Question

The patient is having occult blood in the stool caused by a medication that he is taking. Which of the following medications would you suspect?

a. lisinopril
b. coumadin
c. prozac
d.hydrocholothiazide
e. ativan

Answer 1

The medication most likely causing occult blood in the stool among the options listed would be b. coumadin.

Step-by-step explanation:

Coumadin, also known as warfarin, is an anticoagulant medication used to prevent blood clots. Its side effects include gastrointestinal bleeding, which can manifest as occult blood in the stool. Warfarin works by inhibiting the production of certain clotting factors in the liver, which can lead to bleeding issues in the gastrointestinal tract. This effect can result in blood being present in the stool without obvious signs of bleeding.

Lisinopril (a) is an ACE inhibitor used to treat high blood pressure and does not typically cause gastrointestinal bleeding. Prozac (c) and Ativan (e) are antidepressants and anti-anxiety medications respectively, and while they may have side effects, occult blood in the stool is not a common side effect associated with them. Hydrochlorothiazide (d) is a diuretic used to treat high blood pressure and edema, and it doesn't typically cause occult blood in the stool either. Therefore, among the options provided, coumadin is the medication most likely responsible for the occult blood in the patient's stool due to its known side effect of gastrointestinal bleeding.

Answer 2

The medication that is most likely causing occult blood in the stool is coumadin, also known as warfarin. Option B.

Step-by-step explanation:

The medication that is most likely causing occult blood in the stool is coumadin, also known as warfarin.

Coumadin is an anticoagulant medication used to prevent blood clots. One of the side effects of Coumadin is gastrointestinal bleeding, which can manifest as occult blood in the stool.

It is important to note that occult blood in the stool can also be caused by other medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin or ibuprofen.

If the patient is taking Coumadin and experiencing occult blood in the stool, they should consult their healthcare provider for further evaluation and management.

Hence, the right answer is option B.