Sudden black stools and constipation????

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Metallichic
Regular Member


Date Joined Oct 2007
Total Posts : 76
   Posted 8/29/2008 5:07 PM (GMT -7)   
Hello!
 
I don't know where else to look or ask...so I came to my old comfort place. :) 
 
I have had diarrhea for 6 years straight, with the exception of when I was pregnant.  Once the baby was born, the loose, copious stolls returned.
 
I was recently diagnosed with Celiac Disease, and since going gluten-free, the diarrhea has gotten better....the stool have been formed, though covered completely in mucus, but I understand that it may be from my gut healing with no poisons coming through there anymore?
 
So my question....3 days ago I noticed some dark stool, and had some pain in my lower abdomen....not in my normal Celiac or Crohn's areas.  I thought maybe the pain was just my body readjusting to formed stools.  So since then, I have had nothing but black stools....the pain in the middle-left of my lower abdomen has increased, and the stool is very, very dark.  It's also very hard to have a bowel movement because it's so sore inside.  I'm not concerned so much about the soreness, it's the black stools.  I've never seen these before, and now it's the end of the third day of them, and it's starting to worry me.  I haven't noticed if they're tarry, persay, but next time I will get a closer look.  Is this something I should be worrying about?  I haven't eaten blueberries or licorice, have been taking iron long enough to know it's not from that, and haven't taken any pepto.  Nothing has changed in the last week to make my stools turn black.  Of course, you all know what my fear is.  Should I keep watch all weekend and call my GI on Monday if they're still black?  Or should I not be playing around?  Or maybe I'm just worrying about nothing!!! HELP!!!! LOL  Thank you guys so much.
 
Have a great holiday weekend!!!


Shannon
Crohn's Disease/Colitis (diagnosed 12/02), Diverticulitis (diagnosed 6/07)
Positive blood test for wheat allergy, (11/07); Positive capsule endocopy showing Celiac disease (6/30/08), also allergic to egg white protien.
Taking Asacol, Prednisone, Humira, NuLev, HCTZ, Lisinopril, Cymbalta, Prevacid, Zantac, Ambien, Lomotil, Soma, Plaquinil, Frova, Premarin, Entocort, Xifaxan, Creon, Ultracet, Vicodin, Questran powder/Carafate suspension, and LOTS OF VITAMINS AND SUPPLEMENTS!

Post Edited (Metallichic) : 8/29/2008 5:15:09 PM (GMT-6)


randynoguts
Veteran Member


Date Joined Jan 2003
Total Posts : 5962
   Posted 8/29/2008 7:32 PM (GMT -7)   
hey mchick.. i just went through this last week and had a bleeding ulcer. do you feel faint? are you dizzy or light headed? if it continues you should probably go to your dr or at least call and see if he/she wants you to go in for a blood test. both on your stool and for your hematocrit levels... maybe even the drug store might have an occult blood test on the shelf to do at home?
randynoguts 



     http://www.geocities.com/randynogutsweb/


Rider Fan
Veteran Member


Date Joined May 2008
Total Posts : 1434
   Posted 8/29/2008 7:54 PM (GMT -7)   
It's definitely doctor time. Don't fool around with possible internal bleeding, trust me.
Dx'ed in 1999. No surgeries.

Current meds: 75 mg 6MP. 3mg prednisone (trying to taper). Udo's Choice Probiotics (30 billion).


Metallichic
Regular Member


Date Joined Oct 2007
Total Posts : 76
   Posted 8/29/2008 9:15 PM (GMT -7)   
Randy, I've been feeling very faint and dizzy and actually passed out a few times 2 weeks ago, been close again the last few days....I assumed that was going along with the migraine that I'm on day 6 of....was into day 4 of a migraine when I passed out the last time. I'll check for an occult blood test at the pharmacy tomorrow when I go in to pick up my Asacol. I'm going to go the stool sample route the next time I go and use a bowl so I can check it out a little better. I hope you're feeling better after your ordeal, I saw your thread!

Thanks Randy and Rider Fan!
Shannon
Crohn's Disease/Colitis (diagnosed 12/02), Diverticulitis (diagnosed 6/07)
Positive blood test for wheat allergy, (11/07); Positive capsule endocopy showing Celiac disease (6/30/08), also allergic to egg white protien.
Taking Asacol, Prednisone, Humira, NuLev, HCTZ, Lisinopril, Cymbalta, Prevacid, Zantac, Ambien, Lomotil, Soma, Plaquinil, Frova, Premarin, Entocort, Xifaxan, Creon, Ultracet, Vicodin, Questran powder/Carafate suspension, and LOTS OF VITAMINS AND SUPPLEMENTS!


Keeper
Veteran Member


Date Joined Jun 2008
Total Posts : 1058
   Posted 8/29/2008 9:52 PM (GMT -7)   
Don't bother with the pharmacy - get this looked at pronto! If you are bleeding internally you need to get it fixed.

broomhilda
Veteran Member


Date Joined May 2007
Total Posts : 1488
   Posted 8/29/2008 10:02 PM (GMT -7)   
Ditto...I agree with Keeper! You've had 3 days of this thus far and are on top of a holiday weekend!? Go to urgent care ASAP, if you are bleeding internally and have done this for several days you are putting an enormous stress on your heart as well.
Dx'd Jan'06, 1st Resection 7/06, Humira, Imuran, B12 injections, Nexium, Lexapro, Glucosamine, Multi-Vitamin, Ultracet Secondary conditions: Psorasis, Osteoarthritis, Fibromyalgia, Lactose Intolerant, gallstones, peri-menopausal.


Rider Fan
Veteran Member


Date Joined May 2008
Total Posts : 1434
   Posted 8/29/2008 10:23 PM (GMT -7)   
You are probably severely anemic and may need a blood transfusion. Forget the pharmacy, please go to the hospital.
Dx'ed in 1999. No surgeries.

Current meds: 75 mg 6MP. 3mg prednisone (trying to taper). Udo's Choice Probiotics (30 billion).


Metallichic
Regular Member


Date Joined Oct 2007
Total Posts : 76
   Posted 8/30/2008 1:32 PM (GMT -7)   
Well, I haven't gotten the occult blood test or done anything, today I can't go at all, and I need to....it's just not working. Never been in this predicament before. Did you have any constipation when this happened to you, Randy? This is all new to me....I never have a problem going, even when my stool became formed after ridding myself f gluten. I want to get a better look at them.
Shannon
Crohn's Disease/Colitis (diagnosed 12/02), Diverticulitis (diagnosed 6/07)
Positive blood test for wheat allergy, (11/07); Positive capsule endocopy showing Celiac disease (6/30/08), also allergic to egg white protien.
Taking Asacol, Prednisone, Humira, NuLev, HCTZ, Lisinopril, Cymbalta, Prevacid, Zantac, Ambien, Lomotil, Soma, Plaquinil, Frova, Premarin, Entocort, Xifaxan, Creon, Ultracet, Vicodin, Questran powder/Carafate suspension, and LOTS OF VITAMINS AND SUPPLEMENTS!


randynoguts
Veteran Member


Date Joined Jan 2003
Total Posts : 5962
   Posted 8/30/2008 5:48 PM (GMT -7)   
Mchick. constipation is a never gonna happen thing with me. so no. but yes if this is still going on you may want to bite the bullet and get to urgent care. i know its a holiday weekend and you will be there for hours but at least you can get checked. even a quick CBC will show your hematocrit levels
randynoguts 



     http://www.geocities.com/randynogutsweb/


Keeper
Veteran Member


Date Joined Jun 2008
Total Posts : 1058
   Posted 8/30/2008 11:59 PM (GMT -7)   
You may be experiencing GI paralysis due to bleeding. Don't waste any more time. Go to emerg.

LMills
Veteran Member


Date Joined Apr 2008
Total Posts : 1753
   Posted 8/31/2008 7:33 AM (GMT -7)   
I have to agree with everyone else. This isn't something to to sit around and consider. It's something that needs to be addressed immediately. I've waited on two separate occasions when I had internal bleeding going on. The first time I WOULD have been dead and the second I was barely able to function by the time I got to the ER. Please, don't wait. Internal bleeding is not one of those things you want to take the time to think about because sometimes there really is not time.
20 years old, Diagnosed with severe Crohn's and colitis in May of 2008.
Currently taking:
Prednisone, pentasa, alinia, bentyl, prilosec, tandem plus, and the occasional ultracet
Surgery for ectopic pregnancy(very possibly due to Crohn's inflammation) in July of 2008.
Due to start Imuran September 17 depending on blood results.


Metallichic
Regular Member


Date Joined Oct 2007
Total Posts : 76
   Posted 8/31/2008 10:41 AM (GMT -7)   
I actually went to the ER last night because I passed out again, was at a family BBQ and went out like a light....the doctor was useless, asked ME how I wanted to be treated, should he treat my pain and send me home or admit me?  DUH, did I go to medical school?  The amblance people said it sounded like a GI bleed too, the stupid ER doc just wanted to treat my headache, which he did not do well.  I still haven't had a BM and my stomach is killing me.  I have no idea what to do....and it has to be a holiday weekend!
 
Thank you guys so much!
Shannon
Crohn's Disease/Colitis (diagnosed 12/02), Diverticulitis (diagnosed 6/07)
Positive blood test for wheat allergy, (11/07); Positive capsule endocopy showing Celiac disease (6/30/08), also allergic to egg white protien.
Taking Asacol, Prednisone, Humira, NuLev, HCTZ, Lisinopril, Cymbalta, Prevacid, Zantac, Ambien, Lomotil, Soma, Plaquinil, Frova, Premarin, Entocort, Xifaxan, Creon, Ultracet, Vicodin, Questran powder/Carafate suspension, and LOTS OF VITAMINS AND SUPPLEMENTS!


LMills
Veteran Member


Date Joined Apr 2008
Total Posts : 1753
   Posted 8/31/2008 10:52 AM (GMT -7)   
I don't use the diagnosis from the ER doctors..you can go in and request that your GI or a GI be notified of your condition and then they will usually work with the nurses that take care of you.
The only time I ever let an ER doctor take care of my situation was the first time I went in to the hospital for the unknown affliction(my Crohn's in other words). He said I had IBS, prescribed a medication that I should not have had because of my hiatal hernia which I TOLD him I most likely had, and so I ended up having breathing problems from the pills and my boyfriend's face looked like it was melting off.

Suffice to say I request my GI when I go...

I really wish something better were done to get you better :(
20 years old, Diagnosed with severe Crohn's and colitis in May of 2008.
Currently taking:
Prednisone, pentasa, alinia, bentyl, prilosec, tandem plus, and the occasional ultracet
Surgery for ectopic pregnancy(very possibly due to Crohn's inflammation) in July of 2008.
Due to start Imuran September 17 depending on blood results.


Rider Fan
Veteran Member


Date Joined May 2008
Total Posts : 1434
   Posted 8/31/2008 2:41 PM (GMT -7)   
Are you saying you went to the ER after passing out and telling them you had black stools and they didn't to a CBC?

Can you try a different hospital?
Dx'ed in 1999. No surgeries.

Current meds: 75 mg 6MP. 3mg prednisone (trying to taper). Udo's Choice Probiotics (30 billion).


FallColors
Veteran Member


Date Joined May 2007
Total Posts : 1220
   Posted 8/31/2008 3:48 PM (GMT -7)   
Go to a different ER and tell them you need to see a GI or even a colo-rectal surgeon. This is quite serious!!
Diagnosed early 2007 with rectal Crohn's.  Several peri-rectal abscesses and two fistulas with setons.  No other symptoms.  Allergic to Remicade and Humira.  Currently on 6MP.


gachrons
Veteran Member


Date Joined Mar 2007
Total Posts : 4527
   Posted 8/31/2008 7:36 PM (GMT -7)   
Hi Did they do a blood test to see if your count is low? Tell them to admit you and I am hoping you went back to the ER . I know sometimes it is a pain going to emerg. but they should have at least done some testing. Keep in touch . Don't worry about the holiday I went in on Christmas one year. lol gail
Hallarious woman over 50 ,CD ,IBS 27 years--resection,fistula's,obstructions,and still alive.lol gail


Metallichic
Regular Member


Date Joined Oct 2007
Total Posts : 76
   Posted 8/31/2008 9:33 PM (GMT -7)   
I called my GI, she happened to be on call. She said she suspected a bleed, and had me go back to the ER. Anyone I spoke to could not believe the doctor last night didn't do any bloodwork. The took 4 small vials and 2 HUGE BOTTLES, I had never seen before. The ER doc did 2 occult blood tests, both negative, tg. The GI is confused....blood count is 10, even on 2 iron pills a day and the insane amount of red meat I eat because I crave it constantly. She thinks I'm ok but I will follow up with her in the next few days. No help for the headache again, ER doc thinks they are perhaps cluster headaches and tension headaches...again, Dilaudid did nothing. He gave me oxygen and it helped marginally. So still no answers for that, just another guess....and a really witchy nurse as I was leaving made me cry. ER doc also said I need to quit smoking NOW, could be causing the headaches.....but again, just his guesses. I have an appointment with a very well recommended neuro on 9/15, the day she returns from vacation, and the GI will check me out this week. ER doc said vasovagal responses can happen for many reasons, pain being a major one....so maybe just from the belly pain and severe headaches. As for the black tarry stools, which the ER doc saw, there's no answer, he was positive it was going to be blood. So no answers....but I appreciate everyone's support soooooo much. You guys are amazing!!!!!
Shannon
Crohn's Disease/Colitis (diagnosed 12/02), Diverticulitis (diagnosed 6/07)
Positive blood test for wheat allergy, (11/07); Positive capsule endocopy showing Celiac disease (6/30/08), also allergic to egg white protien.
Taking Asacol, Prednisone, Humira, NuLev, HCTZ, Lisinopril, Cymbalta, Prevacid, Zantac, Ambien, Lomotil, Soma, Plaquinil, Frova, Premarin, Entocort, Xifaxan, Creon, Ultracet, Vicodin, Questran powder/Carafate suspension, and LOTS OF VITAMINS AND SUPPLEMENTS!


Keeper
Veteran Member


Date Joined Jun 2008
Total Posts : 1058
   Posted 8/31/2008 9:58 PM (GMT -7)   
The headaches are probably sinus headaches caused by inflammation due to the Crohn's inflammation. I was noticing that Questran has a warning about bleeding...

Rider Fan
Veteran Member


Date Joined May 2008
Total Posts : 1434
   Posted 8/31/2008 10:20 PM (GMT -7)   
Must admit I would have expected occult blood, but it's good that the is none. You must be losing some blood to have a count of 10. I know I feel lightheaded with a blood count of 10 even though some docs say it's not low enough to cause symptoms. When my count was 9.4 I couldn't walk w/o being out of breath.
Dx'ed in 1999. No surgeries.

Current meds: 75 mg 6MP. 3mg prednisone (trying to taper). Udo's Choice Probiotics (30 billion).


Keeper
Veteran Member


Date Joined Jun 2008
Total Posts : 1058
   Posted 8/31/2008 10:41 PM (GMT -7)   
Just recalled something that I read. It seems that when people have a flare, there is generally active immune reaction to gut bacteria resulting in those bacteria being killed off by the immune system. The killed bacteria release endotoxins which enter the blood because of high gut permeability due to inflammation. Those endotoxins are responsible for depressing iron levels in the blood. That likely would account for people who have low iron and trouble increasing iron levels in the blood. The paper describes treatment of patients admitted to hospital with a colon flush and Pentasa (I think) which resulted in faster recovery and rapidly rebounding iron levels. The link is: http://gut.bmj.com/cgi/content/abstract/27/7/814 which is the abstract. To view the full paper you have to do a free registration. The info about the iron and endotoxins is on the last page of the "discussion" section.

gachrons
Veteran Member


Date Joined Mar 2007
Total Posts : 4527
   Posted 9/1/2008 9:14 AM (GMT -7)   
Hi Glad they ran some test and that your GI is going to see you this week. I know sometimes things upset us alot when we are not well hope you are starting to unwind a bit and hope you are doing better.Good for you for going back .What's important is that you were persistant and sometimes we have to be.lol gail
Hallarious woman over 50 ,CD ,IBS 27 years--resection,fistula's,obstructions,and still alive.lol gail

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