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Suggest Remedy For Abdominal Bleeding With Bloating And Belching
I have been having stomach bleeding 3 times in last three weeks. The first time this happened to me was October 2014 and endoscopy was done but could not find where the bleeding started. I have stopped all anti inflammatory meds. I.e. Lodine, aspirin but I am in a lot of hip pain causing difficulty walking. I didn t go to the hospital with the most recent bleeds since the place of. Bleeding can t be found, so I just suffer thru for a few days of discomfort. But the most recent bleed came with a feeling of tightness across my chest and left side neck pain that kept me up all night. Also I had more abdominal bloating with Hugh belches and gas. I am taking iron and eating food that build red blood cells. This is occurring once a week for past three weeks. What should my dr. Be recommending for tx of inflammation and locating bleeding area. Thanks Maria brock
Tue, 22 Dec 2015
Hi,Dear,Thanks for your query to HCM.
Dear I read your query and reviewed it with context to your query facts.
I understood your health concerns and feel Concerned about them.
Based on the facts of your query, you seem to suffer from-
Upper GI -Unknown Bleed site-With NSAID chronic use for Severe Hip joint pain-Under Evaluation.
As there does'nt appear to be blood vomiting,indicating the bleeding from Stomach is gradual and is from oozes mostly caused from Gastric Erosions from Chronic Use of Aspirin.
As no site is found in Stomach,you need to find out sites of bleeding in intestines and in colon.
Remedy For your case problem-
-Protective PPI to control Gastric erosions-Volez D -1 x 2 times a day.
-Shifting to Gabapentin from Aspirin/NSAIDs-for severe Hip Joint.
-Statins-Atorvastatin- to control high cholesterolemia
- and Telms 40 mg to control high Bp
-Anti-anginal Drugs-Clopidogrel/ -for Left side neck pain/and pain across chest pain- suggestive of Dyslipidemia-due to Hypercholesterolemia from Cox2- inhibitory actions of NSAIDs-which has lead to Angina as- you were on NSAIDs like Lodine and aspirin for Hip Joint.
-Hemostatic selants / like endoscopic hemosprays or oral hemostatic agents
-Gaviscon Liquid-2 tsf x 3 times with food intake.
-Tab Vit B12-2500 mcgm x once a day.
-Tab Folic Acid- 5o mgmx once a day.
-BRAT diet-Banana/rice/ smashed apple/ toasts
-Bland light volume diets.
-Besides NSAIDs accompanied other causes need to be ruled out.
Get following tests done-Superior Mesenteric arteriogram
/ Colonoscopies to detect colonic bleeding sites like cancers / or erosive lower bowel bleeding from NSAIDs. /
or from Colonic polyps /
or accompanied Diverticulitis if any.
Assessment and treatment accordingly from Surgeon or Gastro-Enterologist would be needed to investigate and treat your case accordingly.
In Brief -
Your long term use of NSAIDS need to be omitted
and need to be changed to Gabapentine or Norco/ hydrocodones
-Investigate other causes accompanied if any.
-Antihemostatic Sprays for Bleeding sites and
-PPI -like Veloz and Vit K to recoup body reserves
-treatment of angina with left neck pain and gastric bloating from hemorrhage needs to be simultaneously tacked.
-Multipronged treatment from Surgeon/GastroEndoscopist/ physician.
-This comprehensive / holistic approach is required in treating your health issues.
Hope this would help you to come out of this complex attack.
Hope this reply would help you to plan further treatment with your doctors there.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
Dear I read your query and reviewed it with context to your query facts.
I understood your health concerns and feel Concerned about them.
Based on the facts of your query, you seem to suffer from-
Upper GI -Unknown Bleed site-With NSAID chronic use for Severe Hip joint pain-Under Evaluation.
As there does'nt appear to be blood vomiting,indicating the bleeding from Stomach is gradual and is from oozes mostly caused from Gastric Erosions from Chronic Use of Aspirin.
As no site is found in Stomach,you need to find out sites of bleeding in intestines and in colon.
Remedy For your case problem-
-Protective PPI to control Gastric erosions-Volez D -1 x 2 times a day.
-Shifting to Gabapentin from Aspirin/NSAIDs-for severe Hip Joint.
-Statins-Atorvastatin- to control high cholesterolemia
- and Telms 40 mg to control high Bp
-Anti-anginal Drugs-Clopidogrel/ -for Left side neck pain/and pain across chest pain- suggestive of Dyslipidemia-due to Hypercholesterolemia from Cox2- inhibitory actions of NSAIDs-which has lead to Angina as- you were on NSAIDs like Lodine and aspirin for Hip Joint.
-Hemostatic selants / like endoscopic hemosprays or oral hemostatic agents
-Gaviscon Liquid-2 tsf x 3 times with food intake.
-Tab Vit B12-2500 mcgm x once a day.
-Tab Folic Acid- 5o mgmx once a day.
-BRAT diet-Banana/rice/ smashed apple/ toasts
-Bland light volume diets.
-Besides NSAIDs accompanied other causes need to be ruled out.
Get following tests done-Superior Mesenteric arteriogram
/ Colonoscopies to detect colonic bleeding sites like cancers / or erosive lower bowel bleeding from NSAIDs. /
or from Colonic polyps /
or accompanied Diverticulitis if any.
Assessment and treatment accordingly from Surgeon or Gastro-Enterologist would be needed to investigate and treat your case accordingly.
In Brief -
Your long term use of NSAIDS need to be omitted
and need to be changed to Gabapentine or Norco/ hydrocodones
-Investigate other causes accompanied if any.
-Antihemostatic Sprays for Bleeding sites and
-PPI -like Veloz and Vit K to recoup body reserves
-treatment of angina with left neck pain and gastric bloating from hemorrhage needs to be simultaneously tacked.
-Multipronged treatment from Surgeon/GastroEndoscopist/ physician.
-This comprehensive / holistic approach is required in treating your health issues.
Hope this would help you to come out of this complex attack.
Hope this reply would help you to plan further treatment with your doctors there.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
I find this answer helpful
Hi.
Thanks for your query.
Read and understood your history of recurrent intestinal bleed for which endoscopy did not help to find the cause.
You are already taking iron pills to recover for the loss.
I would advise you the following:
Stool tests on 3 consecutive days.
Tests of blood and urine.
Ultrasonography to start with with color doppler for the veins and arteries.
Arteriography with CT scan of the abdomen can helps too.
Capsule endoscopy if the colonoscopy is normal.
This way the findings will tell the source as well as plan for further courses to get a cure.
Thanks for your query.
Read and understood your history of recurrent intestinal bleed for which endoscopy did not help to find the cause.
You are already taking iron pills to recover for the loss.
I would advise you the following:
Stool tests on 3 consecutive days.
Tests of blood and urine.
Ultrasonography to start with with color doppler for the veins and arteries.
Arteriography with CT scan of the abdomen can helps too.
Capsule endoscopy if the colonoscopy is normal.
This way the findings will tell the source as well as plan for further courses to get a cure.
I find this answer helpful
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