Hi.
Thanks for your query.
4 months is a long time to suffer from pain in abdomen. You have nausea, feels like knife cutting in the stomach, bright red
blood in stool, consulted 2 Doctors and have undergone many blood tests.
The most probable reasons for for your symptoms are:
Acid Peptic Disease, causing
stomach ulcer or duodenal ulcers, can be a cancer too.
Your another problem of fresh blood in the stool can be due to Hemorrhoids.
I would advise you the following:
-Upper GI Endoscopy to see for ulcers / cancer and so.
-
Colonoscopy to see for the fresh blood in the stool and to know the reasons like piles, cancer, mass , polyp and so on. If required biopsy will be done.
-CT scan of the abdomen.
-Examination of the stool and urine as you have already undergone many blood tests , which may be normal as you have not mentioned anything here.
The further treatment will be as per the reports; till then get started on:
PPI like
Pantoprazole Antacid liquid at 3 hourly interval.
Soft bland diet and small frequent food.
Avoid all the foods and beverages that instigate or enhance the problems.
Laxatives if the stools are hard.
Sitz bath in a tub with warm water.
5-day course of an antibiotic and
metronidazole, probiotics, symptomatic and supportive.,
If all the investigations are normal, you may have to undergo MRI of the spine as there s a possibility of prolapsed inter-
vertebral disc causing such symptoms of knife cutting inside your stomach.