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 Basu Your Own Question
Dr Basu
Dr Basu, Experienced Specialist
Category: Health
Satisfied Customers: 29250
Experience:  MD
23744323
Type Your Health Question Here...
Dr Basu is online now
A new question is answered every 9 seconds

I am now 21 years old. I have been having problems with

This answer was rated:

I am now 21 years old. I have been having problems with Irritable Bowel Syndrome since I was around 14 years old - I had every test possible in my teenage years, colonoscopy, endoscopy, ultrasound, caeliac - all came back negative - except for a tiny, 2mm irritation in my duodenum. My IBS diarrheal symptoms continued until I was 19 and left for university, when I suddenly noticed a drastic improvement. However, as my IBS subsided the mental issues perhaps behind it really came to the fore - I have seen two psychologists for emetophobia and obsessive compulsive disorder. This is my medical background.
2 months ago while living alone in a foreign country I experienced an attack which left me extremely shaken and nervous. Roughly 6 weeks ago I began to experience extremely loose bowel moves right after eating, always accompanied by severe nausea - however I have been taking prochlorperazine and cyclizine intermittently, and I have managed to avoid vomiting.
I had a full blood test done a week ago and was given the all clear, as well as a bacterial stool test which also came back clear. Yet I am still experiencing a high degree of anxious agitation and I am still having loose movements 3-4 times a day, usually after eating. I have lost over a stone in weight from decreased appetite, although I am still eating rice, chicken, plain sandwiches and electrolyte replacement drinks.
I have been having panic attacks today however as this morning I was examining my stool and I noticed that there were tiny black specks, similar to pepper (which i have not eaten in over a month), and furthermore while showering I noticed they were visible in the water on the floor of the shower - I am really terrified that this is blood and something serious. I have a history of anal fissures, but these were always obvious, as I could feel the rip of the cut on my anus as I had a bm - what are these black specks? Should I be worried? I am moving countries in 2 weeks and fear it will no longer be possible :(
mysticdoc :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

mysticdoc :

Hi there,


I am Mysticdoc, experienced Internal Medicine Specialist.

I am here to help you with your concerns.

mysticdoc :

Sorry to hear about your distress.

mysticdoc :

The black specs can be blood from the intestine.

mysticdoc :

Anal fissure should cause red blood not black.

mysticdoc :

Also iron rich food can cause these changes.

Customer:

Is it possible that these black specks are no blood?

Customer:

I mean i haven't been eating any iron-rich foods at all

Customer:

*not

mysticdoc :

hmm--

mysticdoc :

unless it is food related, no other suitable explanation.

mysticdoc :

do you smoke cigarettes?

Customer:

no

Customer:

what could the bleeding be from?

Customer:

I have not been experiencing any symptoms like fever

Customer:

there was no evidence of inflammation in my blood tests

mysticdoc :

see this can be due to the infection of the intestine.

mysticdoc :

loose stools are also another sign.

mysticdoc :

Bacterial or parasitic infection.

mysticdoc :

Another possibility can be Crohn's disease.

Customer:

but my stool was tested for these and came back negative....

mysticdoc :

This is often missed.

Customer:

is it possible it is just a flare up of IBS?

mysticdoc :

Given h/o anal fissure and some duodenal irritation, you need to get another colonoscopy to check for Crohn's disease

Customer:

right

mysticdoc :

I think, Crohn's is very likely.

Customer:

what are the tell-tale signs of crohns?

mysticdoc :

That explains every thing you are experiencing.

Customer:

I mean i haven't had any problems for 2 years

mysticdoc :

loose stools with blood 9 black specs for example since blood comes from upper part of intestine).

mysticdoc :

anal fissure

mysticdoc :

and IBs like symptoms.

mysticdoc :

Flar ups

mysticdoc :

Flare ups can occur after long time

Customer:

I was of the impression that if it was blood it would make the entire stool dark

Customer:

not just a few miniscule flecks

Customer:

surely crohns would illicit more bleeding?

mysticdoc :

no that depends on severity of the disease.

Customer:

does crohns cause severe nausea?

mysticdoc :

in early stages, hard to diagnose and less prominent symptoms.

mysticdoc :

yes it can

Customer:

these symptoms are identical to my symptoms 5 years ago though

Customer:

when I was checked and my colonoscopy and endoscopy were both clear

mysticdoc :

ok

mysticdoc :

now the probability of diagnosis is higher since disease process progresses over time.

Customer:

right

mysticdoc :

Definitely see a gastroenterologist

Customer:

How dangerous is crohns?

mysticdoc :

Well--- when treated not that dangerous.

mysticdoc :

But this is an autoimmune disease.

mysticdoc :

diagnosis at early stages offer better outcomes.

Customer:

I have been eating bananas everyday

Customer:

is it possible that the specks are just seeds?

Customer:

or could they be from the medications I have been taking?

mysticdoc :

unlikely related to bananas.

Customer:

right.

mysticdoc :

And medications you are on --should not cause that.

mysticdoc :

in your case i find it hard to explain any other way

Customer:

theretically if I had had crohns since I was 14

Customer:

and it was untreated

Customer:

could it have progressed to something really serious by now?

mysticdoc :

that is possible

Customer:

and why crohns as opposed to colitis?

mysticdoc :

but sometimes, we see the disease may not be active for long time.

Customer:

right

mysticdoc :

and that is why difficult to predict the course without endoscopies.

Customer:

right

Customer:

well thank you anyway

mysticdoc :

very welcome

mysticdoc :

It was my pleasure to help you today.
Best wishes,
Please rate the chat Good or Excellent, if you are satisfied with our conversation and do not have any further question, so that I get rewarded for my time & effort. Thank you!
Please bookmark my profile for asking further questions!
This is the link to my profile:
http://www.justanswer.com/medical/expert-mysticdoc/


https://pearl.etherapi.com/connectme/152

Dr Basu and 2 other Health Specialists are ready to help you