Gastrointestinal Issues: Symptoms and Concerns - Gastroenterology and Hepatology

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It sounds like you're experiencing a complex array of gastrointestinal symptoms that can be quite concerning. Based on your description, it seems you have been diagnosed with gastritis and have been on treatment with a medication called Dexilant (Dexlansoprazole) to help manage your symptoms. However, the recent onset of left upper abdominal pain, changes in stool color, and the consistency of your bowel movements are understandably alarming.

First, let's address the abdominal pain. Pain in the left upper quadrant can be attributed to several factors, including gastritis, which is inflammation of the stomach lining, and possibly related to your diet or the medications you are taking. It’s important to monitor the timing of your pain in relation to meals, as this can provide clues about its origin. If the pain worsens after eating, it could indicate that certain foods are irritating your stomach or that your gastritis is not fully controlled.

Regarding your stool color and consistency, the changes you describe—dark green or deep brown stools, and occasionally very soft stools resembling "sheep droppings"—can be influenced by your diet, hydration status, and gastrointestinal motility. Dark stools can sometimes indicate the presence of blood, especially if they are black and tarry, which is known as melena. However, since you mentioned that you have had negative results from a fecal occult blood test, this is reassuring. It suggests that there is no significant bleeding in your gastrointestinal tract at this time.

The foods you consumed, such as chocolate bread and sweet potato leaves, could also contribute to the changes in your stool. High-fiber foods can sometimes lead to softer stools, and certain foods can affect stool color. For instance, dark leafy greens can give a greenish hue to your stool, while certain foods can lead to darker stools due to their pigments.

Your regular exercise and hydration habits are excellent for maintaining gastrointestinal health. Staying active and drinking plenty of fluids can help promote regular bowel movements and prevent constipation. However, if you are experiencing significant changes in your bowel habits or if the abdominal pain persists or worsens, it is crucial to follow up with your healthcare provider.

In summary, while your symptoms may be related to your gastritis and dietary choices, it is essential to keep a close eye on them. If the abdominal pain continues, or if you notice any new symptoms such as vomiting, significant weight loss, or changes in appetite, you should seek medical attention promptly. It may also be beneficial to consult with a gastroenterologist for further evaluation, which may include additional imaging studies or endoscopy if necessary.

In the meantime, consider keeping a food diary to track what you eat and any symptoms that arise. This can help identify potential food triggers and provide valuable information to your healthcare provider. Additionally, maintaining a balanced diet with a focus on easily digestible foods, while avoiding known irritants like spicy or acidic foods, may help alleviate some of your symptoms.