What Causes Severe Stomach Pain, Nausea, Bloating And Constipation?

Posted on Mon, 26 Dec 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 26 Dec 2016 Answered on

Tue, 17 Jan 2017 Last reviewed on

Question : Hello, my name is XXXXXXX I am 69 years old. Yesterday I had severe stomach pain in the pit of my stomach. Felt nauseous, bloated and constipated. Pain persisted through evening and finally had bowel movement (diarrheal) and stool was completely black and thick. Bloated feeling subsided, had some discomfort in stomach. Had another bowel movement this morning and still black and thick. Mild discomfort on right side of back. Thank you for your attention to this......

Answered by Dr. Tayyab Malik (32 minutes later)

Brief Answer:
Visit gastroenterologist. Endoscopy recommended.

Detailed Answer:
hi.
thanks for posting query at HCM.

recording your age and going through your history, upper GI endoscopy is recommended.

differentials include gastritis, gastric/ duodenal ulcer, bleeding lesion ( tumor).
endoscopy is a investigation of choice if stomach ache is accompanied with "one OR more" of following:

age>55,
anemia
loss of weight
black stool
bloody vomiting

in addition , following tests are advised;
1. complete blood cell count
2. stool test for occult blood
3. urinalysis
4. urea breath test for H.pylori maybe considered

any further questions are welcomed.
wish you good n sound health

regards
dr Tayyab Malik

Above answer was peer-reviewed by : Dr. Raju A.T