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Stomach pain with malena

Resolved Question:

For 2 weeks now, i've been having bad stomach aches.. my bowels are black. i'm fine when my stomach is empty, but as soon as i eat, it feels as though there's a bowling ball in my stomach.

Whats wrong with me??

Category: Family Physician-GP

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Dr. Deepu Sebin Sebastian is online now

Expert:  Dr. Deepu Sebin Sebastian replied 4 Days.

Thanks for your question. Of course you can remain active and continue on with regular activities. Just follow through with the medication and watch what you eat so that you do not aggravate your belly. Once the infection is treated and the ulcer heals, you will be symptom free. Take care.

Patient replied :

how did i get the infection??

Expert:  Dr. Deepu Sebin Sebastian replied 3 Days.

Hello again,

At least half of the world's population is infected with H.pylori. The infection can persist for decades and remain dormant (without symptoms) until eventually chronic gastritis develops into an ulcer. Most people get infected during childhood and the infection persists for life if not treated. The infection could spread from someone else who is infected with the bacteria and it usually depends on your conditions growing up.

From your description of symptoms, this is the most likely explanation for your underlying illness, as these are classic symptoms for an ulcer with is caused by H.pylori infection. There are other illnesses that can cause severe bloating with black stools, such as ulcerative colitis, crohn's disease, or diverticulitis. However your symptoms are associated with food intake and that is more of a symptom of peptic ulcer.

As I suggested earlier, the only way to know for sure is to get tested. I would advise you make an appointment with your gasteroenterologist and discuss the testing and treatment options I mentioned above. If you do discover an ulcer, a course of metronidazole (and maybe tetracyclines) work well if you stick with the medication. Please let me know if you have any other concerns. From the information I have so far, this is the best I can tell you. If you have any more information or any follow-up questions, please don't hesitate to ask. Take care.

Patient replied :

I'm an active person, basketball, fitness, cardio.. can i remain active?

Dr. Deepu Sebin Sebastian
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MD, Internal Medicine - Stanley Medical School
Medical School - MBBS - Govt. Medical College, Kottyaam

Diagnostic Prediction - Stanford School of Medicine
Received Specialty training in Critical Care, Cardiology, Neurology, Gastroenterology, Nephrology from Stanley Medical College and in Endocrinology, Rheumatology.

Hematology and Geriatrics from Madras Medical College.
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