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What Causes Heart Palpitations And Black Stool While Taking Prednisone?

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Posted on Wed, 25 Mar 2015
Question: I have been taking prenidsone 40 mg a day for Bell Palsy for 3 weeks now and since yesterday i started feeling a rapid heart beat and seen black stool...is this suposs to happen while taking this medication?...thanks..I am 53...5'8 ...190 pounds...thaks
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Answered by Dr. Ajay Panwar (32 minutes later)
Brief Answer:
It must be a steroid induced upper g.i bleed a few days back.Not active.

Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

'Melena' or black stool indicates upper gastrointestinal(origin from esophagus,stomach or duodenum 1st part) bleeding a few days back. Reiterating the fact, it indicates bleeding a few days back not active bleed.

You probably did not take proton pump inhibitors like pantoprazole along with prednisolone and that's why prednisolone resulted in severe gastritis or mild gastric ulceration causing bleeding which is now resulting in your black stools. If it would have been active bleeding, the blood mixed in stool would have been bright red.
So, its not a major cause of concern here as there is no ongoing bleeding. Please start taking tab.pantoprazole 40 mg twice a day empty stomach for 7 days. If your black stool does not improve within 5 days.Please consult a gastroenterologist. PLEASE TAKE MEDICINES UNDER A PHYSICIAN'S GUIDANCE.

Rapid heart bleed is secondary to bleed that has happened and will improve in 3-4 days.

Please be reassured but observant.

Hope I have answered your query.If you have some follow-up questions,I shall be glad to answer else,please close the thread-rate it and write a review.

Dr.Ajay Panwar,
MD,DM(Neurology)
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Shanthi.E
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Dr. Ajay Panwar

Neurologist

Practicing since :2007

Answered : 1827 Questions

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What Causes Heart Palpitations And Black Stool While Taking Prednisone?

Brief Answer: It must be a steroid induced upper g.i bleed a few days back.Not active. Detailed Answer: Hi XXXX, Thanks for being on healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist,here to answer your query. 'Melena' or black stool indicates upper gastrointestinal(origin from esophagus,stomach or duodenum 1st part) bleeding a few days back. Reiterating the fact, it indicates bleeding a few days back not active bleed. You probably did not take proton pump inhibitors like pantoprazole along with prednisolone and that's why prednisolone resulted in severe gastritis or mild gastric ulceration causing bleeding which is now resulting in your black stools. If it would have been active bleeding, the blood mixed in stool would have been bright red. So, its not a major cause of concern here as there is no ongoing bleeding. Please start taking tab.pantoprazole 40 mg twice a day empty stomach for 7 days. If your black stool does not improve within 5 days.Please consult a gastroenterologist. PLEASE TAKE MEDICINES UNDER A PHYSICIAN'S GUIDANCE. Rapid heart bleed is secondary to bleed that has happened and will improve in 3-4 days. Please be reassured but observant. Hope I have answered your query.If you have some follow-up questions,I shall be glad to answer else,please close the thread-rate it and write a review. Dr.Ajay Panwar, MD,DM(Neurology)