Q. I was diagnosed with peptic ulcer for blood in stool but medication did not help. Why?

Hello,

Welcome to icliniq.com.

Well, the peptic ulcer disease often presents with upper abdominal pain. It does not present with per rectal bleeding unless some once has a brisk and huge amount of bleeding ulcers with the stomach or small bowel. And the color of stools often appears dark tarry black, if the source of bleeding in within the stomach or small bowel.

I understand you have fresh red color bleeding in stools which comes every day you pass stools. Plus cramps and pain over the left lower side of the abdomen suggest few possibilities.

1. Infections with the parasites such as E. Histolytica.

2. Diverticulosis with diverticular bleeding.

3. Ulcerative colitis is an autoimmune inflammatory disease causing ulcers in the rectum and large bowel (colon).

I want you to stop Caflam (Diclofenac) since this is a painkiller and can cause ulcers within the stomach, small bowel, and large bowel. It can also precipitate your peptic ulcer disease.

I recommend you to use tablet Flagyl 400 mg thrice daily for five days, plus capsule Cefspan (Cefixime) 400 mg once daily for five days. I ask you to get the following tests and get back to me once they are done. I would further guide on you what to do next.

You should also stop Mebever, Motilium, and Cirpoxcin, they would not be useful in your case. Rest of your medication can be continued. Plus take capsule Esomeprazole 40 mg half an hour before breakfast daily. This is for your peptic ulcer disease.

I hope this helps.

Infection colitis. Ulcerative colitis. Diverticulosis and diverticular bleeding. Solitary rectal ulcer syndrome, Anal fissure.

Complete blood count, stool for detail report, stool for ova and parasites, stool for C.diffcile antigen, stool for fecal calprotectin, IHA titers for E histolytica, serum CRP (C-reactive protein) level.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Ajeet Kumar

Experience: 13 + Yrs

Medical Gastroenterology

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