 [ Symptoms ] should i go to the er for black stool and vomiting  i had my gall bladder removed 5 months ago but i am still having the same symptoms i was before i have constant diarrhea more than 5 times a day usually vomiting black stool bloating fatigue and lower abdomen tenderness but in the past week my symptoms have escalated i have an appointment with my gi doctor but they can not get me in for 5 more weeks should i go to the er or try to wait it out for 5 more weeks [ Disease ] well technically yes you can take two 40mg pills instead of one 80mg pill but that just means you will run out of medication faster i suggest you consult your pharmacist to find out exactly what the cost difference is between the 40mg pills and the 80mg pills you may find there is very little price difference at all also i suggest you discuss the cost factor with your doctor there may be an alternative medication he or she can prescribe that is less expensive health care providers tend to be very sensitive to cost issues on the part of their patients so do not hesitate to bring this up with your doctor wishing you all the best