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Doctor Li, when I went to the toilet today, I found that my stool was black. What's wrong with this!
Have you eaten black foods such as black sesame seeds and blueberries in the past two days, or too many iron-containing foods such as pig blood, duck blood, and pork liver?
doesn't. I just eat some black sesame seeds every day, and the amount is very small. I have never been a problem before.
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I had stroke before, and the doctor prescribed aspirin for me and kept taking this medicine!
It is very likely that the digestive tract bleeding caused by aspirin. First check the amount of bleeding, and then see if you need to prescribe some gastric mucosa protective agent for you!
Why does taking aspirin cause black stool?
aspirin is a drug with anti-platelet aggregation. After taking it, it can inhibit platelet aggregation to prevent the formation of thrombus. It is regarded as a first-line drug to prevent recurrence of stroke; but at the same time, after taking this drug, the hemostasis effect of platelet is not so strong, making the risk of bleeding in the gums, nose, digestive tract, skin and other parts of the body higher.
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If the bleeding site is in the stomach and intestines, the iron element in the hemoglobin in the blood will combine with the sulfide in the intestine to produce iron sulfide, making the stool darker, and the stool you excrete will become "black stool". (If it is , colon, , rectum, etc. bleeding near the anus, the iron element in hemoglobin and the sulfide in the intestine cannot be fully combined, and it is mostly bright red and dark red stools).
If black stool occurs, it is recommended to go to the hospital for examination immediately (if it happens to be the daily medication time, you can choose to stop taking it once). After the doctor evaluates the cause of the black stool and the amount of bleeding, then decide whether you need to stop the medication or add gastric mucosa protective agent or replace it with clopidogrel and ticagrelor drugs with less risk of bleeding.
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Don’t want to add medicine or change the medicine. Are there any other ways to prevent bleeding?
can prevent bleeding by changing the medication time. If you are taking "aspirin flat tablets", it will disintegrate in the stomach and cause damage to the gastric mucosa. Therefore, it is recommended to take after a meal. Food in the stomach can help reduce the damage to the gastric mucosa and reduce the risk of bleeding. You can also replace "flat tablets" with "entertainly coated tablets". Unlike "flat tablets", a "vast" is added around the drug so that it will not decompose in the stomach, but will decompose in the intestine to prevent the damage to the gastric mucosa by the drug. Note that enteric-coated tablets should be taken before meals.
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You may have a new problem at this time. Since using aspirin may cause bleeding and black stool, I have also had black stool. Why did the doctor ask me to continue taking aspirin?
Because 5 aspirin and other antiplatelet drugs are that require lifelong use. If you do not insist on using it, it is very likely to cause recurrence of stroke . The harm of stroke recurrence is much more serious than black ! Your doctor will only ask you to continue taking aspirin after weighing the pros and cons. Therefore, stroke patients who stop taking 5 quit the medication after taking aspirin and stop taking the medication immediately after the black stool disappears and insist on taking for a long time.
Now, you know how black appears and what should you do if you encounter black!
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References:
1. Aspirin instruction manual
Description: Original article, please do not reprint without authorization! Cover/text pictures source: ©CC Zero Picture Network (www.cc0.cn), Photo Network. The pictures in this article belong to the copyright owner. If you need to use them, please contact the copyright owner directly.
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