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What causes severe stomach cramps, diarrhea, blood in stool and vomiting?

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Posted on Tue, 26 May 2015
Question: I NEED AN *****INTERNAL MEDICINE DR***** TO ANSWER MY QUESTION PLEASE. I AM A VERY WORRIED MOTHER OF A 22 Y/O SON WHO WAS SEEN TONIGHT AT A PATIENT FIRST & THEY DON'T KNOW WHAT'S WRONG WITH HIM. THEY PUT HIM OUT OF WORK TIL FRIDAY. HIS SYMPTOMS SEVERE STOMACH CRAMPING, DIARRHEA WITH BLOOD IN STOOL-EVEN PRESENT DURING RECTAL EXAM, VOMITING, HAS HISTORY OF HEMORRHOIDS AND HORRIBLE IBS. AFTER BLOOD WORK DR WAS BAFFLED AS TO WHAT TO DO FOR HIM SO GAVE HIM GI SPECIALIST CONSULT BUT SAID "IF HE CANT HELP YOU GO STRAIGHT TO THE ER DON'T WAIT YOUNG MAN". IM TERRIFIED HE IS MY SON PLEASE ASSIST!!!!! I SPECIFICALLY ASKED FOR DR XXXXXXX MINTZ TO ANSWER MY QUESTION PLEASE!!!!!!!! I DO NOT WANT DR XXXXXXX RYNNE ANSWERING MY QUESTION WITH ALL DUE RESPECT I SPECIFICALLY REQUESTED AN INTERNAL MEDICINE DOCTOR.
doctor
Answered by Dr. Panagiotis Zografakis (1 hour later)
Brief Answer:
Sounds like gastroenteritis

Detailed Answer:
Hello,

symptoms of stomach cramping, vomiting and diarrhea (with or without blood) sounds like a gastroenteritis. If it were the diarrhea only, then perhaps I would also consider other diagnoses but this kind of clinical syndrome is attributed in more than 95% of cases in a gastroenteritis.

Would you please upload the test reports, so that I would have a better idea about his conditions? Also his vitals (blood pressure, pulse rate, temperature)?

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Panagiotis Zografakis (13 minutes later)
I would most happily do this for you in the morning as I do not have them myself.I am having him have those papers faxed to his GP 1st thing in the morning. He is in XXXXXXX and I am in XXXXXXX Beach a worried mess. I want him to come home but he feels too weak to come home. What are the treatments for gastroenteritis? He has such a horrible history with IBS and has been under terrible stress for the last few years. Would you recommend a colonoscopy? Cancer runs on both sides of our family and the bleeding from the rectum really frightens me especially even when using the restroom. The dr at the patient first ran blood tests and "found nothing" and was "dumbfounded" and suggested he go see a GI specialist and in the doctors words if he cant help you go to the ER right away young man" He has him out of work till Friday. I told him to stick with the BRAT diet was that a good suggestion? or no?
doctor
Answered by Dr. Panagiotis Zografakis (15 minutes later)
Brief Answer:
treatment depends on severity

Detailed Answer:
Hello,

replenishment of fluid and electrolyte loss is of paramount importance regarding gastroenteritis. If he also had a fever then an antibiotic might help. Ciprofloxacin might be a good choice unless contraindicated. If he has no fever then the antibiotic might not help or it may even cause troubles sometimes.
Cancer is not a real consideration at this time. Since he has hemorrhoids and judging by his age, the hemorrhoids are the most likely cause of the bleeding. Were there streaks of blood? Or was the blood and the stool homogenous (a single color - no streaks) ?
An endoscopy might help to exclude other causes.

I don't know what "nothing" means regarding his blood tests. A point of interest is the choice of tests, so I'd like to know what tests he's done.

Regarding diet, I would suggest avoiding fatty food, milk and its products and too much fiber until the diarrhea gets better. He has to increase his fluid intake, to the point that his urine color is not the dark yellow color of dehydration.

Kind Regards!


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (7 minutes later)
Thank you doctor I can sleep tonight he may be 22 but he will always be my baby. When the dr did the rectal exam he saw the blood but I will get the results to you in the morning. I will pass your information along to my son. You have been so helpful!! This MOM CAN REST!! Is there a specific test that is done for this? is it viral? What is an endoscopy? In hospital procedure I would assume?
doctor
Answered by Dr. Panagiotis Zografakis (48 minutes later)
Brief Answer:
could be viral

Detailed Answer:
Hi,
Please understand that remote assessment carries a risk because I've got no clinical examination information. Your son's condition seems like a gastroenteritis though.

The endoscopy is another name for colonoscopy but it may refer to part of the intestine only - for example the lower colon.

Common tests for gastroenteritis with diarrhea include stool cultures and microscopic examination. Other useful tests may include a complete blood count, c-reactive protein, electrolytes, urea, creatinine and erythrocyte sedimentation rate.

Please do send the reports when you get them, they will be helpful.

Best wishes!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3726 Questions

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What causes severe stomach cramps, diarrhea, blood in stool and vomiting?

Brief Answer: Sounds like gastroenteritis Detailed Answer: Hello, symptoms of stomach cramping, vomiting and diarrhea (with or without blood) sounds like a gastroenteritis. If it were the diarrhea only, then perhaps I would also consider other diagnoses but this kind of clinical syndrome is attributed in more than 95% of cases in a gastroenteritis. Would you please upload the test reports, so that I would have a better idea about his conditions? Also his vitals (blood pressure, pulse rate, temperature)? Kind Regards!