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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Stomach Discomfort With Constipation Be Treated?

Hello my stools have been abit irregular lately as in constipated I have been working hard to get it going. I can feel quite uncomfortable in my stomach sometimes and it smells very metallic I had a colonoscoy two years ago as had one off bledding and pain but it showed nothing should I have another one with these changes or is it something else many thanks c
Thu, 22 Mar 2018
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Internal Medicine Specialist,  's  Response
Hello,

Uncomfortable feeling in the stomach, constipation, metallic smelling and a history of previous gastrointestinal bleeding indicate chronic gastrointestinal bleeding.

First, you should get a fecal occult blood test (FOBT) and a test for iron deficiency anemia. If FOBT is positive, and or you have iron deficiency anemia (IDA) it means you are having gastrointestinal (GI) bleeding.

The investigation should start with upper GI endoscopy. If upper endoscopy comes back normal, then colonoscopy should be done. If both tests are negative (upper endoscopy and colonoscopy), you should be investigated with capsule endoscopy to investigate for small bowel pathology.


Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Malik
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How Can Stomach Discomfort With Constipation Be Treated?

Hello, Uncomfortable feeling in the stomach, constipation, metallic smelling and a history of previous gastrointestinal bleeding indicate chronic gastrointestinal bleeding. First, you should get a fecal occult blood test (FOBT) and a test for iron deficiency anemia. If FOBT is positive, and or you have iron deficiency anemia (IDA) it means you are having gastrointestinal (GI) bleeding. The investigation should start with upper GI endoscopy. If upper endoscopy comes back normal, then colonoscopy should be done. If both tests are negative (upper endoscopy and colonoscopy), you should be investigated with capsule endoscopy to investigate for small bowel pathology. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Malik