Family, Internal Medicine, General Medical Questions/its my butt follow up

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Question
Hello again. I asked you a question about my itching bum and you suggested pinworms. Ive looked at the symptoms of that and it doesnt seem to fit. I have also recently started new symptoms that may or may not be related. First i will tbe a little more specific with my description of the pain and itching of my anus. The itching seems more like it could be caused by a rash that comes and goes and small cuts that dont seem to heel. Going to the bathroom ans wiping can be painful and cause discomfort and itching. The last few days i have been having black tarrystool with weird sensations in my belly. My stomach gurgles and the sensations feel a bit like hungar pain mixed with gas and nasua. It can also be painful like a squeezing sensation that wakes me at night. I also feel weak and dizzy with loss of appetite. Could these things be related? Ive been putting neosporin on my anus in hopes it will help, is this a bad idea? Sorry to bother you with all this again but its getting very annoying and with the added problem i am getting a little worried. Thank you for your time.

Answer
Dear Kayla,

Thank you for clarifying. You need to see a medical professional as soon as possible. Black, tarry stools is a sign of an upper gastrointestinal bleed. You may also have hemorrhoids which may be causing the burning and itching anus. Bright red blood may be seen due to hemorrhoids. But my main concern is a GI bleed.  

Family, Internal Medicine, General Medical Questions

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Dr. Pamela M. Cipriano, DNP, APRN

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My name is Dr. Cipriano. I have a private practice specializing in adult health and wellness. I can answer questions associated with thyroid disease, cardiac disease, pulmonary disease, high blood pressure, muscular aches and pains, cholesterol levels, male/female sexual questions or questions on the sexual organs, gastrointestinal problems, healthy ways to lose weight and maintain a healthy lifestyle, and nearly anything else that pertains to medicine.

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I am on the Medical Staff at a local hospital where I work as a medical/surgical hospitalist as well as in the emergency department. I am certified in critical care and advanced cardiac life support. Prior to becoming a Nurse Practitioner, I was a certified critical care nurse (CCRN).

Organizations
Society of Hospital Medicine American Association of Critical Care Nurses American Association of Nurse Practitioners Connecticut Advance Nurse Practitioner Society

Education/Credentials
Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Critical Care Certified 2014 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

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Named as a World Wide Leader in Healthcare and was included in the 2013-2014 edition by the International Nurses Association.

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