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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Can Cause Lower Abdominal Pain With Dark Stool?

I have been having excruciating lower cramps,now for the last three times I went to the bathroom my stool was very dark and tarish. Now mind you I am on a lot of meds. I have RA, SLE, NEUTROPHILIC URTICARIA, AND LIVER DISEASE(in which most of my enzymes are elevated...I take metoprolol for hypertension, immuran, methotrexate, enbrel, and dilaudid for incontractable pain, anti anxiety meds prednisone and sleep meds for insomnia. I know that my case is a difficult one so if no one answers its ok. I am just a little worried about this pain I am having with this stool problem. Before it was dark it was really pale almost off white.
Well THANK YOU ALL AND HAVE A GREAT DAY!!
posted on Fri, 14 Mar 2014
Twitter Mon, 22 Dec 2014 Answered on
Twitter Tue, 23 Dec 2014 Last reviewed on
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General Surgeon,  's  Response
Hi ! Good evening. I am Dr Shareef answering your query. If I were your doctor, after an initial clinical examination, I would advise you for a stool test for occult blood as black tarry stool could be due to any kind of repeated blood loss from your upper GI tract, specially with a history of ingestion of prednisone and any anti inflammatory drug. I would advise you to stop specially these two drugs which might be causing gastritis/ duodenal ulcer which might have bled and the blood turning black due to chemical degradation with gastric acid. I would also advise you not to consume any alcoholic beverages or to smoke if you do, and go for a proton pump inhibitor and an antacid liquid till you get yourself assessed possibly by an endoscopic examination by a gastro enterologist to rule out the bleeding either from a gastrif/duodenal ulcer, or from an esophageal varices due to your liver disease.

I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.
Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.
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What Can Cause Lower Abdominal Pain With Dark Stool?

Hi ! Good evening. I am Dr Shareef answering your query. If I were your doctor, after an initial clinical examination, I would advise you for a stool test for occult blood as black tarry stool could be due to any kind of repeated blood loss from your upper GI tract, specially with a history of ingestion of prednisone and any anti inflammatory drug. I would advise you to stop specially these two drugs which might be causing gastritis/ duodenal ulcer which might have bled and the blood turning black due to chemical degradation with gastric acid. I would also advise you not to consume any alcoholic beverages or to smoke if you do, and go for a proton pump inhibitor and an antacid liquid till you get yourself assessed possibly by an endoscopic examination by a gastro enterologist to rule out the bleeding either from a gastrif/duodenal ulcer, or from an esophageal varices due to your liver disease. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.