Post-Endoscopy Abdominal Pain: Is It Normal and What to Expect? - Gastroenterology and Hepatology

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I just had a gastroscopy, and my stomach hurts?


Hello, doctor.
After undergoing a gastrointestinal endoscopy on Friday, I started experiencing abdominal pain and back pain on Saturday.
Is this a normal occurrence? Additionally, I noticed that my stool in the morning contained black vegetable-like particles and red, vegetable-like substances.
The black particles can be understood as coming from vegetables, but I haven't eaten any red vegetables that resemble blood.
When I used a cotton swab to examine it, it felt like red fibers that do not disintegrate.
What could this be?

A Tian, 20~29 year old female. Ask Date: 2015/11/02

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, sir: It is recommended to further confirm the examination results and process with the examining physician to determine if they are related to your abdominal pain.
If there are any abnormalities in your stool, please take a photo and collect a sample (about the size of a peanut in a sealed plastic container, refrigerate it, and bring it to the outpatient clinic for testing as soon as possible) to verify the results.
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2015/11/02

More Info


Post-endoscopy abdominal pain is a common concern among patients who have undergone gastrointestinal procedures, such as an endoscopy or colonoscopy. It's important to understand that some discomfort can be expected after these procedures due to several factors, including the introduction of air into the gastrointestinal tract, manipulation of the intestines, and potential minor trauma to the lining of the digestive system.


Is Post-Endoscopy Pain Normal?
1. Pain and Discomfort: After an endoscopy, it is not unusual to experience abdominal pain or discomfort. This can manifest as cramping, bloating, or a general feeling of soreness. The pain may also radiate to the back, which is often due to referred pain from the abdomen. This discomfort typically resolves within a few days as your body recovers from the procedure.

2. Duration of Symptoms: Most patients find that any post-procedural pain diminishes significantly within 24 to 72 hours. If the pain persists beyond this timeframe or worsens, it is advisable to consult your healthcare provider.


Understanding Your Symptoms
Regarding the specific symptoms you described:
- Black and Red Substances in Stool: The presence of black material in your stool can often be attributed to the consumption of dark-colored foods, such as leafy greens, or iron supplements. However, the appearance of red, fibrous material that resembles blood is concerning. This could potentially indicate bleeding in the gastrointestinal tract, especially if it is not consistent with your dietary intake.
- What to Do: It is crucial to monitor your symptoms closely. If you notice persistent or worsening abdominal pain, or if the red material continues to appear in your stool, you should seek medical attention promptly. Your healthcare provider may recommend further evaluation, such as a follow-up endoscopy or imaging studies, to rule out any complications like bleeding or perforation.


Recommendations
1. Rest and Recovery: Allow your body time to heal. Avoid strenuous activities and heavy lifting for a few days post-procedure.

2. Dietary Considerations: Maintain a bland diet initially, avoiding spicy, fatty, or high-fiber foods that may irritate your digestive system. Gradually reintroduce your normal diet as tolerated.

3. Hydration: Ensure you stay well-hydrated, especially if you are experiencing any changes in bowel habits.

4. Pain Management: Over-the-counter pain relievers, such as acetaminophen, can be used to manage discomfort unless contraindicated by your healthcare provider.

5. Follow-Up: If symptoms persist or you have any concerns about your recovery, do not hesitate to reach out to your healthcare provider for advice or to schedule a follow-up appointment.


Conclusion
In summary, while some abdominal pain and discomfort after an endoscopy can be normal, it is essential to remain vigilant about any unusual symptoms, especially concerning changes in your stool. Always prioritize your health and seek medical advice when in doubt. Your healthcare provider is your best resource for understanding your symptoms and ensuring a safe recovery.

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