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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed Of GERD, IBS. Expelling Black, Red Substance With Spit. Is The Symptom Related To Diagnosis?

i have been seeing some black stuff when i spit. Usually i see red stuff in my spit (i think it is blood but im not sure) its been some years now since its been happening. but it has become better. I consulted doctors several times but they just dismissed me and said they do not know why it happens. I have been diagnosed with GERD and IBS within the past 2 years. Could the black/red stuff be due to this? please help :)
Wed, 29 Oct 2014
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Geriatrics Specialist 's  Response
Hi,
Thanks for asking.
Based on your query, my opinion is as follows.
1. Red stuff could be blood, while black stuff could be acid dissolved hemoglobin. If it is secondary to vomiting.
2. Due to gastritis or gastroesophageal reflux disease, internal bleeding could be leading to present cause.
3. Get an upper GI endoscopy for evaluation of any bleeding points. If not CT angiogram will be helpful to look for any active bleeding. IBS usually causes diarrhea. No upper GI symptoms usually.
4. If its spitting, look into pollution surrounding you like asbestos or smoking. This could be secondary to bleeding inside respiratory tract. Get a chest X-ray and CT of lung for evaluation of any tumors.
Hope it helps.
Any further queries, happy to help again.
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Diagnosed Of GERD, IBS. Expelling Black, Red Substance With Spit. Is The Symptom Related To Diagnosis?

Hi, Thanks for asking. Based on your query, my opinion is as follows. 1. Red stuff could be blood, while black stuff could be acid dissolved hemoglobin. If it is secondary to vomiting. 2. Due to gastritis or gastroesophageal reflux disease, internal bleeding could be leading to present cause. 3. Get an upper GI endoscopy for evaluation of any bleeding points. If not CT angiogram will be helpful to look for any active bleeding. IBS usually causes diarrhea. No upper GI symptoms usually. 4. If its spitting, look into pollution surrounding you like asbestos or smoking. This could be secondary to bleeding inside respiratory tract. Get a chest X-ray and CT of lung for evaluation of any tumors. Hope it helps. Any further queries, happy to help again.