[37F] With black stools and previous vomiting

Patient Description

A 37-year-old female experienced vomiting resembling coffee grounds a few days ago after consuming spicy chips. She also felt severe lightheadedness, particularly upon standing, which has improved with rest. Currently, she reports black, tar-like stools occurring every time she uses the bathroom over the past few days. There is no history of gastrointestinal conditions such as ulcers or gastritis, and she denies any abdominal pain, unusual bleeding, or recent travel. She does not consume alcohol and is not taking any medications or supplements.

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Arora's Assessment

What might be happening

Based on your symptoms, you may be experiencing a gastrointestinal bleed. The black, tar-like stools and vomiting that looks like coffee grounds can indicate bleeding in the upper digestive tract, such as from an ulcer. Feeling faint, especially when standing, could be due to blood loss leading to low blood pressure.

What you can do

It's important to seek medical attention immediately. A gastrointestinal bleed can be serious and requires prompt evaluation and treatment. Please go to the emergency room or call 911 if you feel faint or your symptoms worsen. Avoid taking any medications like aspirin or NSAIDs, as they can worsen bleeding. Stay hydrated and rest until you can see a healthcare professional. Remember, only a doctor can provide a formal diagnosis and appropriate treatment.

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2 mo ago

People Also Ask

What causes vomiting that looks like coffee grounds?

Vomiting that looks like coffee grounds can indicate bleeding in the stomach or upper digestive tract. The blood turns dark when it reacts with stomach acid.

Why are my stools black and tar-like?

Black, tar-like stools, known as melena, often suggest bleeding in the upper gastrointestinal tract, such as from an ulcer.

What should I do if I feel lightheaded and faint?

If you feel lightheaded and faint, especially when standing, it could be due to low blood pressure from blood loss. It's important to seek medical attention immediately.

Can spicy food cause gastrointestinal bleeding?

Spicy food itself is unlikely to cause gastrointestinal bleeding, but it can irritate the stomach lining, potentially exacerbating existing issues.

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