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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Be The Black Colored Fluid Through The Rectum?

I passed about a pint of black tar colored fluid through the rectom. Just immediately prior to that I had a severe cramp left and across lower stomach. Did that come from the appendix? Was repeated 2 days later but not as severe and black. Since then I cannot have a bowel movement unless I take a laxative. Your answer.
Wed, 20 Sep 2017
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the history and understood the concerns.
A pint of black tar colored fluid through rectum means this is most probably due to bleeding in the upper GI to mid-colon region.
Constipation after this episode is not understandable but can be due to a mass obstructing somewhere or that needs good clinical evaluation and examination by a Doctor or a Gastro surgeon.
Investigations needed are as follows:
CT scan of the abdomen.
Colonoscopy after preparation.
Upper GI Endoscopy.
Tests of blood and urine.
Stool tests very important.
All this will lead to the proper diagnosis and give a plan of management.
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