Conversation: The conversation between human and AI assistant.
[|Human|] My fiance has been having black stool off and on for about the past year he had a colognoscopy a few months back and things came back normal however the past week or so he has had some bright red blood in his stool and on the toilet paper when he wipes? Now for the past 2 days he has had some bad stomach pain. He also has acid reflex and gas been on medication for quite some time to help settle his stomach and reduce acid also he drinks beer or wine every single night.... what do u think could b the problem?
[|AI|]  Hello! Your black stool history most likely means that you have been suffering from peptic ulcer which was bleeding. And when a black stool appears, endoscopy should be performed at first (not colonoscopy). And if there was no proper treatment, your peptic ulcer is still there. Especially that you suffer from stomach ache and acid reflux. You should have endoscopy performed (it might be quite urgent in case of bleeding). Bright red blood in stool is probably caused by hemorrhoids, but colonoscopy should be performed to rule any more serious diseases. It might also happen (according to daily alcohol usage) that your pain is caused by pancreas or hepatic disease. That is why abdomen ultrasound should be performed and hepatic, pancreatic enzymes should be tested. Hope this will care