[Verified Answer]: A 48-y-o writer developed severe right wrist…

A 48-y-o writer developed severe right wrist pain and cannot type without severe pain. She is diagnosed with tendonitis and started on delayed-release diclofenac (Voltaren), an NSAID. She is also given a wrist brace and told to resume work slowly once she feels better. What instructions should be given to her at this time? At her 1-month checkup, she reports that her wrist has stopped hurting and she has been able to resume her writing part time. However, she mentions that she has felt very tired recently, has had increased abdominal discomfort, and that her bowel movements have been very dark. What do you think is happening? What steps will be taken next?