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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Upper Left Abdominal Pain, Headache And Alternating Constipation And Diarrhea?

Hi, I started with dull pain upper left stomach, that got worse. It was waking me up at night. Also headaches and now after I eat, I get so nauseous. My bowl movements change constatntly, from constipation to diarrhea. I have noticed that in my diarrhea I have what looks like black sand. What could be going on. In January I had a total hysterectomy and diagnosed with stage 1 ovarian cancer, went through few chemo sessions.
Mon, 21 Jan 2019
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General & Family Physician 's  Response
Hello,

I have gone through your question and understand your concern. The cause behind alternating constipation and diarrhea, dull stomach pain, and feeling nauseous could be due to irritable bowel syndrome. In addition, passing black colored diarrhea is suggestive of bleeding from gastro-intestinal tract. I would recommend you to undergo an ultrasound scan of abdomen and pelvis, stool test for occult blood, and colonoscopy after consulting a specialist. In meantime, you can take fiber supplement like metamucil or lactifiber, take mild pain medication like paracetamol to get relief from headache and stomach pain, and avoid spicy food.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ayesha Shareef,
General & Family Physician
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What Causes Upper Left Abdominal Pain, Headache And Alternating Constipation And Diarrhea?

Hello, I have gone through your question and understand your concern. The cause behind alternating constipation and diarrhea, dull stomach pain, and feeling nauseous could be due to irritable bowel syndrome. In addition, passing black colored diarrhea is suggestive of bleeding from gastro-intestinal tract. I would recommend you to undergo an ultrasound scan of abdomen and pelvis, stool test for occult blood, and colonoscopy after consulting a specialist. In meantime, you can take fiber supplement like metamucil or lactifiber, take mild pain medication like paracetamol to get relief from headache and stomach pain, and avoid spicy food. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ayesha Shareef, General & Family Physician