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Hello Janet, I am Dr. Arun and will be helping you today.Is it possible for you to take his pulse and blood pressure?Is his tongue dry?Is he completely oriented; for time place, person?
His pulse is 88 and he says his mouth is dry. He is sipping a little water now. Can't take his bp.
He is oriented OK.
Hello Janet,A watchful waiting is recommended for him. The diarrhea can be due to;1) Medications given for constipation2) A previous antibiotic course which may have caused reduction of good bacteria in intestines.A black stool may be sometimes due to intestinal bleeding (small sores can occur in elderly after surgery called as ulcers). A dry tongue too point to dehydration. So following would warrant an evaluation by a doctor at ER;1) Any further black stools.2) Pulse more than 90.3) If he is unable to take adequate fluids like coconut water, Pedialyte, vegetable broths etcIn his age group, we work on highly cautionary side. So no harm in going to ER if there is slightest doubt or any of the above. Apart from dehydration, there are electrolyte imbalances too due to diarrhea, in elderly than any other young adults.Please feel free for your follow up questions.
I would be happy to assist you further, if you need any more information.
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