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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Treated For Breast Cancer. Having Constant Stitch Type Pain, Black Stool, Feeling Nausea. Any Ideas?

I am a 40yr old female who had breast cancer in 2009. All treatments are now complete. For 10 wks I have had a constant stitch type pain in my left side under my rib cage. Some of my symptoms include black stools (only lasted 4 days) blood and mucus in my stools (lasted a wk) stools now normal. I have nausea n feel full quickly. I have pain around the middle of my back. Pain in my side is worse after eating and when lying down. Have been to doctor, tested so far for ulcer and helicobacter which are negative. Any ideas?
Thu, 26 Sep 2013
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Oncologist, Surgical,  's  Response
I would have liked to know the stage of your initial cancer and the treatment which you have undergone. If the pain is on the same side as the surgery then it could be related to the surgery itself and taking a painkiller should suffice. If it is on the opposite side or if it is not being relieved with painkillers then we need to investigate. A simple x-ray chest should be enough for the moment and will tell us if this is disease recurrence. The black stools are most probably because of stomach ulcers which are quite common. For that you should start Tab Pantoprazole 20mg twice daily for a month atleast + Syp Mucaine gel 2 tsf thrice daily. That should take care of the problem. Helicobacter Pylori is not positive in all ulcers.
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Treated For Breast Cancer. Having Constant Stitch Type Pain, Black Stool, Feeling Nausea. Any Ideas?

I would have liked to know the stage of your initial cancer and the treatment which you have undergone. If the pain is on the same side as the surgery then it could be related to the surgery itself and taking a painkiller should suffice. If it is on the opposite side or if it is not being relieved with painkillers then we need to investigate. A simple x-ray chest should be enough for the moment and will tell us if this is disease recurrence. The black stools are most probably because of stomach ulcers which are quite common. For that you should start Tab Pantoprazole 20mg twice daily for a month atleast + Syp Mucaine gel 2 tsf thrice daily. That should take care of the problem. Helicobacter Pylori is not positive in all ulcers.