Feds Want to Seize This $7 Million Condo in a Luxe Trump Building

Daily Beast

Feds Want to Seize This $7 Million Condo in a Luxe Trump Building

Justin Rohrlich – April 1, 2024

UCG
UCG

U.S. authorities have targeted an apartment in a Donald Trump-branded luxury Manhattan tower, where they are looking to seize a $7 million unit prosecutors say was illicitly obtained by one of Congolese President Denis Sassou-Nguesso’s children.

forfeiture complaint filed Friday in Manhattan federal court and obtained by The Daily Beast says the action “concerns the misappropriation, theft, or embezzlement of hundreds of millions of dollars from the Congolese treasury, some of which was used for the purchase of a luxury apartment in the Southern District of New York for the use of President Nguesso’s daughter.”

“That property is Unit 32G in the Trump International Hotel & Tower at 1 Central Park West, New York, NY 10023,” the complaint states.

The United States is seeking to repossess the property “because the funds used to acquire it are traceable to violations of specified unlawful activities and U.S. law,” according to the complaint.

Sassou-Nguesso, who has been described as a breathtakingly corrupt kleptocrat, has held power in Congo, almost uninterrupted, since 1979.

A photo of Congolese President Denis Sassou-Nguesso with Russian President Vladimir Putin at the 2023 Navy Day parade in Saint Petersburg, Russia.
Congolese President Denis Sassou-Nguesso with Russian President Vladimir Putin at the 2023 Navy Day parade in Saint Petersburg, Russia.Sputnik/Alexander Kazakov/Kremlin via Reuters

past listing for the apartment says it is a corner space “overlooking Central Park and the Hudson River [and] captures the essence of the most sought after Columbus Circle neighborhood. Special features include: floor to-ceiling windows, 10′ ceilings, a gracious entrance gallery, living/dining room, a windowed eat-in-kitchen with washer/dryer, two bedrooms with spectacular views and luxurious baths ensuite, plus a powder room, capacious closets and a separate bar, ideal for entertaining. Sorry no pets allowed.”

Ownership of the Trump International Hotel & Tower is complicated, with the Trump Organization managing the building and owning some units and hundreds of individual owners holding the rest. On Monday, a Trump Org spokeswoman, Kimberly Benza, told The Daily Beast, “If this sale did occur, it would be by a 3rd party unit owner unrelated to our Organization.”

The ties between Congolese first-daughter Claudia Lemboumba Sassou-Nguesso and the Trump International condo were first brought to light in 2019 by anti-corruption NGO Global Witness, which at the time publicly called upon the Justice Department to begin the process of seizing the two-bedroom, two-and-a-half bathroom unit. Sassou-Nguesso in 2014 paid a little over $4,000 a square-foot for the residence—a significant premium over the building’s median square-foot price of $2,521.

The apartment was procured via a byzantine array of shell companies and intermediaries who routed funds stolen from Congo’s public coffers through entities in Portugal, Cyprus, the British Virgin Islands, and Brazil, the forfeiture complaint states. The money finally ended up in the U.S., where Sassou-Nguesso and her enablers hired law firm K&L Gates to purchase apartment 32G “for the benefit of Sassou-Nguesso, using a portion of the laundered funds and embezzlement proceeds,” according to the complaint.

A photo of Claudia Sassou-Nguesso, daughter of Congolese President Denis Sassou-Nguesso, during a national assembly meeting in 2012.
Claudia Sassou-Nguesso, daughter of Congolese President Denis Sassou-Nguesso, during a national assembly meeting in 2012.Guy Gervais/KITINA/AFP via Getty Images

The complaint says Sassou-Nguesso was aware she could be rejected by Trump International as “a politically-exposed person,” and considered listing her cousin as the unit’s beneficial owner to avoid trouble. However, Trump International officials told Sassou-Nguesso’s team that “it was ‘not a problem’ and that the information was ‘only for the condominium building,’” the complaint goes on. On June 24, 2014, a Portuguese businessman representing Sassou-Nguesso in the deal wired a $710,000 deposit to the condo’s seller, sending the $6,525,000 balance a month later, according to the complaint.

“In sum, the money used to purchase the Defendant Asset was a portion of the approximately USD 19.5 million of Congolese state funds embezzled through… sham contracts… and these embezzled funds were used to purchase the Defendant Asset for Sassou Nguesso’s apparent personal enrichment,” the complaint states.

After the Global Witness report was released in 2019, the Trump Organization said that monthly common charges paid by condo owners did not go directly to Trump himself “for profit.”

According to the forfeiture complaint, Sassou-Nguesso paid some $250,000 in common charges between 2018 and 2022. It says they were paid “out of bank accounts in Luxembourg, Portugal, and the United Arab Emirates” in the name of another Portuguese national fronting for Sassou-Nguesso.

Although the apartment has apparently remained unoccupied since it was purchased, prosecutors say they have reviewed emails from Sassou-Nguesso about interior design work to be conducted at the property, transferring, via her worldwide network, more than $400,000 to a Portuguese firm to carry out the job.

The apartment, according to the forfeiture complaint, “is traceable to… a conspiracy to launder the proceeds of specified unlawful activities.”

“The Court, for the reasons set forth herein, adjudge and decree that the Defendant Asset be forfeited to the United States of America and disposed of in accordance with existing laws, together with costs, and for such other relief as this Court deems proper and just,” the complaint states.

A photo of the Trump International Hotel & Tower at 1 Central Park West in Manhattan.
The Trump International Hotel & Tower at 1 Central Park West in Manhattan.Angela Weiss/AFP via Getty Images

Trump’s properties, as The New York Times once said, “have a long history of serving as home to people with checkered pasts.”

Former federal prosecutor Kenneth McCallion, a onetime member of an organized crime strike force that investigated potential criminal activities during the construction of Trump Tower, told The Daily Beast that dirty money has long been attracted to Trump buildings.

“They’d pay cash for condos, held them for a few years, sold them, and the proceeds of the sale would then be clean money,” McCallion said.

Haitian dictator Jean-Claude “Baby Doc” Duvalier owned a unit in Trump Tower on Manhattan’s 5th Avenue; alleged Russian gangster David Bogatin—one of at least 13 Russian organized crime figures who have resided in the building—owned five.

A Trump development in Panama was “riddled with brokers, customers and investors who have been linked to drug trafficking and international crime,” according to a 2017 NBC News investigation.

A hotel the former president helped build in Azerbaijan was allegedly financed in large part by oligarchs with ties to Iran’s Revolutionary Guard Corps, and at the Trump SoHo Hotel Condominium New York, 77 percent of units were sold to shell companies that paid in all-cash—an “attractive avenue for criminals to launder illegal proceeds while masking their identities,” according to the U.S. Treasury Department’s Financial Crimes Enforcement Network.

Trump himself and the Trump Organization have not been accused of any wrongdoing related to the Sassou-Nguesso deal.

A spokesman for the U.S. Attorney’s Office for the Southern District of New York declined to comment.

What to know about the ‘oat-zempic’ weight loss trend growing on social media

Good Morning America

What to know about the ‘oat-zempic’ weight loss trend growing on social media

Jessica Mendoza – April 1, 2024

With the use of drugs like Ozempic, Wegovy and Mounjaro growing in popularity for weight loss, some people are trying to get similar results using a lower-cost and easily accessible option, dry oats.

Experts say this trend does not mimic the way these drugs used for weight loss work and could have negative health impacts.

Anita Soth of California told “Good Morning America” she decided to try a meal replacement drink known as “oat-zempic” in order to lose weight for an upcoming trip.

“I’ve been struggling with my weight loss journey for a little while,” Soth said. “I have a trip in a couple weeks so I needed to lose a little extra pounds, so I just said, ‘I’m going to give it a try.'”

Soth told “GMA” she lost around four pounds in several days by following the “oat-zempic” routine along with intermittent fasting, or time-restricted feeding, where you limit the times during which you eat, typically only in an eight-hour time period.

The meal replacement drink known as “oat-zempic” is made by blending a mix of oats, lime and water with a sprinkle of cinnamon.

PHOTO: A video shared by TikTok user @withlove.renita shows her making an 'oat-zempic' meal replacement drink. (@withlove.renita/TikTok)
PHOTO: A video shared by TikTok user @withlove.renita shows her making an ‘oat-zempic’ meal replacement drink. (@withlove.renita/TikTok)

Brandy Frasier, a mom of three, told “GMA” she has found that combining the drink with low-calorie, high-protein meals each day has helped get her closer to her goal weight.

“I needed a pick-me-up because often when losing weight, it’s very slow. And when you don’t see progress on the scale, you get discouraged,” Frasier said, adding that the weight loss she’s seen has given her “energy back.” “And I’m able to walk longer, my knees are not hurting as much. So hopefully that all will continue.”

Ozempic, Mounjaro and Wegovy and other drugs used for weight loss can cost more than $1,000 a month without insurance coverage.

MORE: Doctor shares warning on dangerous ‘budget Ozempic’ weight loss trend

Both Ozempic and Mounjaro are approved by the U.S. Food and Drug Administration to treat Type 2 diabetes, but some doctors prescribe the medication “off-label” for weight loss, as is permissible by the U.S. Food and Drug Administration.

PHOTO: An Ozempic injection pen is seen on a kitchen table, Aug. 6, 2023, in Riga, Latvia. (Arriens/NurPhoto via Getty Images, FILE)
PHOTO: An Ozempic injection pen is seen on a kitchen table, Aug. 6, 2023, in Riga, Latvia. (Arriens/NurPhoto via Getty Images, FILE)

Wegovy, a medication that contains the same main ingredient as Ozempic, semaglutide, is FDA-approved for weight loss.

In November, the FDA approved Zepbound as a weight loss management treatment for people with obesity, or those who are overweight with at least one related underlying condition, such as high blood pressure — the same prescribing guidance as Wegovy. As a diabetes drug, Zepbound is sold under the brand name Mounjaro, as the two medications contain the same active ingredient, tirzepatide.

The medications work by slowing down movement of food through the stomach and curbing appetite, which can lead to weight loss.

Side effects of the drugs can include severe nausea and constipation.

MORE: Woman says she got pregnant while on Mounjaro: What to know about weight loss drugs and pregnancy

When it comes to “oat-zempic” as a substitution for a medication like Ozempic, Maya Feller, a registered dietitian and nutritionist, said people should not be confused.

“It absolutely does not mimic what Ozempic gives you,” Feller said Monday on ‘GMA.” “This is a drink based in oats, water, a squeeze of lime juice and perhaps a dash of cinnamon. It is not a medication and it does not mimic Ozempic.”

Feller noted that oats have important nutritional benefits, but she said, as a whole, the ingredients in the “oat-zempic” drink do not have all the nutritional benefits of a meal.

PHOTO: Stock Photo (Wagner Soares/WS Studio/AdobeStock)
PHOTO: Stock Photo (Wagner Soares/WS Studio/AdobeStock)

Feller said that people should seek the advice of a healthcare provider before starting a meal replacement drink to lose weight.

“If you’re looking for a meal replacement, it needs to be done under clear medical supervision,” she said. “I would not use this because you’re not going to get all the nutrients that your body needs. You’re essentially starving your cells of what they want so they can function optimally. It’s simply not worth it.”

Feller also said she encourages people to think of their “why” when it comes to losing weight and avoid following a crash diet to quickly lose pounds.

“I understand that folks out there really want to engage in weight loss. I get it,” Feller said. “But we have to be thoughtful about how we do it and not go to the extreme.”

We took Ozempic thinking we’d lose weight — we didn’t, and here’s why

New York Post

We took Ozempic thinking we’d lose weight — we didn’t, and here’s why

Alex Mitchell – April 1, 2024

Turns out drugs like Ozempic may not be the wonder cure many praised them to be for weight loss.
Turns out drugs like Ozempic may not be the wonder cure many praised them to be for weight loss.

Here’s a sad jab of the truth.

More evidence is coming out that pricey semaglutides like Ozempic and Wegovy — diabetes medications lauded for secondary weight loss capabilities through appetite suppression — aren’t necessarily helping as many people shed pounds as previously thought.

“There was appetite suppression the first 1½ months but it’s kind of just fallen off after that,” Nashville, Tennessee, resident  Melissa Traeger, 40, told the Wall Street Journal regarding her lack of success on the medication type, also known as GLP-1s.

At first, the 300-pound Traeger quickly dropped 10 pounds, but the next five came more stagnantly — and then she said no more weight was lost.

Another man, Anthony Esposito, 68, of Austin, Texas, saw no success on either Ozempic or Wegovy, just feelings of sickness while he took them.

“It did not budge the needle,” he said.

Traeger and Esposito are among many frustrated users, according to the Journal, which also cited a trial that showed only about 14% of patients cut more than 5% of bodyweight, while only one-third lost 10% of it.

Another report published on Epic Research saw that 17.7% of semaglutide users regained all of their weight — if not more — upon stopping.

Ozempic apparently isn’t helping as many people as typically thought. Wild Awake – stock.adobe.com
Ozempic apparently isn’t helping as many people as typically thought. Wild Awake – stock.adobe.com

Doctors have also observed many “non-responders” — about 10% to 15% of people who lose 5% or less of their body weight.

“There’s going to be extreme variability in how people respond,” Dr. Eduardo Grunvald, an obesity-medicine physician at UC San Diego Health, told the Journal.

Grunvald added that issues of weight gain may go beyond something in hormones that the drugs imitate to regulate appetite. He also said that peoples’ other medical issues may play a factor, such as how those with Type 2 diabetes typically lose less than those without the disease.

The doctor added that prior exercise and eating habits before starting the drugs are also highly influential factors.

Those who have made healthy lifestyle changes and already lost weight likely don’t get that much added bonus from the medications.

People who have struggled with obesity for a lifetime may additionally have a genetic mutation that prevents the drugs’ potency, according to Dr. Steven Heymsfield of Louisiana State University’s Pennington Biomedical Research Center.

Some patients on drugs like Ozempic aren’t losing weight. myskin – stock.adobe.com
Some patients on drugs like Ozempic aren’t losing weight. myskin – stock.adobe.com
Drugs like Ozempic reportedly aren’t showing be-all, end-all impacts on patients’ lives. Natalia – stock.adobe.com
Drugs like Ozempic reportedly aren’t showing be-all, end-all impacts on patients’ lives. Natalia – stock.adobe.com

He added that those who can metabolize drugs quickly also might not see much out of them in this case.

Taking other medications as well, especially antipsychotics or antidepressants, can be associated with weight gain as a side effect.

“You could have some other drug interactions that prevent the effect of the GLP-1 drugs from working,” Heymsfield told the Journal.

5 Sneaky Signs You Have Insulin Resistance, According to Dietitians

Eating Well

5 Sneaky Signs You Have Insulin Resistance, According to Dietitians

Allison Knott, MS, RDN, CSSD – April 1, 2024

Some of the symptoms on this list are easy to miss.

<p>Getty Images</p>
Getty Images

Reviewed by Dietitian Emily Lachtrupp, M.S., RD

Four out of 10 adults between the ages of 18 and 44 have an often-overlooked health condition that can lead to type 2 diabetes, according to research published in 2022 in The Journal of Clinical Endocrinology & Metabolism: Insulin resistance.

When you have insulin resistance, your body doesn’t respond effectively to insulin, a hormone that pushes blood glucose into your cells where it can be used for energy, says the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Because of this, the body demands more insulin to help the cells absorb glucose. “This leads to higher levels of both insulin and glucose in the bloodstream,” says Emily Cornelius, RD, a registered dietitian and insulin resistance expert. “Over time, this can lead to various health complications like prediabetes and type 2 diabetes,” she explains.

The catch? Insulin resistance often doesn’t have any signs or symptoms. This can make it difficult to identify before it progresses to prediabetes or type 2 diabetes. But the good news is that insulin resistance can be managed and even reversed when addressed early. That’s why paying attention to the signs of this condition—many of which are sneaky—is so important. Here’s what you need to know.

Related: 12 Healthy Ways to Lower Your Blood Sugar

1.      You Notice Skin Changes

Changes to the skin are one of the lesser-known signs of insulin resistance. In some people, insulin resistance can lead to the development of skin tags or acanthosis nigricans (dark patches of skin on the neck or under the armpits), both of which are thought to be related to excess insulin production, according to the NIDDK. If you have questions about your skin, talk to a dermatologist.

2.      You May Have Gained Weight

Weight gain may be a sign of insulin resistance, particularly if you have excess abdominal fat called visceral fat,  according to the Journal of Clinical Medicine in 2019. Weight gain alone puts you at risk for developing insulin resistance, but insulin resistance itself can also lead to weight gain resulting in a cycle that can progress over time. That said, it doesn’t have to be a large amount of weight gain, either. Data in The Journal of Clinical Endocrinology & Metabolism in 2022 found that half of adults with insulin resistance did not have weights that were considered obese.

3.      You Experience Brain Fog

Being insulin resistant means that glucose isn’t as readily available to provide energy for cells, including those in the brain. Because of this, you may feel what’s commonly referred to as “brain fog.” Research suggests that people who have insulin resistance may have worse cognitive performance compared to those who don’t have the condition, found a study in Diabetes Research and Clinical Practice in 2020. Insulin resistance may impair important brain processes that affect mental clarity.

4.      You’re Always Hungry

Hunger is influenced by a combination of hormones, one being insulin. With insulin resistance, you may experience frequent hunger. Why? Insulin resistance causes high blood sugar, a symptom of which is increased hunger.

Related: What to Limit and What to Eat When You’re Hungry

5.      You Have Low Energy Levels

Because the cells don’t get the energy they need from glucose, you may also feel fatigued. It’s important to note that many other health conditions can affect energy levels. Be sure to talk to your doctor about persistent fatigue.

How Is Insulin Resistance Diagnosed?

Many of the tests to diagnose insulin resistance are time-consuming and expensive. For this reason, they’re often only used in research studies and not in medical offices, according to the NIDDK. Prediabetes is a condition that is diagnosed, which is done through blood testing like a fasting plasma glucose test or A1C test. The Centers for Disease Control and Prevention points out that having a combination of high blood sugar, high triglycerides, high “bad” LDL cholesterol and low “good” HDL cholesterol can alert you to the fact that you probably have insulin resistance.

Strategies to Improve and Prevent Insulin Resistance
Balance Meals

The foods you eat have a significant effect on blood glucose and can help to stabilize levels throughout the day. “When working on reversing insulin resistance, it’s critical to look at it from a holistic perspective, but the diet plays a foundational role,” says Cornelius. “Eating a balanced diet that includes protein, fat and fiber helps to lessen spikes during meals,” she says.

Focus on Minimally Processed Foods

Many processed foods—fast food, packaged desserts, snack mixes, sodas, chicken nuggets, hot dogs and more—are rich in saturated fat or sugar or both, and are calorically dense, making them easy to overeat, something that can lead to weight gain and the development of visceral fat.

“Prioritizing whole-nutrient dense foods such as fresh fruits, vegetables, whole grains and lean proteins along with controlling portion sizes and consistent and spaced meal timings can help improve insulin sensitivity,” says registered dietitian nutritionist Cari Riker. Eating this way can also help with weight management.

Don’t Fear Carbohydrates

Fiber-rich carbs are the way to go. “Carbohydrates often get a bad reputation when it comes to blood sugar discussions; however, fiber is a type of carb that doesn’t get fully digested and absorbed. So its impact on your blood sugar levels is significantly different than that of added sugars,” says registered dietitian Alyssa Pacheco. Choose high-fiber foods often as part of a balanced diet. Foods like whole grains, beans, vegetables and fruits, nuts and seeds can all contribute to the recommended 25 to 38 grams of daily fiber.

Eat Magnesium-Rich Foods

Foods that are a good source of fiber are also often a good source of magnesium, a nutrient that plays a critical role in glucose metabolism. “Magnesium is another nutrient to make sure you’re getting enough of, since a deficiency can worsen insulin resistance. Good food sources of magnesium include beans, spinach, almonds, pumpkin seeds, cashews and avocados,” says Pacheco.

Fit in Physical Activity

It’s time to get on the move. “Another important strategy is moving your body throughout the day, since it lowers blood sugar,” says Cornelius. Physical activity improves insulin sensitivity, according to the American Diabetes Association, helping to manage or reverse insulin resistance. Find an activity you enjoy and do it regularly to combat insulin resistance.

Related: The Best Walking Plan to Help Lower Your Blood Sugar Levels

Frequently Asked Questions
How do I know if I’m insulin resistant?

According to the CDC, no single test can determine if you have insulin resistance. Having health conditions like high blood sugar levels, high LDL (“bad”) cholesterol, low HDL (“good”) cholesterol and high triglycerides may indicate insulin resistance.

What is the main cause of insulin resistance?

A family history of type 2 diabetes, being overweight or having obesity and a sedentary lifestyle can all increase the risk of developing insulin resistance.

How do you fix insulin resistance?

Strategies like increasing activity, weight loss, a healthy diet, improving sleep quality and reducing stress can all help improve insulin resistance. 

The Bottom Line

Maintaining a healthy blood sugar range is essential for longevity and the prevention of chronic disease. Regular physical activity and eating a balanced diet can help with preventing insulin resistance, but because many other factors are at play in the development of this condition, it’s equally as important to know the signs and symptoms for early detection. If you suspect you have insulin resistance, reach out to your doctor or registered dietitian to help you develop a plan to manage or reverse it over time.

Gastrointestinal Symptoms to Never Ignore

Verywell Health

Gastrointestinal Symptoms to Never Ignore

Carrie Madormo, RN, MPH – April 1, 2024

Medically reviewed by Kumkum S. Patel MD, MPH

Gastrointestinal (GI) symptoms affect most people from time to time. The gastrointestinal tract is the body’s digestive system. Common GI symptoms include bloating, indigestion, and heartburn. Other symptoms that may indicate a health problem may include sudden abdominal pain, constant diarrhea, and bloody stool.

This article discusses serious GI symptoms that should never be ignored, their possible causes, and what to do about them.

<p>Kate Wieser / Getty Images</p>
Kate Wieser / Getty Images
Stomach Cramps

Stomach cramps are a common GI symptom that often feels like a dull, aching pain. The discomfort may be constant or come and go. Common causes of stomach cramps include constipation, gas, diarrhea, a virus, hormonal medication, a menstrual period, pregnancy, and ovulation.

Serious causes of stomach cramps may include:

  • Irritable bowel syndrome (IBS): a condition that causes diarrhea, constipation, and cramping
  • Gallstones: hard deposits that block the bile ducts and may cause cramping and pain
  • Inflammatory bowel disease: Crohn’s disease and ulcerative colitis cause chronic inflammation in the GI tract, stomach cramping, and pain
  • Kidney stones: hard deposits that may become lodged in the urinary tract or ureter
  • Diverticulitis: occurs when small sacs or pouches in the colon become inflamed and cause pain and cramping
  • Appendicitis: an inflammation of the appendix that causes significant abdominal pain and cramping
  • Pancreatitis: an inflammation of the pancreas that causes abdominal pain, cramping, and vomiting
  • Endometriosis: when endometrial tissue grows outside the uterus and causes significant pain and cramping during the menstrual cycle
Swollen Belly

If you notice a swollen belly, it is likely due to bloating. Common causes of bloating are gas, indigestion, premenstrual syndrome (PMS), IBS, or lactose intolerance, which causes bloating, gas, and diarrhea after ingesting lactose (dairy products).

Serious causes of a swollen belly include:

  • IBD
  • Ascites: a buildup of fluid in the abdomen caused by chronic liver disease
  • Gallstones
  • Pancreatitis
  • Ovarian cyst: a fluid-filled sac on or in the ovary that causes abdominal pain and swelling

Related: Digestive System Diseases

Bloody Vomit

Bloody vomit indicates bleeding somewhere in your digestive tract. Never ignore bloody vomit because the cause of the bleeding requires treatment. Possible causes of bloody vomit include:

  • Bleeding ulcer: a sore on the lining of the stomach or small intestine that may bleed and cause vomiting
  • Chronic pancreatitis: may lead to bleeding in the upper part of the GI tract
  • Tumor: a tumor in the GI tract may irritate the tissues and cause bleeding
  • Traumatic injury: an injury to the abdominal area that may lead to internal bleeding (see a healthcare provider immediately if this happens)
  • Esophageal varices: swollen veins in cirrhotic patients
Belly Button Pain

Pain around your belly button usually indicates a mild condition like indigestion or constipation. Serious causes of belly button pain may include:

  • Abdominal wall hernia: occurs when part of an organ protrudes (sticks through) an area of muscle, leading to pain around the belly button
  • Crohn’s disease: causes inflammation and pain around the belly button
  • Appendicitis
  • Gallstones
  • Pancreatitis
  • Bowel obstruction: occurs when the intestine is blocked and stool cannot pass through
  • Bowel perforation: a hole that develops in the stomach or colon
Bloody Stool or Urine

Blood in the stool or urine means you are bleeding somewhere in your lower GI or urinary tract. A small amount of bright red blood with straining may indicate hemorrhoids. Serious causes of bloody stool may include:

  • Anal fissure: a small tear in the lining of the rectum that causes drops of red blood when you wipe after using the bathroom
  • Diverticulitis: a condition that can lead to diverticular bleeding
  • Infectious colitis: an infection in the colon that causes inflammation and bleeding
  • Colon polyps: growths on the lining of the colon and rectum that may become irritated and start bleeding
  • Colorectal cancer: cancer of the colon or rectum in which cancerous growths may cause bleeding

A small amount of blood in the urine after a procedure on the bladder or urinary tract is common. For example, you may experience a small amount of bleeding after having a catheter. People who menstruate may notice blood in their urine caused by their menstrual period. Serious causes of bloody urine may include:

Pain in the Upper Stomach

Pain in the upper area of your stomach may indicate indigestion or heartburn. Sudden upper abdominal pain may indicate a problem with the organs located in that area. The stomach, pancreas, spleen, liver, gallbladder, and bile ducts are in the upper abdomen. Serious causes of upper stomach pain may include:

  • Stomach ulcer: may cause pain in the upper stomach
  • Pancreatitis
  • Splenomegaly: an enlarged spleen may cause upper abdominal pain
  • Gallstones
  • Cholecystitis: an inflammation of the gallbladder that often causes nausea and upper abdominal pain
  • Hepatitis: Inflammation of the liver is usually caused by an infection; one sign of hepatitis is upper abdominal pain
  • Cancer: cancer of the stomach, pancreas, liver, gallbladder, or bile ducts may cause pain
Lower Right Abdominal Pain

Pain in the lower abdominal area may indicate constipation, diarrhea, or menstrual cramps. If you notice pain localized in the right side of the lower abdomen, it may be your appendix. Lower right quadrant pain could mean inflammation in your appendix (appendicitis). Rarely, it could indicate appendix cancer.

Constantly Feeling Full

Feeling full without eating or after eating only a small amount is not normal. Temporary causes of feeling very full could be eating habits, indigestion, or constipation. More serious causes of constantly feeling full may include:

  • IBS
  • Ulcer
  • Gastroesophageal reflux disease (GERD): occurs when contents from the stomach come back up the esophagus; this can cause you to feel full
  • Gastroparesis: a disorder that causes the stomach to empty slowly
  • Gastritis: an inflammation of the stomach lining that may cause you to feel full
  • Pancreatitis
Black Stool

Black stool usually means that there is bleeding in the digestive tract. Certain foods and supplements, such as blueberries or iron supplements, can make stool appear darker. Black stool could mean esophagus, stomach, or small intestine bleeding. It may also mean that you have a bleeding ulcer. 

Sudden Pulsing Pain

It is possible to feel a pulsing sensation in the abdomen because of a large blood vessel called the abdominal aorta. You may feel the abdominal aorta pulse when there is more blood flow due to pregnancy, eating, or positioning (lying down). An abdominal aortic aneurysm could cause sudden pulsing pain in the abdomen. 

Strong Hunger Pangs

It is normal to feel hunger pangs when you have gone a long time without eating. Hunger is your body’s way of communicating that it is time to eat. Common causes of hunger pangs include hunger, dehydration, and constipation. Serious causes of intense hunger pangs may include:

  • IBS
  • Peptic ulcer
  • Anxiety: causes physical symptoms, including stomach discomfort and intestinal spasms that may feel like hunger pangs
  • Medications: including antidepressants, antipsychotics, diabetes medications, steroids, and anticonvulsants (seizure medications), which can cause hunger and weight gain
Constant Diarrhea

Most people experience diarrhea or loose stools from time to time. If you have been experiencing constant or chronic diarrhea, see a healthcare provider. The types of diarrhea that may indicate a health problem include:

  • Watery: may be caused by an infection, food poisoning, or IBS
  • Fatty: usually means that your body has a problem breaking down fats in the diet; causes may include celiac diseasesmall intestinal bacterial overgrowth (SIBO), or gastric bypass surgery
  • Inflammatory: occurs when the colon is inflamed from infection, IBD, diverticulitis, or cancer
  • Bloody: indicates inflammation or colon cancer
Summary

Gastrointestinal symptoms are common and often include heartburn, indigestion, bloating, and cramping. Other GI symptoms are more serious and may indicate a health problem. If you ever experience bleeding with vomiting, urinating, or releasing stool, see a healthcare provider. Seek medical attention if you notice sudden abdominal pain that does not improve.