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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Switching From Ecosprin 75/10 Mg To 75/20 Mg Develop Black Stools?

Hello Dr. i want to ask you my mother heart patient And from years she is taking ecosprin 75/10 mg But now dr changes to ecosprin av 75/20 mg But now from one week after having this 75/20 mg ecosprin my mom stool black dark black motions is it ok or i change to previous medicine becz heart dr says this is not related to medicine but from one week after having this medicine mom got black stool why sir pls sir help
Sat, 29 Mar 2025
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General & Family Physician,  's  Response
Hi,

Ecosprin 75/10 contains aspirin 75 mg and atorvastatin 10 mg; Ecosprin 75/20 contains a higher dose of the cholesterol part- atorvastatin. The cholesterol part of the medication is not typically associated with bleeding, it is coincidental that there bleeding with the increase in the cholesterol part of the medication. The aspirin part of the medication can be associated with bleeding, particularly in older persons.

With black stools, which mean that there is bleeding in the upper part of the gastrointestinal tract (eg stomach or duodenum etc.), then her doctor may want to consider stopping medications that may make it worse eg aspirin- for a short time.

He may also want to stop any other medications that can also cause bleeding eg some pain medications (NSAIDS) eg: Ibuprofen, Diclofenac, Naproxen and if the bleeding continues do bloods (full blood count, liver function tests) and imaging to take a look inside the stomach to see what is happening there.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Michelle Gibson, General & Family Physician
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Could Switching From Ecosprin 75/10 Mg To 75/20 Mg Develop Black Stools?

Hi, Ecosprin 75/10 contains aspirin 75 mg and atorvastatin 10 mg; Ecosprin 75/20 contains a higher dose of the cholesterol part- atorvastatin. The cholesterol part of the medication is not typically associated with bleeding, it is coincidental that there bleeding with the increase in the cholesterol part of the medication. The aspirin part of the medication can be associated with bleeding, particularly in older persons. With black stools, which mean that there is bleeding in the upper part of the gastrointestinal tract (eg stomach or duodenum etc.), then her doctor may want to consider stopping medications that may make it worse eg aspirin- for a short time. He may also want to stop any other medications that can also cause bleeding eg some pain medications (NSAIDS) eg: Ibuprofen, Diclofenac, Naproxen and if the bleeding continues do bloods (full blood count, liver function tests) and imaging to take a look inside the stomach to see what is happening there. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Michelle Gibson, General & Family Physician