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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Black Stools And Persistent Vomiting?

I've had close to chronic migraines my entire life, take tryptans that work 75 percent of the time. When they don't it is 24 he's of exquisite torture. What is the reason for the bowels completely evacuating black stool at the same time as persistent vomiting? Feels like I'm being poisoned
Wed, 15 Feb 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history of known case of migraines wherein Tryptans work in about 75 per cent of the times and if they do not then it is 24 hours of torture. Wants to know the reasons for black stools with persistent vomiting...
The commonest cause of persistent vomiting is obviously gastritis with or without an ulcer that causes bleeding which in turn causes black stool that is also called malena.
I would advise you the following:
Stop iron in any form.
Get the stool checked for routine and blood.
Upper GI Endoscopy to see for the ulcers, H. pylori and so on.
Get started with a proper PPI like Omeprazole.
Antacid liquid every three hours particularly when on stomach.
Soft bland diet made at home.
Avoid alcohol, tobacco in any form.
Watch for malena daily and if the bleeding persists, you will need therapeutic endoscopy to stop the bleeding and get a biopsy also.
Further treatment as per the findings and depends upon the condition that the patient is in.
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What Causes Black Stools And Persistent Vomiting?

Hi. Thanks for your query. Noted the history of known case of migraines wherein Tryptans work in about 75 per cent of the times and if they do not then it is 24 hours of torture. Wants to know the reasons for black stools with persistent vomiting... The commonest cause of persistent vomiting is obviously gastritis with or without an ulcer that causes bleeding which in turn causes black stool that is also called malena. I would advise you the following: Stop iron in any form. Get the stool checked for routine and blood. Upper GI Endoscopy to see for the ulcers, H. pylori and so on. Get started with a proper PPI like Omeprazole. Antacid liquid every three hours particularly when on stomach. Soft bland diet made at home. Avoid alcohol, tobacco in any form. Watch for malena daily and if the bleeding persists, you will need therapeutic endoscopy to stop the bleeding and get a biopsy also. Further treatment as per the findings and depends upon the condition that the patient is in.