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What Causes Bleeding While Defecation And Dark Brown Urine?

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Posted on Wed, 7 May 2014
Question: I am 49yrs old have had gall bladder removed have a small nodule on my adrenal gland I had a blood test taken by my GP my AST & ALT were elevated my GP waited a fortnight and we did the blood test again my ALT is now at 268 and my AST is at 196 it had risen a considerable amount from the previous test , I am now noticing my urine is clear I am not taking in any more fluid that normal I have also have been diagnosed with ischemic collitis which causes constant bleeding when I use my bowels and after I use my bowels my urine goes a very dark brown colour I am now also starting to get some sharp pain in my back on the right side in the upper shoulder area which at times takes my breathe away . Do you think I have something major going on with my liver.? Any advice you can offer would be helpful
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Answered by Dr. Grzegorz Stanko (54 minutes later)
Brief Answer: Detailed below. Detailed Answer: Hello! Thank you for the query. Your symptoms can be caused by bile ducts stones. The fact that you have had gallstones indicates some tendency of gallstones creation at your case. Removing the gallbladder, you can not get rid of this tendency. So some patient after gallbladder removal will have stones in bile ducts. More over, some part of gallbladder surgeries results with non complete gallbladder removal. The tiny part which can be left, can contains stones as well and give similar to gallstones symptoms. If the stone will obstructs the bile duct, urine gets dark and stool gets pale. Other possibility is that you may have liver viral infection as lots of surgeries was performed at your case. I suggest you to have some more tests. GGTP, AP, bilirubin, amylase, lipase, urine amylase, urine analysis and abdominal ultrasound should be done at first. If GGTP and AP will be normal, HbSAg and Anti-HCV tests should be done as well. Hope this will help. Feel free to ask further questions. Regards.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5798 Questions

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What Causes Bleeding While Defecation And Dark Brown Urine?

Brief Answer: Detailed below. Detailed Answer: Hello! Thank you for the query. Your symptoms can be caused by bile ducts stones. The fact that you have had gallstones indicates some tendency of gallstones creation at your case. Removing the gallbladder, you can not get rid of this tendency. So some patient after gallbladder removal will have stones in bile ducts. More over, some part of gallbladder surgeries results with non complete gallbladder removal. The tiny part which can be left, can contains stones as well and give similar to gallstones symptoms. If the stone will obstructs the bile duct, urine gets dark and stool gets pale. Other possibility is that you may have liver viral infection as lots of surgeries was performed at your case. I suggest you to have some more tests. GGTP, AP, bilirubin, amylase, lipase, urine amylase, urine analysis and abdominal ultrasound should be done at first. If GGTP and AP will be normal, HbSAg and Anti-HCV tests should be done as well. Hope this will help. Feel free to ask further questions. Regards.