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PLoS One 2014;9:e90079 10.1371/journal.pone.0090079 [DOI] [PMC free article] [PubMed] [Google Scholar] 6

The doctors I have spoke to have advised me not to get the second dose

An ileostomy is performed by a surgeon

Step 3: Gather quick details (helps your doctor) Write down: When it started How many black stools you had Any meds/supplements (iron, bismuth, blood thinners) Any symptoms (dizzy, weak, short of breath) When to see a doctor (and when its an emergency) Emergency (same day / now) Black, tarry stool plus symptoms (dizziness, fainting, weakness, shortness of breath) Vomiting blood or coffee-ground vomit Large amount of black stool or repeated episodes Call a doctor soon Black stool that keeps happening No clear reason (no iron, no Pepto-Bismol, no dark foods) Signs of anemia like tiredness, pale skin, shortness of breath Diagnosis: what gastroenterology may do If bleeding is possible, you may be referred to gastroenterology (digestive system care)