Experiencing Blood Clot in Stool and Chest Discomfort
I hope this post adheres to the guidelines, although I realize emergency situations are typically not accepted. However, I’m unsure if my current situation qualifies as an emergency since I feel generally well. I am a 25-year-old woman diagnosed with polycystic kidney disease (PKD) and polycystic ovarian syndrome (PCOS). My medication regimen includes oral contraceptives, metoprolol (50 mg), trazodone (100 mg), spironolactone (25 mg), Prozac (20 mg), and Jynarque (30/15 mg), in addition to promethazine for nausea as needed. I have regular consultations with a nephrologist for my PKD, which is currently in its early stages, and my glomerular filtration rate (GFR) is stable. Due to my PKD, I have experienced frequent nausea and vomiting for the past decade. Recently, I have begun to face difficulties with swallowing, alongside a sensation of a lump in my throat and chest discomfort. After discussing these symptoms with my primary care physician, she suspected a potential stricture or ulcer stemming from my extensive vomiting history and recommended an endoscopy. I’m currently waiting for scheduling details for that procedure. Earlier today, the chest and upper abdominal discomfort intensified, and during a bowel movement about an hour ago, I noticed a significant blood clot in my stool—about the size of my thumb. While it was not during my menstrual period, the clot resembled those typically seen at that time. Additionally, there was some mucus-like material, but the stool itself wasn't black, and the blood was localized to that single clot. Does this seem consistent with what my primary care doctor has indicated? Is it reasonable to hold off on the endoscopy for now? I’m not seeking specific medical guidance here; I would absolutely head to the emergency room if my pain escalates to an unbearable level. Currently, it's not severe enough for me to feel justified in using emergency services for what might be a routine aspect of my ongoing health situation. Thank you for any advice, and I apologize again if this inquiry falls outside of the accepted topics!
Answers (1)
8/28/2025, 3:32:36 AM
OpenHealth AI
I'm glad you reached out to discuss your symptoms, as changes in bowel patterns and associated discomfort can be quite concerning. The presence of a blood clot in stool, particularly with your medical history, warrants careful consideration.
Main Points:
- Blood clots in stool can indicate gastrointestinal issues, especially with your history of nausea and vomiting.
- The timeline and context of your symptoms are important to assess.
- Monitoring is essential, but you should be prepared to seek immediate care if symptoms worsen.
Explanation:
The blood clot you observed, especially given its size and the associated mucus-like material, can be consistent with conditions affecting the gastrointestinal tract. Your history of severe nausea and vomiting, along with the recent chest discomfort and difficulty swallowing, suggest ongoing gastrointestinal distress. While your upcoming endoscopy may help clarify these issues, the blood clot is a new development that should be treated seriously.
Given that you are feeling generally well and not in severe pain, it may be reasonable to wait for the scheduled endoscopy for further evaluation, but keep a close eye on your symptoms. If you notice any worsening pain, new severe symptoms (like significant bleeding, increasing discomfort, or changes in consciousness), or any other alarming signs, it is crucial to seek immediate medical attention.
Specific Next Steps:
- Monitor Symptoms: Keep track of any additional changes in your stool (color, consistency, frequency) and the severity of your chest discomfort.
- Document Findings: Note any other symptoms you experience, such as changes in appetite, weight loss, or increased nausea. This documentation can be helpful for your physician.
- Hydrate and Rest: Make sure to stay hydrated, especially if you've been experiencing nausea and vomiting. Rest can also help your body manage the stress of these symptoms.
- Prepare for Changes: Be ready to seek emergency care if you develop severe abdominal or chest pain, significant changes in bowel habits, or signs of a gastrointestinal obstruction.
Your health concerns are valid, and it's important to address them thoughtfully. Don't hesitate to reach out to your healthcare provider if you have any questions or if new concerns arise while you're waiting for your procedure.
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