Gastrointestinal bleeding is a sign of an underlying condition and involves the esophagus, stomach, small and large intestines, rectum, and anus. Upper gastrointestinal bleeding involves the esophagus, stomach, and upper small intestine. Lower gastrointestinal bleeding involves the lower small intestine, large intestine, rectum, and anus. Symptoms include blood in vomit and stool and dark stools. Various causes are gastric ulcers, Crohn's disease, irritable bowel disease, hemorrhoids, cancer, colon polyps, etc. An endoscopy and colonoscopy are helpful in diagnosis and management.
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I have nausea, black stools, belly pain and gas. What could it be?
Query: Hello doctor,I am a female, 58, 5'10", 239lbs. I am having nausea every morning. It comes and goes during the day. I also have black stools, belly pain, and gas. I am on Lexapro 10 mg, Pramipexole 3 mg, Lamotrigine 25 mg twice daily and 200 mg once, Meloxicam 15 mg, Metformin 500 mg, Gabapentin 300 ... Read Full »
Dr. Anantha Narayanan Naganathan
Answer: Hello, Welcome to icliniq.com. Your symptoms are suggestive of upper gastrointestinal intestinal bleed. Please stop Meloxicam 15 mg tablet immediately. I suggest you take proton pump inhibitor medication like Omeprazole 40 mg tablet straightaway and take preferably cold water. Please check with an a... Read Full »
Why do I bleed while passing stools?
Query: Hi doctor, I am 29 years old, male, suffering from blood bleeding from the back while passing stools in regular intervals. Initially, it bled in two months interval, and now it is one month. How serious is it? Read Full »
Answer: Hello, Welcome to icliniq.com. Blood in stools can be from the upper gastrointestinal tract (UGI) or from the lower gastrointestinal tract (LGI). The dark altered blood is from upper GI bleed and fresh blood is mostly from the lower GI tract. We need to evaluate various possibilities that can caus... Read Full »
What can be the causes of blood in stools and pain while wiping?
Query: Hello doctor, My fiance is having blood in his stool. It is bright red also. He said it hurts while wiping a little. He has had it more than twice a month. His stool is solid and very dark brown. Also, said the blood in the toilet was very noticeable and that when he wiped the toilet paper looked l... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your case and can well understand your genuine health concern. Presence of blood in the stool and dark-colored stools indicate that some active bleeding is going on in the proximal part of the gastrointestinal tract. The blood gets digested in the inte... Read Full »
Blood in vomit after drinking too much alcohol. Kindly help.
Query: Hello doctor,I am a 20 year old male. About three days ago, I vomited bright red blood after consuming excessive alcohol. This is the first time I have consumed more than one beer and I was also unconscious. I have not been having any pains or any other symptoms. After the first vomit of blood, I pu... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post. At this age, bleeding with vomiting is likely due to an injury to the lower esophagus because of the force of the vomit. If the bleeding was severe, then an upper GI (gastrointestinal) endoscopy is necessary for two reasons. Alcoho... Read Full »
Why does my father have black watery diarrhea with vomiting?
Query: Hi I am looking after my father, and I am starting to get really worried about his condition. Since Sunday, he started with diarrhea, very bad, and vomiting. He assumed that it might be a case of food poisoning. This continued until Tuesday night when he started to have a black watery stool. He has ... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concern. I am sorry for such discomfort your father is having. Diarrhea with black watery stool for five days is a sign of concern as it points toward possible lower GIT (gastrointestinal tract) bleeding. You mentioned initially he ha... Read Full »
How can we differentiate if the blood in stools is due to piles or ulcers?
Query: Hi doctor, I am having a lot of bleeding when I defecate, and it gives me body weakness for the past week. I took capsule Amoxicillin, but it did not stop it. I do not know if it is a sign of pile or ulcer because I got cramps. Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern and will help you with it. If it is a splash of fresh blood, you will probably suffer from hemorrhoids (piles). A bleeding ulcer will not cause you to bleed fresh blood, and the stool will be black in that case. Is there any bulging in th... Read Full »
Does irritable bowel syndrome lead to bowel cancer?
Query: Hi doctor,I am a 28-year-old male. After using the bathroom last night, I noticed fresh, bright red blood on the toilet tissue. I see this every time whenever I wipe and again this morning when I used the toilet again. It hurt a little bit when I strained and when I wiped, it feels like I have a lit... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern and will help you with it. The sight of blood after using the toilet always is terrifying. But most of the time, it just appears worse than it is. From the details that you have provided, I think you have hemorrhoids (piles). IBS (irritable bow... Read Full »
Does a high CRP level indicate cancer?
Query: Hi doctor, I am a 45-year-old female. I recently have been experiencing some GI issues. I had an endoscopy which showed mild duodenitis that has resolved. However, I have had some minor rectal bleeding lately after running or exercising hard, so a colonoscopy has been scheduled, and I did have a CB... Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for the query. I can understand your concern. According to your statement, you have been suffering from GI (gastrointestinal issues). In addition, you have obesity and thyroid problems, as well as a history of thyroidectomy. For rectal bleeding, you have recen... Read Full »
Why is blood coming out while passing stools?
Query: Hi doctor, I am a 48-year-old male. My height is 5 feet 3 inches, and my weight is 62 kg. For the past 24 hours, I have blood leakage before passing stools. It has happened five times. And I do not have pain or stomach ache during this. Please help. Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your query. The passing of blood in stools could mean a couple of things. However, since I do not have a complete history, I can give you general guidelines. I would suggest you meet a surgeon immediately. One of the possibilities is that you have develope... Read Full »
My father is losing blood without a cause. Why?
Query: Hi doctor, My father is 67 years old. He is suffering from loss of blood without knowing him. What will be the cause? They have consulted a local physician, and he said nothing to worry about it. But, he did not give any cause of it. Please help me to understand the cause and necessary treatment. Read Full »
Answer: Hi, Welcome to icliniq.com. There are multiple causes of loss of blood. Commonly bleeding from gastrointestinal tract will have black, tarry, sticky and foul smelling stools. Even if this not present, it can be a small amount. So, you need to run stool test for occult blood testing. It can occur due... Read Full »