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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dull Stomach Ache With Vomiting?

For the last few months i have eperienced a dull stomach pain off and on. Yesterday after having a few drinks I came home and vomited black almost chunks really wierd then this morning i went to the bathroom and my stool was black but like red black. I went online and it said i should seek help is this true, can i wait until morning and then go see a doctor?
Mon, 8 Dec 2014
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General Surgeon 's  Response
Hi.
Thanks for your query and an elucidate history.
Black stool and vomit are a serious symptoms and indicate that you are bleeding inside the gastro-intestinal tract.

You need to have the following urgently:::
Get admitted,
urgent upper GI Endoscopy to see if there is gastric or duodenal ulcer , antritis or so which is bleeding.
You may need to be kept nil orally,
Cold gastric lavage
Intraveous PPI
Intravenous fluids.
Colonoscopy if required.
Ultrasonography with color doppler examination of the abdomen to see for portal hypertension.
Bleeding profile, blood group ....

Once the diagnosis is made further treatment will be easy and may be curative.
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What Causes Dull Stomach Ache With Vomiting?

Hi. Thanks for your query and an elucidate history. Black stool and vomit are a serious symptoms and indicate that you are bleeding inside the gastro-intestinal tract. You need to have the following urgently::: Get admitted, urgent upper GI Endoscopy to see if there is gastric or duodenal ulcer , antritis or so which is bleeding. You may need to be kept nil orally, Cold gastric lavage Intraveous PPI Intravenous fluids. Colonoscopy if required. Ultrasonography with color doppler examination of the abdomen to see for portal hypertension. Bleeding profile, blood group .... Once the diagnosis is made further treatment will be easy and may be curative.