How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Das, MD Your Own Question

Dr. Das, MD
Dr. Das, MD, Doctor
Category: Medical
Satisfied Customers: 2219
Experience:  MBBS, MD, with wide experience in all aspects of medical treatment, including cancer therapy.
3452947
Type Your Medical Question Here...
Dr. Das, MD is online now
A new question is answered every 9 seconds

Hi, My friends 75 year old dad vomited blood lumps on the

Resolved Question:

Hi,

My friend's 75 year old dad vomited blood lumps on the 1 Nov. He was admitted to the hospital on the same day and his hemoglobin level was 4. After endoscopy, it was confirmed gastric ulcer, was put on drip and fasted till today 7 Nov.

His hemoglobin today has increased to 8 after 6units blood transfusion. However, his stool today is still black in color, does this mean there's still internal bleeding?

How long/days will the stool remain black before returning to normal colour if there's not more bleeding?

Tks!!
Submitted: 10 months ago.
Category: Medical
Expert:  Dr. Das, MD replied 10 months ago.
Hello,

Welcome and thank you for the question.

Yes, the black color of the stool indicates that he is still bleeding inside.

Without bleeding, the stool returns to normal color within 24-48 hours. It takes that that time for food (or blood) in the stomach to reach the rectum. The black color would gradually decrease within this time.



Customer: replied 10 months ago.


Hi Dr. Das,


 


Tks for the reply. What are the options for gastric ulcers besides surgery?


 


If the patient passed motion only on 1 Nov and then again on 6 Nov and 7 Nov, would it be that the blood from previous bleeding hasn't quite cleared up yet or it would have cleared by 6 Nov?


 


Reason being, the doctors are divided in the next treatment, some say surgery is the only option but the family is concerned due to the age factor.


 


Tks !!

Expert:  Dr. Das, MD replied 10 months ago.
if the patient has not passed motion since 1st Nov, then the black stool on the 6th and 7th could be collected stools with earlier blood. It is possible that the bleeding has decreased and the next stools that will pass will be less black than now. It will be better to wait for the next 24 hours and see if he passes black stools again.

If he is bleeding, an endoscopy (gastroscopy) will need to be performed. The bleeding areas can be sealed with Injection therapy combined with Thermal coagulation. In some cases, hemoclips may need to be used.

It is only when endoscopic treatment fails that surgery needs to be considered.
Dr. Das, MD, Doctor
Category: Medical
Satisfied Customers: 2219
Experience: MBBS, MD, with wide experience in all aspects of medical treatment, including cancer therapy.
Dr. Das, MD and 4 other Medical Specialists are ready to help you
Customer: replied 10 months ago.

Hi Dr. Das,

May I know what other symptoms to watch for that indicates gastric bleeding besides black stool?

 

The patient has not been allow to take any food since 1 Nov and is still on drip. Is it possible for the patient to eat any food?

 

The primary doctor feels that from the endoscopy 1 week ago and the recent black stool (6 and 7 Nov. No motion since after 7 Nov.), surgery is required as the bleeding would have stopped by now.

 

The patient will be transferring to another hospital today. Any advise will be appreciated.

 

Tks!!

Expert:  Dr. Das, MD replied 10 months ago.
If ther is continued gastric bleeding, he will have all the signs of blood loss - pallor, fast pulse rate, low BP. His hemoglobin level will increase with blood transfusion but will fall within 2-3 days if there is continued bleeding. If the hemoglobin level is maintained at a constant rate without further blood transfusion, then it rules out active bleeding.

It will be better for the patient not to eat anything - it allows the bleeding ulcer to heal.


Please ask for a repeat hemoglobin test as also a repeat endoscopy before you decide on surgery.

Dr. Das, MD, Doctor
Category: Medical
Satisfied Customers: 2219
Experience: MBBS, MD, with wide experience in all aspects of medical treatment, including cancer therapy.
Dr. Das, MD and 4 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.
 
 
 

Related Medical Questions