"A&E Tuesday 27 Aug"

About: Royal Berkshire Hospital

I was rushed to A&E with severe abdominal pain nausea and severe diarrhoea It was assumed I had gastroenteritis I asked for a commode which on use showed I had internal bleeding the care assistant asked the nurse should I get rid of that the nurse agreed neither saw fit to show or inform a Dr I was given pain killer tablets for nausea and a xray I told the Dr an xray wouldn't show soft tissue problems or where I was bleeding from. The Dr's response was diarrhoea and bleeding are not life threatening or unusual. I was sent home. 2 hours later I was rushed back to A&E with vomiting abdominal pain lower back pain chest pain severe diarrhoea and increasing bleeding. The staff attempted to make me comfortable again to discharge me my sister refused to allow me to be discharged saying if I had to lie in the waiting area so be it. I asked for a commode there was only one in A&E so everytime I used it staff took the whole commode, it was taking longer and longer for them to bring it back. It was soon evident that my condition was deteriorating the blood loss was increasing the pain was unbearable after 2 hours a surgeon arrived I was hooked up to a drip after another hour another surgeon arrived and I was booked on to a ward at 3am on Wednesday 28th August.

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Response from Royal Berkshire Hospital

Thank you for your feedback - we are sorry that you did not have a good experience. From the dates you mentioned (Tuesday 27th August / Wednesday 28th August) we are unsure whether your review relates to an event that happened last year or a different month earlier this year, making it difficult for us to investigate further. Please be assured that stool types would be noted in the nursing notes which the doctors access, so they would have been made aware of blood in your stools via that route. The Emergency Medicine Consultants confirm that although an x-ray would not highlight the point of blood loss, an abdominal x-ray is helpful for ruling out a toxic megacolon (abnormal area of the large bowel) and bowel perforation, which is why this investigation was requested. The Accident & Emergency Department does have three commodes but they are often used so it is imperative that they are thoroughly cleaned between use. At times this can cause a delay, for which we apologise. Infection control is something we take seriously, especially when patients have diarrhoea. We do hope you are now fully recovered following subsequent treatment for your symptoms.

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