Respected Doctors Following The Brief Ailment History Of My Wife A Female Aged 49 Years03 Elective Csections Known Case Htn For Last 05 Years Taking T


Conversation Starter


respected doctors, following the brief ailment history of my wife, a female, aged 49 years,03 elective c/sections, known case of htn for the last 05 years, taking tab. adalat la 30 mg. 01 daily and tab. mepresor 100 mg. 01 daily irregularily.
now she has the h/o, black stools (melena) since december, 2009,with c/o, persistant nausea,gases(flatulance),pain centre abdomen and very rare is very important to describe that green coloured stools and large amounts of mucous were observed for 01 month approx. before black stools began.the investigation history is as under
USG-----(17/12/2009)------- (Normal findings)
occult blood (15/2/2010)------ (+++)
USG-----(17/2/2010)------(increased echogenicity,fatty
Upper GI Endoscopy-- (17/02/2009)--(moderate antral
osophagus--normal,Stomach--moderate antral gastritis,no
active bleeding, pylorous,duodenal bulb--normal,D2 normal
Barium meal enema---(18/2/2010)----Free flow of contrast
seen in the large gut.A WELL DEFINED FILLING DEFECT IS
Barium meal follow through--(20/2/2010) ----normal study,
no filling defect seen.
Endoscopy by a gastroenterologist--(22/2/2010)Normal
upper and middle third,lower third showed lax les para
esophageal hernia with free reflex.
Stomach---Pan gastritis more marked in antrum
duodenal--normal bulb and descending duodenum
Colonoscopy---(22/2/2010)--- normal examination
GI bleed scan----(4/3/2010)---No scintigraphic evidence
of GIT bleeding.
99m Tc meckek study--(13/3/2010)---no scintigraphic
ectopic gastric mucosa and hence meckle diverticulum.
Lower GI endoscopy---(30/4/2010)---anal canal/rectum,
sigmoid colon--there is no contact bleeding/polyp/
colon---descending cilon, transverse colon and
ascending colon are normal.
conclusion---normal colonoscopy
C.T ABDOMEN AND PELVIS---mild degenerative changes are
noted in the spine.
No significant abnormality seen
Upper GI endoscopy---(4/5/2010)---Normal
esophagoduodenoscopy, bowl preparation--fair.
Duodenal Biopsy----(4/5/2010)---duodenal mucosa showing
no histopathological changes.
Anti Transglutaminase-1gA 6.1 U/ml (5/5/2010)--Normal
Anti T ransglutaminase-1gG 5.0 u/ML--(5/5/2010)--NORMAL
Now she complaints moderate to severe pain in centre abdomen
with nausea, very dark black stools in huge quantities,2 to 3 times a day.her H.B.level was at 5.6gm/dl,after 03 pints of blood transfusion it raised at 10.2 gm/dl.
the concerned doctors suggested Leparoscopy. On february8,2011 and as the consequences of laparoscopy, the meckel’s diverticulectomy, truncal vagotomy & pyloroplasty were done in a renowned hospital. After the surgery,the following signs & symptoms accompanied with the patient.
1. After every intake in small or large quantities, palpitation occurs @ 110 to 120 beats per minute for the period of ½ to 1 hour associated with anxiety, discomfort, heaviness & mild to moderate pain in abdomen & epigastrum.
2. Usually this condition disappears after passing 1 or 2 large watery stools.the patient feels better, comfort with some feeling of general weakness.
3. During surgery, unfortunately the splenic artery was cut down but now a days ,the spleen has been survived naturally. To maintain blood pletelets in normal limits tab. Ascard 01 daily is being taken but irregularly because the patient complaints general weakness after every in take of tab. Ascard .
Now the condition of the patient is as same as above cited. But the concern is that the patient complaints dark green stools for the last 3 or 4 days. This is the same condition when in the very beginning of the history of the patient, the black stools were found such as after green stools.
At the end , i request you to look into the matter thoroughly and let me know your expert’s opinion regarding investigations, surgery conducted and how to treat the patient in future (please suggest treatment) ?

- With best wishes and hope of early reply

Post a Reply

No registration needed.
Simply fill out the form below.



 Optional, stays hidden.
Get notified when a reply is posted here.

4) Text Verification: *
Prevents SPAM.

Click here to show the question

with the privacy policy (20191231).

This form will be submitted securely


Discussion Thread Guidelines: Any participation in the discussion threads signifies your agreement with the Terms of Use and Privacy Policy. (1) Act civilized and be respectful towards others. No profanity, vulgarity or lewd / suggestive content is allowed. (2) Posts encouraging, facilitating, or seeking advice about the abuse of medications or other substances are prohibited. (3) Personal contact information (such as telephone numbers, email addresses, etc) is not allowed to appear on our discussion threads. (4) We do not allow our forums to be used for buying, selling, trading, or for the promotion of a product or service. (5) Posting external links to other web sites is not allowed without our prior approval. (6) We reserve the right to edit or remove content which we find objectionable to the community at our sole discretion.

More Discussions:

Doctors Prescribed Me Concor5mg Iam Taking The Pillls Irregularly For Past Three Years And I Was Feeding My Child Side By Until Two Months Why They Me
doctors prescribed me concor5mg iam taking the pillls irregularly for for the past three years and i was and i was feedi... 3 replies
my son is taking sizodon for the last 3 yrs now doctors prescribed him olean z 5mg which better
My son is having some psychological problem and sifferring from bad mods and anger apathy,aloofness .He does nt see aDoc...
my father in law aged 74 years is a diabetic patient and taking gluconorm pg 2 since last 7 his glucose level ok but now become a paralised
my father in law aged 74 years is a diabetic patient and taking gluconorm pg 2 since last 7years. His glucose level is O... 1 reply
Trika 1mg Is Being Taken By Me Along With Tazolac 40 Mg For The Control Of Hypertension Last Few Years How To Stop Taking As Iam Addicted It
I Am 31 Year Old Female And Taking Libotryp Espazine H alf A Doze Of Arkaprop From Past 5 Years Wat Are The Side Affects
I am a 31 year old female ,and taking libotryp,espazine(1mg) and half a doze of Arkaprop at night. These medicines i am ... 1 reply
For A Number Of Years I Have Been Taking The Generic Amlodbelazp 1020 Mg Sandoz My Pharmacy Just Refilled Prescription With Amlodbenaz 102 Tevashould
Sorry, title s/b "amlod/benazp 10-20 Sandoz" - Pharmacy just refilled with "amlod-benaz 10-20 Teva" Diff... 2 replies
My Dr Has Had Me On 4 Mg Of Alprazolam For The Last 10 Years Is That Too Much And How Do You Get Off It
My Dr. has had me on alprazalom 4 1mg. tablets for the last 10 years for panic attacks and anxiety is this really a high... 11 replies
taking prednisone more on then off for 5 YEARS...
My mom has been on prenisone (5mg-20mg) for over five years now for the treatment of fibromyalgia. First the doctor thou... 2 replies
My Mother Is A Schizophrenia Patient Aged 65she Was Given Chlorpromazine For Period Of 13 Years And Recently Doctor Changed To Olanzepineshe Did Wellb
kindly advise is it safe to use qutipine to a 65 year old patient as she is drowsy all throughout the day.she was on chl... 1 reply
what is the effect of cpramsplus taking for long duration 25 years
i m taking c-pram-splus since 25 years. what is the side or aadverse effects of it.i m taking mirtaze 7.5 since 20 years... 1 reply

Note: All times displayed are GMT - 7.

This information has been independently compiled and is for informational purposes only. It is not intended to be a substitute for medical advice from a qualified healthcare professional; nor is it intended to diagnose, treat, cure or prevent any disease. For more details please see the Medical Disclaimer. This page was last updated on 6 August 2012.

We are committed to your privacy.

Copyright © 2005-2020 All Rights Reserved. MedsChat® is a registered trademark of Limelight Innovations L.L.C. 9888 W Belleview Ave #5000, Denver, CO, 80123, USA