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Hi. Dr. Ashori here, please give me a moment to reply.
It likely isn't hemorrhoid but blood from being constipated.
If you have a strong episode of constipation it can be normal to have blood on the stool. It sometimes will be darker and sometimes lighter.
How many time have you noticed this blood now?
I would recommend waiting 2-3 days to see if you see any more blood.
If you don't see more blood and you don't experience any new pain then you are likely safe to not worry about it and it likely was the constipation.
Metamucil is great but you should take it every day and take more of it.
It's very good for the intestines.
However I am not worried about the blood. I would wait 2-3 more days and see if it continues.
If it gets worse or continues it would be important to see your doctor.
It's always important to have 10:1 ratio. For every 1 part of metamucil you should have 10 parts water. However, you can take a lot, a very large amount, without having to worry about overdosing. Some patients need 1 teaspoon a day to be regular and others need 15 tablespoons, so keep increasing it until you are regular with bowel movements.
Are you losing weight right now or is your weight stable?
Are you taking any fiber supplements? Usually undigested particles don't have much to do with acid, your intestines break down food not just with acid and enzymes but also due to the movement of the intestines, the churning or peristalsis as we call it.
I don't think the baking soda test is very accurate.
Sure, you are decreasing your acid in your stomach by taking the omeprazole but it might be needed because without it you might damage your lining. I'm sure you've already tried changing your diet around to avoid anything acidic before taking omeprazole.
You might have a food intolerance which might explain the blister and the coating.
As for the weight loss, again, I still don't think it has much to do with the acid reduction. Probably the nausea and the bloating and all the ill effects of this GERD and hiatal hernia.
Best thing you can do is control the acid with the medication and usually your intestines will normalize with time.
I guess I'm assuming that you are having GERD and hiatal hernia which goes along with having severe constipation.
I think for now increase the fiber. The constipation likely isn't helping the weight loss.
If you end up experiencing a lot of acid reflux take some antacids such as the omeprazole, it would help with the constipation as well.
GERD is when excess acid builds up in the system and a hiatal hernia happens internally. It's nothing serious but usually patients who have a lot of constipation get this. It eventually calms down on its own once the constipation is controlled better.
How much fiber are you taking every day right now?
Oh sure. There are forms of constipation where patients have no abnormal symptoms at all but only have a bowel movement every 2-3 weeks. It's actually not even considered abnormal medically unless they have discomfort.
Try changing to different fiber products. Some are less bloat inducing or full inducing than others. I know you don't feel bloated but that inflamed sensation isn't pleasant. I'm sure you can get rid of it.
If you are taking it 2x a day try taking it for breakfast too and increase the amount each time.
I'm a big believer in increase high fiber foods, especially:
Try different ones, some are gonna be easier on you.
If a serving is a cup for someone with constipation usually you would need 5-10 cups of veggies or fruits a day.
Vegans normally consume 10 cups of veggies and fruits daily in order to get enough calories.
Avocado is great, not a whole lot of fiber, high in fat but very good for your health, continue with that.
Gosh no, don't do that.
Don't worry too much about candida. Sure, you might get an occasional candida infection but your body can fight it off. I agree that too much simple carbs such as plain sugar and white bread probably isn't good for the system. Not only does bread bind you but it can also increase your insulin which could then cause you to get more candida infections. So continue with the fruits and veggies.
Well at least your weight has gone back up a little, so that's good. Don't be too worried, it might stabilize eventually.
As for the hernia, no, I don't recommend surgeries for that. There are surgeries for it but there is always risk of complication. With you having this constipation the best thing to do is to control the constipation first and I think you are getting there and doing a good job at it.
Yes, exactly there is that bit of constipation hidden. With more fiber it will eventually get dissolved and disappear.
I don't see a need for a GI doctor right now, that might be too early. I don't see what they would do for you right now.
Just keep an eye on the blood, if it changes just let me know.
Hope the information I provided was helpful.
If you have other questions please let me know.
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