Conversation: The conversation between human and AI assistant.
[|Human|] I have been having stomach bleeding 3 times in last three weeks. The first time this happened to me was October 2014 and endoscopy was done but could not find where the bleeding started. I have stopped all anti inflammatory meds. I.e. Lodine, aspirin but I am in a lot of hip pain causing difficulty walking. I didn t go to the hospital with the most recent bleeds since the place of. Bleeding can t be found, so I just suffer thru for a few days of discomfort. But the most recent bleed came with a feeling of tightness across my chest and left side neck pain that kept me up all night. Also I had more abdominal bloating with Hugh belches and gas. I am taking iron and eating food that build red blood cells. This is occurring once a week for past three weeks. What should my dr. Be recommending for tx of inflammation and locating bleeding area. Thanks Maria brock
[|AI|]  Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Upper GI -Unknown Bleed site-With NSAID chronic use for Severe Hip joint pain-Under Evaluation. As there doesn't appear to be blood vomiting, indicating the bleeding from Stomach is gradual and is from oozes mostly caused from Gastric Erosion from Chronic Use of Aspirin. As no site is found in Stomach, you need to find out sites of bleeding in intestines and in colon. Remedy For your case problem--Protective PPI to control Gastric erosions-Volez D -1 x 2 times a day.-Shifting to Gabapentin from Aspirin/NSAIDs-for severe Hip Joint.-Statins-Atorvastatin- to control high cholesterolemia- and Teams 40 mg to control high BP -Anti-anginal Chat Doctor. -Hemostatic sealants / like endoscopic hemostats or oral hemostatic agents-Gaviscon Liquid-2 SF x 3 times with food intake.-Tab It B12-2500 MCG x once a day.-Tab Folic Acid- 5o MMX once a day.-BRAT diet-Banana/rice/ smashed apple/ toasts-Bland light volume diets.-Besides NSAIDs accompanied other causes need to be ruled out. Get following tests done-Superior Mesenteric arteriogram / Colonoscopies to detect colonic bleeding sites like cancers / or erosive lower bowel bleeding from NSAIDs. / or from Colonic polyps / or accompanied Diverticulitis if any. Assessment and treatment accordingly from Surgeon or Gastroenterologist would be needed to investigate and treat your case accordingly. In Brief -Your long term use of NSAIDs need to be omitted and need to be changed to Gabapentin or Nor co/ HY