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Thursday, August 21, 2014
This inquiry is for a 97 year old mother, who reports occasional diarrhea which is occasionally black. She does not have any pain. She takes vitamins and hypertension medication (cumedin and lebo thyroxen), but otherwise feels healthy. She vehemently does not want to go the emergency room for observation.
The black bowel movements could be a sign of bleeding, usually from the stomach or small intestine, rather than colon. She should be evaluated by a physician, though may not have to go to the ER if she is stable.
Gregory S Cooper, MD
Professor of Medicine
School of Medicine
Case Western Reserve University