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What Causes Stomach Cramps And Green Stool When Suffering From Mesenteric Fibromatosis?

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Posted on Sat, 5 Jul 2014
Question: My husband has a mesenteric fibromatosis, which we are handling with a XXXXXXX shunt. The past couple of days he has had cramping and now has a green stool. Any recommendations?
doctor
Answered by Dr. Shafi Ullah Khan (4 hours later)
Brief Answer:
crampin gdue to condition, stool color is bile

Detailed Answer:
Thank you for asking!
I am sorry to hear your husband's trouble and i am sure you know in detail the prognosis and troubles of this desmoid tumour.
Miss XXXXXXX i want you to know that this is the normal presentation in such desmoid tumors and recently placed XXXXXXX shunt, that of chylous ascites retroperitoneal shunting may change the color of the stools due to bile in it. All you can do is give your husbands some antispasmodics and pain killers.
one thing i would worry about sudden greening of stool would be blockage of shunt resulting in chylous ascites which is very common in such procedures and need to be assessed.
Rest you know such mesenteric involved tumors and predispositions to adenomatous polyps and gut disorders make the gut of such patient quite troublesome and cramping and slight stool color change is nothing in front of that. God forbid some times even resection of the bowels are needed to prevent intestinal ischemia and neurovascular compromise.
sulindac and tamoxifen are well prescribed management. discuss some other options like vinblastine, methotrexate, radiation therapy , imatinib and hydroxyurea with your doctor.
Rest you should know that this fibromatosis is highly recurring and this manifestation may be its recurrence too. Get to a gastroenterologist and let them take care of your husband's current condition. Symptomatic management and assessment the shunt functioning and monitoring of tumor is advised. Electrolytes and nutritional support should be the top priority.
I hope it helps.Take good care of your husband and dont forget to close the discussion please.
May the odds be ever in your favour.
S Khan
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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What Causes Stomach Cramps And Green Stool When Suffering From Mesenteric Fibromatosis?

Brief Answer: crampin gdue to condition, stool color is bile Detailed Answer: Thank you for asking! I am sorry to hear your husband's trouble and i am sure you know in detail the prognosis and troubles of this desmoid tumour. Miss XXXXXXX i want you to know that this is the normal presentation in such desmoid tumors and recently placed XXXXXXX shunt, that of chylous ascites retroperitoneal shunting may change the color of the stools due to bile in it. All you can do is give your husbands some antispasmodics and pain killers. one thing i would worry about sudden greening of stool would be blockage of shunt resulting in chylous ascites which is very common in such procedures and need to be assessed. Rest you know such mesenteric involved tumors and predispositions to adenomatous polyps and gut disorders make the gut of such patient quite troublesome and cramping and slight stool color change is nothing in front of that. God forbid some times even resection of the bowels are needed to prevent intestinal ischemia and neurovascular compromise. sulindac and tamoxifen are well prescribed management. discuss some other options like vinblastine, methotrexate, radiation therapy , imatinib and hydroxyurea with your doctor. Rest you should know that this fibromatosis is highly recurring and this manifestation may be its recurrence too. Get to a gastroenterologist and let them take care of your husband's current condition. Symptomatic management and assessment the shunt functioning and monitoring of tumor is advised. Electrolytes and nutritional support should be the top priority. I hope it helps.Take good care of your husband and dont forget to close the discussion please. May the odds be ever in your favour. S Khan