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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Blood In Stools. Taking Amlodipine Besylate, Aspirin For High BP, Having Nuts, Beer. Causes For Bleeding?

Hi, I m age of 74. within these two weeks I got three times blood in my stool . I m little worried please help me. I m taking medicine since 6 month for high blood pressure named Amlodipine Besylate 5 mg/ one a day and Aspirin 81 mg/ one a day. And I m having 1 bottle of beer with some nuts regularly. Does nuts or beer reacting with medicine cause bleeding in stool?
Thu, 10 Jan 2013
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Pediatrician, Cardiology 's  Response
Hello
At 74 with regular aspirin, blood in stool indicates first drug induced gastritis. Aspirin is very notorious for causing GI bleeding following gastritis. Intake of antacid counteract the effect of aspirin.
You have also given the history of alcohol intake. Although beer contains very less amount of absolute alcohol even then a liver function test should be done.
Old age particularly in constipated individual also there is chance of hemorrhoids.
So I would suggest you to start to take some antacids (PPI or H2 blocker) immediately.Consult your doctor for proper clinical evaluation to find out the cause of bleeding and management accordingly.
Regards
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Blood In Stools. Taking Amlodipine Besylate, Aspirin For High BP, Having Nuts, Beer. Causes For Bleeding?

Hello At 74 with regular aspirin, blood in stool indicates first drug induced gastritis. Aspirin is very notorious for causing GI bleeding following gastritis. Intake of antacid counteract the effect of aspirin. You have also given the history of alcohol intake. Although beer contains very less amount of absolute alcohol even then a liver function test should be done. Old age particularly in constipated individual also there is chance of hemorrhoids. So I would suggest you to start to take some antacids (PPI or H2 blocker) immediately.Consult your doctor for proper clinical evaluation to find out the cause of bleeding and management accordingly. Regards