
What Causes Dark Stool, Excessive Gas And Flatulence?

Please give details so that we can discuss further.
Detailed Answer:
Hi.
Thanks for your query.
Read and understood your history and concerns.
To recapitulate: Male/*51 - excessive gas and flatulence - *dark stools - low Hb and RBC - Doctor suspected upper GI bleed and gave Rabeprazole - 6 months no relief - wants guidance:
I was just wondering whether you have undergone the tests as needed in such a case as explained by you.
I would like to know a few things before I can assist you more.
- Since when are all these problems?
- Any associated loose stools or constipation?
- Any other disease like diabetes or any general disease?
- Any allergy to any specific good or beverage?
What are the investigations done till now. Please post all the details and the reports so that I can understand better and assist you the best to go to the root cause and get a proper curative treatment


Get proper investigations as it is 1 year of suffering
Detailed Answer:
Hi.
Thanks for your feedback.
I would advise the following investigations and treatment in a such a case:
Investigations:
*Upper GI Endoscopy is very important and should be done at the earliest.
*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.
*Urine -routine and microscopy
*Stool: routine, microscopy, occult blood, culture and sensitivity.
*Ultrasonography of abdomen,
*Colonoscopy
* CT scan of the abdomen if required.
* Good clinical evaluation and examination by a Gastroenterologist or GI Surgeon.
This is because of the history of 1 year of problems and hence proper investigations are a must as they can help to get a perfect diagnosis and as you would agree with me, perfect diagnosis alone can give proper treatment and possible cure.
Rabeprazole alone may not help.
So please get all the basic investigations ASAP like Upper GI Endoscopy, blood, urine and stool and USG of abdomen and please let me know the reports.

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