Your Symptoms: Cold, Diarrhea, and Unusual Stool Color - Internal Medicine

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What is wrong with my body?


I have been experiencing a cold for the past few days, and I stopped taking medication when I was almost better.
Shortly after, my cold relapsed, and it became more severe.
I also have diarrhea and have been coughing so hard in the morning that I vomit.
Strangely, when I wipe after having diarrhea, there are black stools that resemble menstrual blood, but they are not.
What is happening to my body?

Wu Tongxue, 20~29 year old female. Ask Date: 2016/04/20

Dr. Liao Zhongxin reply Internal Medicine


Dear readers:
1.
Regarding the recent increase in influenza-like illnesses and severe cases, it is important for everyone to pay attention to self-health management and to avoid crowded places.

2.
The subsequent situations are somewhat complex, so it is advisable to seek follow-up treatment at nearby medical facilities and to temporarily discontinue other supplementary medications and foods.

Thank you!

Reply Date: 2016/04/20

More Info


It sounds like you are experiencing a combination of symptoms that can be concerning, especially since they involve a respiratory infection, gastrointestinal issues, and unusual stool color. Let's break down your symptoms and what they might indicate.

Firstly, the recurrence of your cold symptoms after stopping medication suggests that your body may not have fully recovered from the initial infection. Viral infections, such as the common cold, can sometimes lead to secondary bacterial infections, particularly if symptoms persist or worsen. This could explain why you are experiencing more severe symptoms upon the return of your cold.

The diarrhea you mentioned, especially if it is accompanied by black stools, is particularly noteworthy. Black stools can indicate the presence of blood that has been digested, which can occur due to bleeding in the upper gastrointestinal tract. However, black stools can also result from certain medications, such as iron supplements or bismuth subsalicylate (found in medications like Pepto-Bismol), or from consuming foods that are dark in color (like black licorice or blueberries). If you have not consumed any such foods or medications, the presence of black stools could be a sign of a more serious condition, such as a gastrointestinal bleed.

The combination of coughing, vomiting, and diarrhea can lead to dehydration, which is a serious concern. It is essential to stay hydrated, especially if you are experiencing diarrhea and vomiting. Drinking clear fluids, oral rehydration solutions, or electrolyte drinks can help replenish lost fluids and electrolytes.

Given the severity of your symptoms—especially the black stools and the combination of respiratory and gastrointestinal issues—it is crucial to seek medical attention promptly. A healthcare provider can perform a thorough examination, possibly including blood tests and imaging studies, to determine the underlying cause of your symptoms. They may also want to check for any signs of infection or gastrointestinal bleeding.

In summary, while some of your symptoms may be related to a viral infection, the presence of black stools and the severity of your gastrointestinal symptoms warrant immediate medical evaluation. It is always better to err on the side of caution when it comes to your health, especially when experiencing unusual symptoms. Please consult with a healthcare professional as soon as possible to get the appropriate diagnosis and treatment.

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