My dad was recently in the icu w/ internal bleed due 2 celebrex (celecoxib) flaring up diverticulosis. hejust had a bad fall and fractured his back. can the hydrocodon he's on cause another bleed? if yes, alts?

Family practice : It would not cause increased bleeding. It could cause drowsiness which would increase risk for a fall.

No: Hydrocodone is not likely to cause bleeding, but it is constipating and that can be a problem with diverticulitis. Aspirin, Ibuprofen and Naproxen are the otc pain meds that are most likely to aggravate bleeding. Hope your dad is feeling better soon.

Care coordination : Treating chronic pain conditions in elderly (e.g. An 86 y/o patient) is tricky. Nsaids are more likley to lead to adverse effects such as GI bleeding in this group as compared to opiates (e.g. Hydrocodone). Opiates are a safer option in someone who had a recent GI bleed. However, someone who had a recent fall & fracture his back can also run in trouble with opioid analgesic use. Consult geriatrics.