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Internal bleeding, black stool. On J tube. Take peptobismal?

A 94 year old heart patient with J tube (going directly into small intestine ) (can no longer swallow ) appears to be bleeding internally. (black stool) Was given nourishment meant for tube going into stomach by mistake. All stools were normal color until this happen. Need to know how to stop bleeding. Do not want to take her back to hosp. for scope for many reasons. Tried ST. John s dissolve in water then put into tube, this only appeared to make her sleepy. Yarrow was suggested. Different doctor mentioned peptobismal. This was not used for anything. Willing to put that in tube if that will help. Stools have been black for 7 days. Only giving water with heart meds. currently.
Asked On : Tue, 5 Mar 2013
Answers:  1 Views:  84
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General & Family Physician 's  Response

I am Dr Mbong. The black stools may be due to GI tack bleeding. However it can be also happen if the patient is taking Iron tablets or some blood tonic or eating a vegetable rich meal.

If it is not due to any of the other alternative causes mentioned above and is a GI tract bleed, then you can make a 'Levy's meal; meal for him.

To make a half a litre preparation of this mixture you need to mix a bottle of anti-acid like peptobismal mixed with 4 ampoules of an anti-gastric secretory drug (Ranitidine 75 mg injectable ampoules) and an ampoule of adrenaline injectable (hope you are able to find all these ingredients), all diluted in cold water.

Let him take three tablespoons of this every two hours and you observe what happens.

Try that for a day or two and see if it stops. If it does not, then you will need to see his physician.

Best wishes,

Dr Mbong
Answered: Thu, 7 Mar 2013
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