Gastrointestinal Issues: Dark Stool and Abdominal Discomfort

Stool mixed with yellow?

Recently, after eating hot pot (beef), my stomach has been feeling more bloated and uncomfortable than before (I already have a history of frequent gas and have undergone two surgeries on my intestines).
My stool is the size of a soup dumpling, dark brown to almost black, mixed with yellowish substances and a thick, phlegm-like liquid.
The yellowish material is so abundant that it nearly covers the color of my stool (similar to the greater omentum outside the intestines).
Additionally, I never feel completely empty after a bowel movement and constantly have the urge to go.
My stomach feels very heavy, to the point that my limbs are cold and I experience night sweats, although my abdomen is not significantly distended.
Furthermore, when I went jogging afterward, I experienced pain on the left side of my abdomen, just below the belly button.
This situation has persisted for four consecutive days, and I am unsure of the cause...

Niming, 10~19 year old female. Ask Date: 2009/05/04

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello, individuals who have undergone abdominal surgery (including intestinal surgery) are already prone to bloating, poor intestinal motility, indigestion, and even complications such as intestinal obstruction and adhesions.
You may be experiencing some intestinal symptoms after eating hot pot, as the variety of ingredients, particularly beef, can be harder to digest.
It is advisable to eat less and choose lighter foods in the coming days.
If discomfort persists, please seek medical attention.
In the long term, it is important to maintain a balanced diet and avoid excessive consumption of hard-to-digest foods.
If discomfort continues, you may need to consider long-term use of medications that promote motility, aid digestion, relieve bloating, and assist with bowel movements.
Wishing you good health, Dr.
Chen Chih-Feng, Taoyuan Hospital, Department of Health.

Reply Date: 2009/05/04

More Info

Based on your description, it sounds like you are experiencing a combination of gastrointestinal symptoms that could be indicative of several underlying issues. The presence of dark stools, particularly those resembling coffee grounds, is concerning and may suggest gastrointestinal bleeding. This can occur due to various reasons, including but not limited to peptic ulcers, gastritis, or even more serious conditions like malignancies. The fact that you have had previous abdominal surgeries adds complexity to your situation, as scar tissue (adhesions) can lead to bowel obstruction or other complications.

The symptoms of abdominal discomfort, particularly the feeling of fullness and the sensation of incomplete evacuation, could be related to several factors. Since you mentioned that you have had two surgeries on your intestines, it is possible that adhesions are causing a partial obstruction, leading to the symptoms you describe. The presence of yellowish material in your stool could be mucus, which is often produced in response to irritation or inflammation in the gastrointestinal tract.

Your experience of cold extremities and night sweats could indicate a systemic response to an underlying issue, possibly related to infection or inflammation. These symptoms warrant immediate medical attention, as they could signify a more serious condition that requires intervention.

Here are some recommendations based on your symptoms:
1. Seek Immediate Medical Attention: Given the combination of dark stools, abdominal pain, and systemic symptoms (cold limbs and night sweats), it is crucial to consult a healthcare professional as soon as possible. They may recommend diagnostic tests such as blood work, stool tests, and imaging studies (like an abdominal ultrasound or CT scan) to assess your condition.

2. Monitor Your Symptoms: Keep a detailed record of your symptoms, including the frequency and characteristics of your bowel movements, any associated pain, and any changes in your overall health. This information will be valuable for your healthcare provider.

3. Avoid Certain Foods: Until you can see a doctor, it may be wise to avoid foods that are known to exacerbate gastrointestinal discomfort, such as spicy foods, fatty foods, and dairy products, especially since you mentioned having a hot pot meal that may have been rich in fats.

4. Hydration and Rest: Ensure you stay hydrated, especially if you are experiencing diarrhea or any gastrointestinal distress. Rest is also important, as your body may be fighting an underlying issue.

5. Follow-Up on Previous Conditions: Since you have a history of intestinal surgeries, it is essential to follow up with your gastroenterologist or surgeon. They may want to perform a colonoscopy or other diagnostic procedures to rule out any complications from your previous surgeries.

In conclusion, your symptoms are concerning and should not be ignored. Dark stools, especially when accompanied by abdominal pain and systemic symptoms, can indicate serious gastrointestinal issues that require prompt evaluation and management. Please prioritize seeking medical care to ensure a thorough assessment and appropriate treatment.

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