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Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 25523
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: 2 years ago.
Category: Health
Expert:  Dr. Chip replied 2 years ago.
Of course but if you can't get hold of your PCP now you need to get to the ER
Customer: replied 2 years ago.
Why cant it wait until tomorrow
Expert:  Dr. Chip replied 2 years 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 2 years ago.
Do i have to close the page now?
Expert:  Dr. Chip replied 2 years 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 2 years ago.
Better
Expert:  Dr. Chip replied 2 years ago.
Sorry--I was off after my last response--get back to me in abut three hours
Customer: replied 2 years 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 2 years ago.
I personally don't think you need another antibiotic for now. Preparation H is fine
Customer: replied 2 years ago.
Ok
Expert:  Dr. Chip replied 2 years ago.
Anything else?
Customer: replied 2 years ago.
Since yesterday anytime i eat i get horrible abdominal pain and diarrhea. Why
Expert:  Dr. Chip replied 2 years ago.
Hard to say. I still think you may have Crohn's
Customer: replied 2 years 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 2 years ago.
Possibly a virus
Customer: replied 2 years 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 2 years ago.
Why was a fistula considered?
Customer: replied 2 years ago.
Ongoing bleeding
Expert:  Dr. Chip replied 2 years ago.
That was the GI's idea?
Customer: replied 2 years 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 2 years ago.
He should and I really don't understand why he's considering a fistula
Customer: replied 2 years 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 2 years ago.
Well, basically it involves a digital exam and a proctoscope but you don't need a surgeon to do that
Customer: replied 2 years ago.
Do you think its necessary? If i had a normal colonoscopy in the past year
Expert:  Dr. Chip replied 2 years 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 2 years ago.
Its been more than 6 months. I dont think i have a fisula. I want to postpone it
Expert:  Dr. Chip replied 2 years ago.
Up to you. I'm not going to get into that
Customer: replied 2 years ago.
Do you think its 100% necessary? Its going to hurt esp since its irritated down there
Expert:  Dr. Chip replied 2 years ago.
I'm just not going to comment since I can't examine you
Customer: replied 2 years ago.
Just tell me what you think. Be honest
Expert:  Dr. Chip replied 2 years ago.
Bleeding isn't the usual presentation of a fistula
Customer: replied 2 years ago.
Do i need to get the exam down
Expert:  Dr. Chip replied 2 years ago.
I won't answer that--just told you my thoughts about the possibility of a fistula so please stop pushing
Customer: replied 2 years ago.
So no i dont
Expert:  Dr. Chip replied 2 years ago.
No comment
Customer: replied 2 years ago.
You are irritating sometime. Im stimwaiting for them to make the referral to Mayo clinic
Expert:  Dr. Chip replied 2 years ago.
So are you when you try to make me take over as your own personal physician. You need the Mayo referral
Customer: replied 2 years 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 2 years 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 2 years 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 2 years ago.
Your PCP could do it
Customer: replied 2 years ago.
My pcp doesnt think i have major gi issues
Expert:  Dr. Chip replied 2 years ago.
Well, guess you'll have to wait
Customer: replied 2 years ago.
Its been like 3 weeks. I bet they wont do it until after im rescoped
Expert:  Dr. Chip replied 2 years ago.
No, that won't be a requirement for them to see you
Customer: replied 2 years ago.
Im just telling you what i think. Otherwise they would made the referral 3 weeks ago
Expert:  Dr. Chip replied 2 years 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 2 years ago.
How come my health issues didnt begin until i starved myself last summer
Expert:  Dr. Chip replied 2 years ago.
You were perfectly fine before that?
Customer: replied 2 years 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 2 years 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 2 years ago.
So is all this my fault?
Expert:  Dr. Chip replied 2 years 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 2 years ago.
Does not eating make it worse?
Expert:  Dr. Chip replied 2 years ago.
Yes but you've had real reasons why it's been difficult to eat--the pain and indigestion and so on
Customer: replied 2 years 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 2 years 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 2 years ago.
How do they figure it out?
Expert:  Dr. Chip replied 2 years 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 2 years ago.
Im not being dumb here but what can they do that my gi dr cant?
Expert:  Dr. Chip replied 2 years 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 2 years ago.
Like what?
Expert:  Dr. Chip replied 2 years 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 2 years 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 2 years 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 2 years ago.
How to i protect my teeth from reflux?
Expert:  Dr. Chip replied 2 years ago.
Fluoride rinse, chewing gum to increase saliva, and frequent brushing
Customer: replied 2 years ago.
Is baking soda toothpaste better than regular toothpaste
Expert:  Dr. Chip replied 2 years ago.
Yes
Customer: replied 2 years 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 2 years ago.
All I can say is Mayo
Customer: replied 2 years ago.
You really think they are going to find somethjng wrong with me?
Expert:  Dr. Chip replied 2 years ago.
There is obviously something wrong and yes, I'm sure they'll figure it out
Customer: replied 2 years ago.
You dont think its all ib my head?
Expert:  Dr. Chip replied 2 years ago.
Not at all
Customer: replied 2 years ago.
Promise? If it is crohns what do they do for it
Expert:  Dr. Chip replied 2 years ago.
Promise and it can be treated with prednisone, azulfidine, Humira--many meds
Customer: replied 2 years ago.
Btw i am going to see the surgeon
Expert:  Dr. Chip replied 2 years ago.
OK
Customer: replied 2 years ago.
My mom figure wants me to spend the day with her and marty tomorrow. What do you think
Expert:  Dr. Chip replied 2 years ago.
Up to you but from what you've told me before, if it were me, I'd pass
Customer: replied 2 years 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 2 years ago.
Moisturize the nostril with Vaseline or its equivalent. And we need to close this page
Customer: replied 2 years ago.
Can we finish discussing this and theb close the page? Ive been using triple antibiotic on it
Expert:  Dr. Chip replied 2 years ago.
Well, first off has your doc looked at it. And what is it exactly--just a painful fissure?
Customer: replied 2 years 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 2 years 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 2 years ago.
Even if its not bleedibg? It never scabs.
Expert:  Dr. Chip replied 2 years ago.
We're starting to chat and you've had several subjects on this page--I said bad ones need cautery
Customer: replied 2 years ago.
Do we really have to close now?
Expert:  Dr. Chip replied 2 years 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 2 years 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 2 years 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 2 years ago.
You didnt answer whether its pathetic to still habe a blankie
Expert:  Dr. Chip replied 2 years ago.
No it's not pathetic--kind of sweet actually
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 25523
Experience: Over 20 yrs of Family Practice
Dr. Chip and 3 other Health Specialists are ready to help you
Customer: replied 2 years ago.
Are you just saying that
Expert:  Dr. Chip replied 2 years ago.
No--I find it sweet
Customer: replied 2 years ago.
I cant sleep without it. How do i stop needing it
Expert:  Dr. Chip replied 2 years ago.
Why do you want to do without it?
Customer: replied 2 years ago.
Cuz im too old for it. My parent figures tell me i have to grow up eventually
Expert:  Dr. Chip replied 2 years ago.
Well I don't see anything at all wrong about it so don't worry about it
Customer: replied 2 years ago.
Youre the only person besides my family that knows about it
Expert:  Dr. Chip replied 2 years ago.
Thanks for sharing but I don't look at it as anything abnormal
Customer: replied 2 years ago.
But how do i stop needing it
Expert:  Dr. Chip replied 2 years 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 2 years ago.
Ive had it since i cut when toes off in a barn fan when i was 5
Expert:  Dr. Chip replied 2 years ago.
You actually cut them off?
Customer: replied 2 years 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 2 years 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 2 years ago.
But its 100% ok to still have it?
Expert:  Dr. Chip replied 2 years ago.
Sure--nothing wrong with that
Customer: replied 2 years ago.
My ishy brother is doing 30 days in jail and probation for 5 years for possessing child porn.
Expert:  Dr. Chip replied 2 years ago.
So?
Customer: replied 2 years 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 2 years ago.
I understand but unfortunately the law is the law
Customer: replied 2 years 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 2 years ago.
Lie to whom?
Customer: replied 2 years ago.
To everyone about what my
Brother did
Expert:  Dr. Chip replied 2 years ago.
The subject comes up in conversation?
Customer: replied 2 years ago.
Ya it came up in our last conversation
Expert:  Dr. Chip replied 2 years ago.
Well, since you don't talk about it anyway why ask you to lie about it?
Customer: replied 2 years ago.
I dont know
Expert:  Dr. Chip replied 2 years ago.
Well, no big deal then
Customer: replied 2 years ago.
Do you believe me about what my brother did
Expert:  Dr. Chip replied 2 years ago.
Of course
Customer: replied 2 years ago.
He made me play strip poker with him
Expert:  Dr. Chip replied 2 years ago.
I believe you
Customer: replied 2 years ago.
I think people just say they believe me
Expert:  Dr. Chip replied 2 years ago.
Well I do believe you
Customer: replied 2 years ago.
Promise?
Expert:  Dr. Chip replied 2 years ago.
Promise
Customer: replied 2 years ago.
Are you getting sick of me asking if you promise
Expert:  Dr. Chip replied 2 years ago.
Not at all
Customer: replied 2 years ago.
Today isnt a very good day. Im having a hard time with abuse stuff
Expert:  Dr. Chip replied 2 years ago.
Back at you in a few hours
Customer: replied 2 years ago.
Ok
Expert:  Dr. Chip replied 2 years ago.
k
Customer: replied 2 years ago.
Like 3 hours
Expert:  Dr. Chip replied 2 years ago.
About that, yes
Customer: replied 2 years ago.
Are you irritated with me for bothering you. Have a good night
Expert:  Dr. Chip replied 2 years ago.
Just got back on
Customer: replied 2 years ago.
Do i ever get irritating
Expert:  Dr. Chip replied 2 years ago.
No
Customer: replied 2 years ago.
I feel like i bother you too much
Expert:  Dr. Chip replied 2 years ago.
No you don't but sometimes I do have to call the shots when we start doing the chatting thing
Customer: replied 2 years ago.
Im having a hard time with the abuse stuff
Expert:  Dr. Chip replied 2 years ago.
How so?
Customer: replied 2 years ago.
Im having dreams again.
Expert:  Dr. Chip replied 2 years 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 2 years ago.
If i open a new page can we discuss it
Expert:  Dr. Chip replied 2 years 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 2 years ago.
Then nevermind we dont have to discuss it. Have a good day
Expert:  Dr. Chip replied 2 years ago.
You too
Customer: replied 2 years ago.
Can i take pepto bismol if i hve ulcers
Expert:  Dr. Chip replied 2 years ago.
Yes
Customer: replied 2 years ago.
I feel like foods fetting stuck in my throat and then i feel like i cant breath
Expert:  Dr. Chip replied 2 years ago.
We've been over this before--sounds like anxiety
Customer: replied 2 years ago.
Food actually got stuck 2 amd i had to cough it up
Expert:  Dr. Chip replied 2 years 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 2 years ago.
But i do have elevated lower esophageal pressure
Expert:  Dr. Chip replied 2 years ago.
That's not causing this
Customer: replied 2 years ago.
Im worried about it. Do you promise its just anxiety
Expert:  Dr. Chip replied 2 years ago.
I'm sure that's all it is
Customer: replied 2 years 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 2 years ago.
No--what you're describing is incompatible with the lower esophageal higher pressure and with the yeast that was found
Customer: replied 2 years ago.
Very last thing. Are you getting mad at mefor asking you questions that you think are dumb
Expert:  Dr. Chip replied 2 years 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 2 years ago.
Im sorry
Expert:  Dr. Chip replied 2 years ago.
That's OK
Customer: replied 2 years 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 2 years ago.
Just use the Pepto
Customer: replied 2 years 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 2 years ago.
I've told you before that has ibuprofen in it so I'd say no
Customer: replied 2 years ago.
Its hydrocodone acetaminophen
Expert:  Dr. Chip replied 2 years ago.
Sorry--I was thinking Vicoprofen. It's OK to take one
Customer: replied 2 years ago.
My real dads in the hospital. He tried to stab himself
Expert:  Dr. Chip replied 2 years ago.
Totally new subject really--we need to use another page for that

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