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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Taking Omeprozole For Acid Reflux, Constant Heartburn, Nausea, Vomiting With Upper Abdominal Pain. Solution ?

I have acid reflux and in the past I have had ulcers . I am taking omeprozole twice a day. The past two week My heartburn has been getting worse and worse. Well then this past Friday my heatburn has been constant, I have Nausea, and vomiting and I can t keep anything down. I have lost ten pounds in four days. Also my Saturday and Sunday my stool was black. And now yesterday and today it has turned intp a paleish yellow with mucus . I am also severly bloated and having bad upper abdominal pain . Is there anything you could tell me that me help Me id appreciate it. Thank you
Wed, 27 Feb 2013
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General Surgeon 's  Response
Hello!

Thank you for the query.

Black stools (tarry like) and abdominal pain is most likely caused by bleeding from peptic ulcer. I do not know if you have been tested for Heliobacter Pylori, but if not, you should so, and antibiotics should be ordered in case of positive result. It seems like Omeprasole does not work for you. It happens for some people and in such case, other PPI medicine should be prescribed as it may have better effect.
But now you should definitely visit your doctor as soon as possible and have upper GI endoscopy performed to rule out any ulcer bleeding. Blood work should be also done.

Hope this will help.
Regards.
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Internal Medicine Specialist Dr. Priya S K's  Response
Hello,
Thanks for coming to HCM. Sorry to hear about your problems. It is possible that you have got ulcer again OR some gastric mucosal erosion. Bleeding from that presents as black stools. Please contact your gastroenterologist quickly who will assess you & possibly do endoscopy along with blood work to check your hemoglobin level and then treatment/management. You can discuss with him the possibility of H. pylori infection testing too.
Hope you get better soon!
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Taking Omeprozole For Acid Reflux, Constant Heartburn, Nausea, Vomiting With Upper Abdominal Pain. Solution ?

Hello! Thank you for the query. Black stools (tarry like) and abdominal pain is most likely caused by bleeding from peptic ulcer. I do not know if you have been tested for Heliobacter Pylori, but if not, you should so, and antibiotics should be ordered in case of positive result. It seems like Omeprasole does not work for you. It happens for some people and in such case, other PPI medicine should be prescribed as it may have better effect. But now you should definitely visit your doctor as soon as possible and have upper GI endoscopy performed to rule out any ulcer bleeding. Blood work should be also done. Hope this will help. Regards.