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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Ruptured Ectopic, Laparoscopy Done, Painful Bowel Movement, Black Stool, Taking Codeine. Normal?

I had a laporoscopy op for a ruptured ectopic which i also suffered internal bleeding,exactly a week ago. I did not have a bowel movement until on Thurs when I had a very painful movement with black tar like stool. & since then i have been having painful bowel movements like this & the stool is still black. I am a bit worried now - is this normal. I am currently taking codeine,ferrous sulphate & antibiotics.
Thu, 27 Jun 2013
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Gastroenterologist 's  Response
Hi,
Thanks for posting your query.
Black stools could indicate bleeding in the upper GI tract. An upper GI endoscopy should be done to see if there is any source of bleeding there.

Iron supplements and pepto bismol too can cause similar looking stool. Since you are taking iron supplements, it could be probably be due to that. Stop iron supplements and see whether your stool becomes normal. If it persists, get the endoscopy done.
Regards,
Dr.Ratnakar Kini
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Ruptured Ectopic, Laparoscopy Done, Painful Bowel Movement, Black Stool, Taking Codeine. Normal?

Hi, Thanks for posting your query. Black stools could indicate bleeding in the upper GI tract. An upper GI endoscopy should be done to see if there is any source of bleeding there. Iron supplements and pepto bismol too can cause similar looking stool. Since you are taking iron supplements, it could be probably be due to that. Stop iron supplements and see whether your stool becomes normal. If it persists, get the endoscopy done. Regards, Dr.Ratnakar Kini