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Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 22208
Experience:  Over 20 yrs of Family Practice
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If im having bloody diarrhea and abdominal pai do i need to

Customer Question

If im having bloody diarrhea and abdominal pai do i need to call my pcp
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Chip replied 1 year ago.
Of course but if you can't get hold of your PCP now you need to get to the ER
Customer: replied 1 year ago.
Why cant it wait until tomorrow
Expert:  Dr. Chip replied 1 year ago.
Let's not quibble and let's stop after this. Any bloody diarrhea could potentially become a major hemorrhage at any time so I'm obligated to tell you exactly what I said above. Up to you as to whether to wait but I wouldn't recommend it
Customer: replied 1 year ago.
Do i have to close the page now?
Expert:  Dr. Chip replied 1 year ago.
You didn't rate the answer on the other one so yes, I gave you an answer for this one and, sorry, but unless you rate every so often I just can't continue on this page. Not trying to force you to rate, but I can't keep on spending so much time with you without a rating now and then.
Customer: replied 1 year ago.
Better
Expert:  Dr. Chip replied 1 year ago.
Sorry--I was off after my last response--get back to me in abut three hours
Customer: replied 1 year ago.
If i am really sore down there from irritation is it ok to use preperation h? Do you think i really need the macrobid since my urine culture didnt grow out a specific organism
Expert:  Dr. Chip replied 1 year ago.
I personally don't think you need another antibiotic for now. Preparation H is fine
Customer: replied 1 year ago.
Ok
Expert:  Dr. Chip replied 1 year ago.
Anything else?
Customer: replied 1 year ago.
Since yesterday anytime i eat i get horrible abdominal pain and diarrhea. Why
Expert:  Dr. Chip replied 1 year ago.
Hard to say. I still think you may have Crohn's
Customer: replied 1 year ago.
What else could cause it? It happens within 30-60 minutes after eating. Then i spend 10-20 minutes in the bathroom.
Expert:  Dr. Chip replied 1 year ago.
Possibly a virus
Customer: replied 1 year ago.
Im seeing a general surgeon on wednesday. I saw suppose to see him back in december for rectal bleeding to rule out a fistula but i kept rescheduling it
Expert:  Dr. Chip replied 1 year ago.
Why was a fistula considered?
Customer: replied 1 year ago.
Ongoing bleeding
Expert:  Dr. Chip replied 1 year ago.
That was the GI's idea?
Customer: replied 1 year ago.
Ya. I dont know why i have to see a general surgeon, why cant the gi dr do the exam?
Expert:  Dr. Chip replied 1 year ago.
He should and I really don't understand why he's considering a fistula
Customer: replied 1 year ago.
I dont really know either. But he wont do the exam and i have to see a surgeon tgat i work for on occassion which makes me uncomfortable
Expert:  Dr. Chip replied 1 year ago.
Well, basically it involves a digital exam and a proctoscope but you don't need a surgeon to do that
Customer: replied 1 year ago.
Do you think its necessary? If i had a normal colonoscopy in the past year
Expert:  Dr. Chip replied 1 year ago.
Well if the area hasn't been looked at recently yes it is necessary. The interesting part is if you did have a fistula that would strongly suggest Crohn's
Customer: replied 1 year ago.
Its been more than 6 months. I dont think i have a fisula. I want to postpone it
Expert:  Dr. Chip replied 1 year ago.
Up to you. I'm not going to get into that
Customer: replied 1 year ago.
Do you think its 100% necessary? Its going to hurt esp since its irritated down there
Expert:  Dr. Chip replied 1 year ago.
I'm just not going to comment since I can't examine you
Customer: replied 1 year ago.
Just tell me what you think. Be honest
Expert:  Dr. Chip replied 1 year ago.
Bleeding isn't the usual presentation of a fistula
Customer: replied 1 year ago.
Do i need to get the exam down
Expert:  Dr. Chip replied 1 year ago.
I won't answer that--just told you my thoughts about the possibility of a fistula so please stop pushing
Customer: replied 1 year ago.
So no i dont
Expert:  Dr. Chip replied 1 year ago.
No comment
Customer: replied 1 year ago.
You are irritating sometime. Im stimwaiting for them to make the referral to Mayo clinic
Expert:  Dr. Chip replied 1 year ago.
So are you when you try to make me take over as your own personal physician. You need the Mayo referral
Customer: replied 1 year ago.
I just like your opinion. I trust you more than i trust my own drs. I know i need the Mayo referral. But they havent made it yet. And my gi dr is gone until 6/6
Expert:  Dr. Chip replied 1 year ago.
It's just that I can give you my opinion about what might be going on but I can't tell you not to do what your own doctor says to do. So are you saying he hasn't even made the referral?
Customer: replied 1 year ago.
When we enter a referral for our referral center to make ir goes under patienta active task. Well theres not a task in there for the referral to Mayo
Expert:  Dr. Chip replied 1 year ago.
Your PCP could do it
Customer: replied 1 year ago.
My pcp doesnt think i have major gi issues
Expert:  Dr. Chip replied 1 year ago.
Well, guess you'll have to wait
Customer: replied 1 year ago.
Its been like 3 weeks. I bet they wont do it until after im rescoped
Expert:  Dr. Chip replied 1 year ago.
No, that won't be a requirement for them to see you
Customer: replied 1 year ago.
Im just telling you what i think. Otherwise they would made the referral 3 weeks ago
Expert:  Dr. Chip replied 1 year ago.
OK--I thought you meant the Mayo wouldn't see you before that. Well, nothing more to say about this for now
Customer: replied 1 year ago.
How come my health issues didnt begin until i starved myself last summer
Expert:  Dr. Chip replied 1 year ago.
You were perfectly fine before that?
Customer: replied 1 year ago.
2 summers before that i had stomach issues but i was starving myself then too. But that only lasted a summer.
Expert:  Dr. Chip replied 1 year ago.
I don't think the starving yourself alone caused all this, no, but since you got sick you really haven't taken very good care of yourself as far as nutrition goes
Customer: replied 1 year ago.
So is all this my fault?
Expert:  Dr. Chip replied 1 year ago.
There you go again. No, it's not all your fault and I think you have a real GI problem that you would have had no matter what
Customer: replied 1 year ago.
Does not eating make it worse?
Expert:  Dr. Chip replied 1 year ago.
Yes but you've had real reasons why it's been difficult to eat--the pain and indigestion and so on
Customer: replied 1 year ago.
I know i can be annoying and irritating a times, but sometimes my symptons scare me. I know i worry too much about stupid health things but its who i am. I have always been an anxious person.
Expert:  Dr. Chip replied 1 year ago.
I think you've definitely got a serious GI problem and I still think it's Crohn's until proved otherwise. But Crohn's isn't the end of the world with treatment
Customer: replied 1 year ago.
How do they figure it out?
Expert:  Dr. Chip replied 1 year ago.
I still think your GI just is ignoring all the signs. Like I said before, it can be difficult to diagnose but the Mayo can do that
Customer: replied 1 year ago.
Im not being dumb here but what can they do that my gi dr cant?
Expert:  Dr. Chip replied 1 year ago.
I actually think he already has the information he needs for the diagnosis but there's more blood tests and more small bowel studies to be done
Customer: replied 1 year ago.
Like what?
Expert:  Dr. Chip replied 1 year ago.
Why are we belaboring the point here? Obviously your GI hasn't been able to treat whatever it is effectively so just work on getting to the Mayo
Customer: replied 1 year ago.
I just wanted to know what mayo can do that my gi cant or hasnt done. Because if theres something i can ask him to do id rather do that than go to mayo. Im sorry if i frustrated you
Expert:  Dr. Chip replied 1 year ago.
I'd think you'd be so tired of not getting any better that you would welcome going to the Mayo. All you can do is tell your GI you think you have Crohn's and nail him down as to why he doesn't think that's the case. You need to be firm with him. Hey--I have to get to bed so we'll talk later
Customer: replied 1 year ago.
How to i protect my teeth from reflux?
Expert:  Dr. Chip replied 1 year ago.
Fluoride rinse, chewing gum to increase saliva, and frequent brushing
Customer: replied 1 year ago.
Is baking soda toothpaste better than regular toothpaste
Expert:  Dr. Chip replied 1 year ago.
Yes
Customer: replied 1 year ago.
I know youre going to tell me theres nothing you can tell me about it but my stomach is acting ul again
Expert:  Dr. Chip replied 1 year ago.
All I can say is Mayo
Customer: replied 1 year ago.
You really think they are going to find somethjng wrong with me?
Expert:  Dr. Chip replied 1 year ago.
There is obviously something wrong and yes, I'm sure they'll figure it out
Customer: replied 1 year ago.
You dont think its all ib my head?
Expert:  Dr. Chip replied 1 year ago.
Not at all
Customer: replied 1 year ago.
Promise? If it is crohns what do they do for it
Expert:  Dr. Chip replied 1 year ago.
Promise and it can be treated with prednisone, azulfidine, Humira--many meds
Customer: replied 1 year ago.
Btw i am going to see the surgeon
Expert:  Dr. Chip replied 1 year ago.
OK
Customer: replied 1 year ago.
My mom figure wants me to spend the day with her and marty tomorrow. What do you think
Expert:  Dr. Chip replied 1 year ago.
Up to you but from what you've told me before, if it were me, I'd pass
Customer: replied 1 year ago.
This may be a dumb question but maybe not. In one of my nostrils on the septum i have like a fissure crater thingy. Its been there for months. But lately its been hurting. What can i do for it?
Expert:  Dr. Chip replied 1 year ago.
Moisturize the nostril with Vaseline or its equivalent. And we need to close this page
Customer: replied 1 year ago.
Can we finish discussing this and theb close the page? Ive been using triple antibiotic on it
Expert:  Dr. Chip replied 1 year ago.
Well, first off has your doc looked at it. And what is it exactly--just a painful fissure?
Customer: replied 1 year ago.
None of the drs ive seen have looked in my nose lately. I think its a fissure in my nose. When i look at it i can see a deep line
Expert:  Dr. Chip replied 1 year ago.
Well basically it's from dryness and not an infection. Bad cases need to be cauterized with a silver nitrate stick. If it's been going on that long, get someone to look at it
Customer: replied 1 year ago.
Even if its not bleedibg? It never scabs.
Expert:  Dr. Chip replied 1 year ago.
We're starting to chat and you've had several subjects on this page--I said bad ones need cautery
Customer: replied 1 year ago.
Do we really have to close now?
Expert:  Dr. Chip replied 1 year ago.
We wouldn't have to if you wouldn't load each page with several different questions, all of which I answer--again, that just isn't the way it's supposed to work. I'll answer one more question if you have one but then we have to close
Customer: replied 1 year ago.
My therapist says if i go to the Mayo clinic ill have to spend the night. Is this true? I dont want to spend the night because i need my blankie. How pathetic is it for a 24 yr old to still have a comfort blankie? What specific test do you think they will order. Please dont just say blood
Expert:  Dr. Chip replied 1 year ago.
Take your blankie with you and I can't be sure if you have to spend the night. You're really going around in circles here. In addition to specific markers for inflammation, they most likely will do an MRI of your abdomen, and they may consider an exploratory laparoscopy and maybe studies for a gastrinoma. Now enough for this page
Customer: replied 1 year ago.
You didnt answer whether its pathetic to still habe a blankie
Expert:  Dr. Chip replied 1 year ago.
No it's not pathetic--kind of sweet actually
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 22208
Experience: Over 20 yrs of Family Practice
Dr. Chip and 8 other Health Specialists are ready to help you
Customer: replied 1 year ago.
Are you just saying that
Expert:  Dr. Chip replied 1 year ago.
No--I find it sweet
Customer: replied 1 year ago.
I cant sleep without it. How do i stop needing it
Expert:  Dr. Chip replied 1 year ago.
Why do you want to do without it?
Customer: replied 1 year ago.
Cuz im too old for it. My parent figures tell me i have to grow up eventually
Expert:  Dr. Chip replied 1 year ago.
Well I don't see anything at all wrong about it so don't worry about it
Customer: replied 1 year ago.
Youre the only person besides my family that knows about it
Expert:  Dr. Chip replied 1 year ago.
Thanks for sharing but I don't look at it as anything abnormal
Customer: replied 1 year ago.
But how do i stop needing it
Expert:  Dr. Chip replied 1 year ago.
Well, you can talk to your therapist about it--find the symbolization about it--what subconsciously it means to you and work on that
Customer: replied 1 year ago.
Ive had it since i cut when toes off in a barn fan when i was 5
Expert:  Dr. Chip replied 1 year ago.
You actually cut them off?
Customer: replied 1 year ago.
I was at my dads house. He had a barn fan and my foot went in the fan and cut off the big toe and the one next to it
Expert:  Dr. Chip replied 1 year ago.
Well, that's understandable then why you still cling to it. Just like with the other things, you need to discuss that with your therapist if you want to give up the blanket
Customer: replied 1 year ago.
But its 100% ok to still have it?
Expert:  Dr. Chip replied 1 year ago.
Sure--nothing wrong with that
Customer: replied 1 year ago.
My ishy brother is doing 30 days in jail and probation for 5 years for possessing child porn.
Expert:  Dr. Chip replied 1 year ago.
So?
Customer: replied 1 year ago.
I feel bad for him. I think hell probably be court marshalled too since hes also still being investiaged for looking at child porn on government computers while at guards
Expert:  Dr. Chip replied 1 year ago.
I understand but unfortunately the law is the law
Customer: replied 1 year ago.
I know. It just makes me sad. And my mom still says i lie about what he did to me.
Expert:  Dr. Chip replied 1 year ago.
Lie to whom?
Customer: replied 1 year ago.
To everyone about what my
Brother did
Expert:  Dr. Chip replied 1 year ago.
The subject comes up in conversation?
Customer: replied 1 year ago.
Ya it came up in our last conversation
Expert:  Dr. Chip replied 1 year ago.
Well, since you don't talk about it anyway why ask you to lie about it?
Customer: replied 1 year ago.
I dont know
Expert:  Dr. Chip replied 1 year ago.
Well, no big deal then
Customer: replied 1 year ago.
Do you believe me about what my brother did
Expert:  Dr. Chip replied 1 year ago.
Of course
Customer: replied 1 year ago.
He made me play strip poker with him
Expert:  Dr. Chip replied 1 year ago.
I believe you
Customer: replied 1 year ago.
I think people just say they believe me
Expert:  Dr. Chip replied 1 year ago.
Well I do believe you
Customer: replied 1 year ago.
Promise?
Expert:  Dr. Chip replied 1 year ago.
Promise
Customer: replied 1 year ago.
Are you getting sick of me asking if you promise
Expert:  Dr. Chip replied 1 year ago.
Not at all
Customer: replied 1 year ago.
Today isnt a very good day. Im having a hard time with abuse stuff
Expert:  Dr. Chip replied 1 year ago.
Back at you in a few hours
Customer: replied 1 year ago.
Ok
Expert:  Dr. Chip replied 1 year ago.
k
Customer: replied 1 year ago.
Like 3 hours
Expert:  Dr. Chip replied 1 year ago.
About that, yes
Customer: replied 1 year ago.
Are you irritated with me for bothering you. Have a good night
Expert:  Dr. Chip replied 1 year ago.
Just got back on
Customer: replied 1 year ago.
Do i ever get irritating
Expert:  Dr. Chip replied 1 year ago.
No
Customer: replied 1 year ago.
I feel like i bother you too much
Expert:  Dr. Chip replied 1 year ago.
No you don't but sometimes I do have to call the shots when we start doing the chatting thing
Customer: replied 1 year ago.
Im having a hard time with the abuse stuff
Expert:  Dr. Chip replied 1 year ago.
How so?
Customer: replied 1 year ago.
Im having dreams again.
Expert:  Dr. Chip replied 1 year ago.
Well we really can't go into a deep discussion about this on this page but again those won't last forever and it will definitely help for you to talk about it and work on it with either your therapist or your psychiatrist. Listen--not asking for another accept here but the page is very long and again at that point it slows down my computer on the site. So let's hold off on posting anything more on this page.
Customer: replied 1 year ago.
If i open a new page can we discuss it
Expert:  Dr. Chip replied 1 year ago.
Some but only to a certain extent--I've been told that that particular subject should really be posted in the mental health section
Customer: replied 1 year ago.
Then nevermind we dont have to discuss it. Have a good day
Expert:  Dr. Chip replied 1 year ago.
You too
Customer: replied 1 year ago.
Can i take pepto bismol if i hve ulcers
Expert:  Dr. Chip replied 1 year ago.
Yes
Customer: replied 1 year ago.
I feel like foods fetting stuck in my throat and then i feel like i cant breath
Expert:  Dr. Chip replied 1 year ago.
We've been over this before--sounds like anxiety
Customer: replied 1 year ago.
Food actually got stuck 2 amd i had to cough it up
Expert:  Dr. Chip replied 1 year ago.
We've still been over this--probably nothing more than anxiety again--you've had scopes and tests and you don't have an esophageal motility problem
Customer: replied 1 year ago.
But i do have elevated lower esophageal pressure
Expert:  Dr. Chip replied 1 year ago.
That's not causing this
Customer: replied 1 year ago.
Im worried about it. Do you promise its just anxiety
Expert:  Dr. Chip replied 1 year ago.
I'm sure that's all it is
Customer: replied 1 year ago.
You are sure the high pressue has nothing to do with it? And the yeast has nothing to do with it
Expert:  Dr. Chip replied 1 year ago.
No--what you're describing is incompatible with the lower esophageal higher pressure and with the yeast that was found
Customer: replied 1 year ago.
Very last thing. Are you getting mad at mefor asking you questions that you think are dumb
Expert:  Dr. Chip replied 1 year ago.
No, but sometimes you do want to go over things we've talked about already--at least some of the medical things
Customer: replied 1 year ago.
Im sorry
Expert:  Dr. Chip replied 1 year ago.
That's OK
Customer: replied 1 year ago.
About 3 this morning my sister broughtcme tylenol cuz i asked her to. About 10 minutes after taking it mybstomach started to feel like it was on fire and still
Feels that way. Turns out my sister actually gavexme 2 Excedrine which contains Aspirin.
Expert:  Dr. Chip replied 1 year ago.
Just use the Pepto
Customer: replied 1 year ago.
I took 2 tramadol about 1.5 hrs ago. My stomach is still on fire. Can i take a vicodin?
Expert:  Dr. Chip replied 1 year ago.
I've told you before that has ibuprofen in it so I'd say no
Customer: replied 1 year ago.
Its hydrocodone acetaminophen
Expert:  Dr. Chip replied 1 year ago.
Sorry--I was thinking Vicoprofen. It's OK to take one
Customer: replied 1 year ago.
My real dads in the hospital. He tried to stab himself
Expert:  Dr. Chip replied 1 year ago.
Totally new subject really--we need to use another page for that

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