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Why it’s happening? What can be the reason?
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Digestive Health
Question #11442
46 days ago
126

Why it’s happening? What can be the reason? - #11442

Ekta

I am feeling upper abdominal pain along with nausea and vomit. I had an appendicitis surgery in 2020 toh it cannot be appendix pain. Few days ago i was experiencing severe piles problem for the first time. He got healed slowly slowly but after that every time i eat something i feel nausea and feel like going to washroom and pass the stool. After my pliles problems got healed my stool color and odour changed. Sometimes its black stool but not tarry and sometimes its orange muddy stool. I have pain in upper abdomen. I also feel pain when i sleep on tummy. I don’tunderstand what’s happening.

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Doctors’ responses

Dr. Varunkumar J
I am an ENT specialist with over 6 years of clincial practice and in this time I have tried to balance hospital work with building my own setup. Currently I work as Consultant at Meridian Hospital Kolathur and also as visiting consultant at VIHAA Hospital Anna Nagar. Along with this I started SCOPE ENT CLINIC in Villivakkam, which is my own space to treat patients with more time n focus. Running a clinic teaches you different kind of responsibility, not only treatment but also trust, making sure patient feels heard and safe. My practice covers a wide range of ENT issues, from common ear infections, sinus problems, throat disorders to more complex surgical cases. I try to focus on giving indiviualised treatment plans, because each patient story is differnt even if the diagnosis sounds similar. Working in multiple hospitals also let me collabrate with other specialities which is important when dealing with complicated ENT cases linked to allergy, pediatrics or even neuro. Founding my own clinic was both challenging and rewarding. Some days are hard, managing staff, handling emergencies, ensuring things run smooth.. but it gave me chance to create an environment where patients get continuity of care. For me ENT is not just about procedures but also education, I try to explain conditions in simple words, guide on prevention and lifestyle changes that can reduce recurrnce. Over these years, what matters most to me is not just how many cases I handled but the connections built with patients and their families. I want to keep growing, keep learning new techniques and stay updated with advances in ENT, but at the same time keep the human touch alive in practice.
45 days ago
5

Hi Dear Ekta, The symptoms explained by you looks more of Acid Peptic Disease Black stools if you are not on any iron supplements needs evaluation So u need to undergo stool examination and Upper GI Endoscopy to look what exactly is happening USG A+P also needs to be done Kindly proceed with the above take care

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2 replies
Ekta
Client
45 days ago

I recently had blood test like cbc, lft, kft, lipid profile, fasting glucose, urine test and all tests were normal

Dr. Varunkumar J
I am an ENT specialist with over 6 years of clincial practice and in this time I have tried to balance hospital work with building my own setup. Currently I work as Consultant at Meridian Hospital Kolathur and also as visiting consultant at VIHAA Hospital Anna Nagar. Along with this I started SCOPE ENT CLINIC in Villivakkam, which is my own space to treat patients with more time n focus. Running a clinic teaches you different kind of responsibility, not only treatment but also trust, making sure patient feels heard and safe. My practice covers a wide range of ENT issues, from common ear infections, sinus problems, throat disorders to more complex surgical cases. I try to focus on giving indiviualised treatment plans, because each patient story is differnt even if the diagnosis sounds similar. Working in multiple hospitals also let me collabrate with other specialities which is important when dealing with complicated ENT cases linked to allergy, pediatrics or even neuro. Founding my own clinic was both challenging and rewarding. Some days are hard, managing staff, handling emergencies, ensuring things run smooth.. but it gave me chance to create an environment where patients get continuity of care. For me ENT is not just about procedures but also education, I try to explain conditions in simple words, guide on prevention and lifestyle changes that can reduce recurrnce. Over these years, what matters most to me is not just how many cases I handled but the connections built with patients and their families. I want to keep growing, keep learning new techniques and stay updated with advances in ENT, but at the same time keep the human touch alive in practice.
44 days ago
5

Blood investigations might be normal , but black stools needs evaluation with above said investigations mam

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
45 days ago
5

Hello dear See as per history it seems either blood coming in faeces( malena) or some internal health issues I suggest you to please get following tests done for confirmation Anoscopy Sigmoidoscopy Rectal physical examination Colonoscopy Stool culture USG appendix Rft Please share the details with gastroenterologist in person for better clarification Please take any medications only after recommendation from concerned physician only Hopefully you recover soon Regards

879 answered questions
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4 replies
Ekta
Client
45 days ago

I recently had blood test like cbc, lft, kft, lipid profile, fasting glucose, urine test and all tests were normal

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
45 days ago
5

Hello dear Thanks for the kind response Then leave these tests and proceed for following tests only USG appendix Sigmoidoscopy Anoscopy They are must to know the status in the associated organ Regards

879 answered questions
70% best answers
Accepted response
Ekta
Client
45 days ago

Thank you so much for your reply sir.

Sir i had appendix surgery in 2020. Still USG appendix is required or not ?

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
45 days ago
5

Hello dear Thanks for the reply Yes just to rule out of it is not a causative agent Thanks

879 answered questions
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What you’re describing sounds like it could be involving your digestive system in a few ways. The combination of upper abdominal pain, nausea, vomiting, and changes in stool color suggests there might be a couple of possibilities to consider. The black stool might suggest bleeding somewhere in the gastrointestinal tract, possibly the stomach or the first part of the small intestine. However, since it’s not tarry, it could also be related to dietary factors, or medications (like taking iron supplements or certain medications causing gastritis). The orange muddy stool could be reflecting a faster transit time through your intestines, where bile doesn’t fully get processed, or potentially an issue with bile flow or pancreatic function. The upper abdominal pain and nausea you have described could be linked with gastritis, peptic ulcers, or gallbladder-related issues, such as gallstones. Given that you’ve had surgery for appendicitis, it wouldn’t involve the appendix, but surgery can sometimes lead to adhesions, maybe affecting bowel movements later. Sleeping on your stomach might be causing pressure on any inflamed organs, leading to more discomfort. It’s critical you consult with a healthcare provider promptly to rule out serious conditions, like bleeding or biliary obstructions. They’ll likely want to conduct a physical exam, review your full medical history, and maybe order tests such as blood work, stool tests, abdominal ultrasound, or endoscopy to get a clear diagnosis and start the appropriate treatment for your situation. Drinking plenty of fluids, avoiding fatty or spicy foods, and monitoring your symptoms and dietary triggers can be prudent steps for now, but do seek medical attention without delay.

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