What Causes Stomach Pain After Eating And Bleeding From Bowels?

Posted on Thu, 10 Apr 2014

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

Thu, 10 Apr 2014 Answered on

Wed, 30 Apr 2014 Last reviewed on

Question : lhave pain in the top of my stomach for the last two days when l eat it is worse also l have bleeding from my bowels for 18 months dark red l have more blood than motion

Answered by Dr. Deepak Kishore Kaltari (16 minutes later)

Brief Answer: Possibly due to Gastritis Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Dear Ms, Let me first reassure you, things can be taken care. Coming to complaints of pain in abdomen, i assume you meant Epigastric region when you said top of abdomen. Pain which aggravates after eating is possibly to be due to stomach pathology. At your age group its likely to be due to Gastritis/Gastric Ulcer. Gastritis is inflammation of the mucosal lining of the stomach. Bleeding which is red and more than stools and if painless is likely to be due to 1. Hemorrhoids/piles: More likely 2. Colitis 3. Growth in colon: Less likely , as your complaints are present for more than 18 months. Exact diagnosis will depend on clinical examination. I would like t know additional details about your complaints 1. Did you experience such pain abdomen on previous occasion? 2. Do you have vomiting? 3. Do you have constipation /pain while passing stools 4. Do you have vomiting / distension of abdomen. You will require thorough reassessment by General Surgeon / Gastroenterologist for further evaluation and will require 1. Digital rectal examination 2. Colonoscopy 3. Upper gastro-intestinal Endoscopy : if te pain in abdomen does not respond to anatacids In the meantime , I would suggest you the following which will definitely help 1. Avoid spicy/oily food 2. Avoid alcohol in any form 3. Antacid: Pantoprozole capsule 40 mg once daily early morning wih glass of water will be helpful . It suppresses gastric acid secretion and will be very much beneficial in managing the pain. 4. Plenty of oral fluids: Ensure water intake of 2-3 liter a day 5. Laxative like Lactulose will be very helpful in managing bleeding. I hope it helped In case you need any further assistance, kindly get back to me. Wishing you a very happy and healthy life. Take Care Best Regards Dr Deepak Kishore MBBS,MS,MCH Consultant Surgeon

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepak Kishore Kaltari (21 minutes later)

l had a smear test done when l was 60 the whole nine test came back with blood in them .been to the doctors l have not got hermorrhoids or piles. l have blood from my bowels in when l don"t have a motion.pain in my stomach l have not been sick l just feel it l have tried antacid tablets but have not helped. l had my gallbladder out 3 years ago

Answered by Dr. Deepak Kishore Kaltari (5 minutes later)

Brief Answer: Colonoscopy and gastroscopy required Detailed Answer: Hi Dear Ms You will definitely need the following investigation which can be carried out in consultation with your Surgeon to know the cause for bleeding 1. Colonoscopy 2. Upper Gastro-intestinal endoscopy From the description of just blood and no stools, i would consider the possibility of Inflammatory bowel syndrome/colitis. Pain in upper abdomen which has nt responded to antacid definitely requires upper gastro-intestinal endoscopy. If possible get back to me with the reports and investigation already done. Also book a routine appointment with our Surgeon Take Care Best Regards Dr Deepak

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar