Brief Answer:
Please refer to the answer below

Detailed Answer:
Hi,

- First of all, I need to know the right color of your stool - is it bright red like fresh blood or cherry appearance?

- Have you passed stool like dark-coffee in the color?

- For how long have you seen blood in your stool?


Next, excessive belching might be related to :

- fast eating habits

- foods that "create" gas

- gastric problems, which you are currently treating with sodium bicarbonate/prisolec (omeprasole)

- intestinal parasitic infections

- intestinal candida infections


With regards to feeling lightheaded, I would like to know if you ever performed a complete blood work and related results. Anemia is a possible explaination due to continuous bleeding.

In addition, have you experienced constipation recently? Most probably yes, due to lack of appetite. This could explain bright red blood in stool due to damages to anal area (hard stool).

Have you measured blood pressure, is it possible to have the results?

Once you pass the detailed info to me, I would give more specific instructions to you.

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Brief Answer:
Start antibiotic regimen,occult blood stool exam

Detailed Answer:
Hi,

As you are mentioning, your white blood cells were elevated, which means there is a source of infection in your body, which can be treated with antibiotic. However, according to your saying, you have not taken any antibiotic, only sodium bicarbonate and prisolec.

This infection is also the culprit to the loss of appetite, lightheaded and blood pressure fluctuation. Most probably you are facing low blood pressure due to malnutrition as a consequence of little eating due to loss of appetite.

Now, when doctors treat gastric problems (gastritis, ulcer, etc.) there is a scheme of therapy containing the drugs you are currently taking and antibiotics, but you are not mentioning such therapy applied to you.

So, at this case, I would suggest to

- to start antibiotic treatment (preferably I prescribe metronidazole thrice daily for 7 days),

- perform parasitic examination of the stool

- Apply "good" eating habits: do not rush while eating, eat little and often and slowly chewing up, avoid spicy, oily, fried foods, avoid alcohol and smoking. Perhaps your doctor has also advised to you such changes, follow them correctly.

With regards to little bright red blood in your stool, if it has happened only one time, it is not to be worried about. It might be because of little lacerations (damages) to anus mucosa that will heal by the time.

If it will be repeated again, then, a stool examination for occult blood should be carried out to determine whether there is bleeding in your intestinal tract (from stomach to anus).

Hope your inquiry has taken the needed answer!

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Brief Answer:
Please refer to the suggestions below

Detailed Answer:
Hi,

I would recommend to have more fluids, take O.R.S (oral re-hydration salts) until tomorrow. It is ok if you do not eat until tomorrow unless you drink. You can have light soups (I randomly recommend poultry soups).

You can put your legs inside warm-to-hot water with little salt to get relax.

In addition, you can put warm clothing to your tummy to get some relief.

I would also recommend to stop using Advil as it contains ibuprofen, which can worsen the bleeding from your gastrointestinal tract.

Instead, take bytylscopolamine or papaverine pills for the pain until the tomorrow scheduled control.

Please do not forget to discuss with your doctor my suggestions.

Hope it answered to your inquiries!

All the best!

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