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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Ways To Manage Severe Pain While Recovering From Shoulder Injury

I am currently taking Mobic for a shoulder injury and have a sensitivity to NSAID (hx of GERD). I stopped taking it back in November because it wasn t helping any even after a cortisone shot...Had another shot 2 days ago and tried to take it again. It seems to work a little better, BUT stools are starting to get dark :( last dose was last night, first one was 2 nights ago..so 3 doses...question is, is it ok to go ahead and switch over Tylenol right now (today) without having to wait for Mobic to work out of my system.
Fri, 27 Dec 2019
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General Surgeon,  's  Response
Hello,

* As the stool is getting dark and black, GI bleed is the most likely issue after Mobic tablet and the same must be discontinued.

* For pain control at the current level, I would prefer the only local application of heating pad, analgesic spray or ointment containing diclofenac, ketorolac, menthol or camphor.

* Once the stool color becomes normal, I would suggest to start Tylenol with proton pump inhibitor as omeprazole, pantoprazole or others.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Bhagyesh V. Patel, General Surgeon
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Suggest Ways To Manage Severe Pain While Recovering From Shoulder Injury

Hello, * As the stool is getting dark and black, GI bleed is the most likely issue after Mobic tablet and the same must be discontinued. * For pain control at the current level, I would prefer the only local application of heating pad, analgesic spray or ointment containing diclofenac, ketorolac, menthol or camphor. * Once the stool color becomes normal, I would suggest to start Tylenol with proton pump inhibitor as omeprazole, pantoprazole or others. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhagyesh V. Patel, General Surgeon