bloat me and make me extremely gassy. I went to the ER. They XRay my chest - normal. A CT scan showed a 3.8 adrneal adenoma and a backed up colon. They released me with a prescribed laxative. After two days on the laxative, no bowel movement and a visit with my doctor who took me off the powder laxative and put me on a liquid laxative that was super sweet. I still haven't had a bowel movement. My Dr. had a MRI done and blood work. The results said I had a 3.5 adrneal adenoma, enlarged liver, and a sugerical clip left on my pancreas left from a previous surgery. My blood work showed an elevated white and red blood count. My platelets were high. I had blood, protein and nitrates, and lots of bacteria present in my urinalysis. My Dr. didn't order blood work on my sex hormones even though I have survived both Uterine and Thyroid cancer.
I have a new system. I am now vomiting blood. I also see blood in my urine, it is light pink (my monthly isn't due for two more weeks) and I had a "little" poop this morning. It was stringy, like spaghetti and speckled with red. It was maybe a quarter in size. There wasn't a lot. And of course, I still feel as if I need to go. This is the first bowel movement in over three weeks.
I guess I am wondering if I should see a specialist for my colon - because I know something is wrong and I am tired of being sick and not having a bowel movement. I have been seeing my doctor for a year, and I feel as if I am not being heard ... at all.
Answered by Dr. Salah Saad Shoman 1 hour later
Brief Answer:
Urgent enema

Detailed Answer:
Dear Ma'am , I have gone through your question and I understand your concerns but unfourtanetly you have been using laxative for too long and laxative have lost their efficacy .. I would recommend that you get an enema down as soon as possible to avoid serious complications of prolonged constiaption .. An enema may also be accompanied with manual fecal deimapaction if the retained stools have been too hard for the enema alone to move ..
However the blood in the tiny stool piece that you passed can be due to hemorroids or rectal tears from hard impacted stools ..
Also you will need a urine analysis with a culture and sensitivity test to detect which antibiotic is best to treat your infection which might be the cause of blood in urine .. also a pelvic ultrasound is require to exclude renal stones ..
another thing is that you need an upper git endoscopy to determine the cause of vomiting blood .. Providing that the ct scan report has excluded the presence of malignant adrenal tumor..
I hope you find this helpful..
Above answer was peer-reviewed by : Dr. Vaishalee Punj
Follow up: Dr. Salah Saad Shoman 1 hour later
Using laxatives too long ... laxatives haven't ever helped. And I have only used prescribed laxatives and only upon both ER and my Dr. orders. I don't take over the counter laxatives. I only took the ER laxative for two days and the other laxative for a week. I stopped taking it when it was obviously not going to start anything.

I use a water enema once a week - to relieve pressure on my colon or I feel I will explode.

So you are telling me, I will have to do this for the rest of my life?

The stool was not hard at all. I drink lots of fluid. It looked like a spaghetti noodle as I mentioned. It was pencil thin. It was curled and there wasn't much of it, that is why I compared it to a quarter.

CT and MRI just said it was a 3.5 adrenal tumor - they weren't able to determine if it was malignant and my doctor decided not to order a PET scan.
Answered by Dr. Salah Saad Shoman 11 hours later
Brief Answer:
Various causes

Detailed Answer:
Dear Ma'am, hello again. Thank you for clarifying that you have not been using laxatives since July. Also clarifying that you have been using an enema and you have passed stools more than once in the past 3 weeks .
However, your symptom can be due to various reasons including paresis of the muscles of the colon and rectum leading to difficulty in passing stools and this can be diagnosed by barium enema to detect the exact part of the colon or rectum that has delayed perstalysis..
Another cause of thin curly like stools is lack ot decreased amount of fiber content in your diet..
Increasing your fiber intake may be as simple as making a few changes to your diet.
you need to increase your dietary intake of whole grains such as XXXXXXX whole wheat, or oats, whole grain bread, pasta, or cereal.
increasing your daily servings of fruits and vegetables can also help you to increase your fiber intake. Beans are another great source of fiber. Throw beans in a salad or add them to whole grain rice for a fiber-rich meal.
thin curly like stools can also be caused by colonic or rectal polyps, rectal strictures or colonic masses.. Increasing your fiber intake may be as simple as making a few changes to your diet.

Whole grains, like XXXXXXX whole wheat, or oats, are an easy way to increase your fiber. When buying groceries, look for a whole grain bread, pasta, or cereal.
Getting your recommended daily servings of fruits and vegetables can also help you to increase your fiber intake. Look for fruits and vegetables with five or more grams of fiber.
Beans are another great source of fiber. Throw beans in a salad or add them to whole grain rice for a fiber-rich meal.
thin and curly stools can also be caused by rectal or colonic polyps , rectal strictures, inflammatory bowel disease or colonic mass .. this can be diagnosed by sigmoidoscopy or colonoscopy . I hope you find this helpful
Above answer was peer-reviewed by : Dr. Prasad

The User accepted the expert's answer

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