The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.
I am Mysticdoc, experienced Internal Medicine Specialist.
I am here to help you with your concerns.
Sorry to hear about your distress.
The black specs can be blood from the intestine.
Anal fissure should cause red blood not black.
Also iron rich food can cause these changes.
Is it possible that these black specks are no blood?
I mean i haven't been eating any iron-rich foods at all
unless it is food related, no other suitable explanation.
do you smoke cigarettes?
what could the bleeding be from?
I have not been experiencing any symptoms like fever
there was no evidence of inflammation in my blood tests
see this can be due to the infection of the intestine.
loose stools are also another sign.
Bacterial or parasitic infection.
Another possibility can be Crohn's disease.
but my stool was tested for these and came back negative....
This is often missed.
is it possible it is just a flare up of IBS?
Given h/o anal fissure and some duodenal irritation, you need to get another colonoscopy to check for Crohn's disease
I think, Crohn's is very likely.
what are the tell-tale signs of crohns?
That explains every thing you are experiencing.
I mean i haven't had any problems for 2 years
loose stools with blood 9 black specs for example since blood comes from upper part of intestine).
and IBs like symptoms.
Flare ups can occur after long time
I was of the impression that if it was blood it would make the entire stool dark
not just a few miniscule flecks
surely crohns would illicit more bleeding?
no that depends on severity of the disease.
does crohns cause severe nausea?
in early stages, hard to diagnose and less prominent symptoms.
yes it can
these symptoms are identical to my symptoms 5 years ago though
when I was checked and my colonoscopy and endoscopy were both clear
now the probability of diagnosis is higher since disease process progresses over time.
Definitely see a gastroenterologist
How dangerous is crohns?
Well--- when treated not that dangerous.
But this is an autoimmune disease.
diagnosis at early stages offer better outcomes.
I have been eating bananas everyday
is it possible that the specks are just seeds?
or could they be from the medications I have been taking?
unlikely related to bananas.
And medications you are on --should not cause that.
in your case i find it hard to explain any other way
theretically if I had had crohns since I was 14
and it was untreated
could it have progressed to something really serious by now?
that is possible
and why crohns as opposed to colitis?
but sometimes, we see the disease may not be active for long time.
and that is why difficult to predict the course without endoscopies.
well thank you anyway