HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Causes Recurring Abdominal Pains And Nausea?

I have had really bad stomache pain for about 4 months now and it keeps getting worse. It makes me nausous and it feels like a knife cutting the inside of my stomach. I have recently started to have bright red blood in my stool. I dont know whats wrong with me and i have been to two different doctors and had so many blood test done. Please help.

                                                                 
Mon, 2 Mar 2015
Report Abuse
General Surgeon 's  Response
Hi.
Thanks for your query.
4 months is a long time to suffer from pain in abdomen. You have nausea, feels like knife cutting in the stomach, bright red blood in stool, consulted 2 Doctors and have undergone many blood tests.

The most probable reasons for for your symptoms are:
Acid Peptic Disease, causing stomach ulcer or duodenal ulcers, can be a cancer too.
Your another problem of fresh blood in the stool can be due to Hemorrhoids.

I would advise you the following:
-Upper GI Endoscopy to see for ulcers / cancer and so.
-Colonoscopy to see for the fresh blood in the stool and to know the reasons like piles, cancer, mass , polyp and so on. If required biopsy will be done.
-CT scan of the abdomen.
-Examination of the stool and urine as you have already undergone many blood tests , which may be normal as you have not mentioned anything here.
The further treatment will be as per the reports; till then get started on:
PPI like Pantoprazole
Antacid liquid at 3 hourly interval.
Soft bland diet and small frequent food.
Avoid all the foods and beverages that instigate or enhance the problems.
Laxatives if the stools are hard.
Sitz bath in a tub with warm water.
5-day course of an antibiotic and metronidazole, probiotics, symptomatic and supportive.,

If all the investigations are normal, you may have to undergo MRI of the spine as there s a possibility of prolapsed inter-vertebral disc causing such symptoms of knife cutting inside your stomach.
I find this answer helpful

Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
What Causes Recurring Abdominal Pains And Nausea?

Hi. Thanks for your query. 4 months is a long time to suffer from pain in abdomen. You have nausea, feels like knife cutting in the stomach, bright red blood in stool, consulted 2 Doctors and have undergone many blood tests. The most probable reasons for for your symptoms are: Acid Peptic Disease, causing stomach ulcer or duodenal ulcers, can be a cancer too. Your another problem of fresh blood in the stool can be due to Hemorrhoids. I would advise you the following: -Upper GI Endoscopy to see for ulcers / cancer and so. -Colonoscopy to see for the fresh blood in the stool and to know the reasons like piles, cancer, mass , polyp and so on. If required biopsy will be done. -CT scan of the abdomen. -Examination of the stool and urine as you have already undergone many blood tests , which may be normal as you have not mentioned anything here. The further treatment will be as per the reports; till then get started on: PPI like Pantoprazole Antacid liquid at 3 hourly interval. Soft bland diet and small frequent food. Avoid all the foods and beverages that instigate or enhance the problems. Laxatives if the stools are hard. Sitz bath in a tub with warm water. 5-day course of an antibiotic and metronidazole, probiotics, symptomatic and supportive., If all the investigations are normal, you may have to undergo MRI of the spine as there s a possibility of prolapsed inter-vertebral disc causing such symptoms of knife cutting inside your stomach.