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Melena is a form of blood in stool which refers to the dark black, tarry feces that are commonly associated with upper gastrointestinal bleeding. [1] The black color and characteristic strong odor are caused by hemoglobin in the blood being altered by digestive enzymes and intestinal bacteria.
Esophagitis, esophageal varices, gastritis, cirrhosis or gastric ulcers for example, may bleed and produce coffee-ground vomitus. When unaccompanied by melena, hematemesis or a fall in hemoglobin with corresponding urea rises and creates an unstable reaction, and other causes of coffee ground vomitus need to be elucidated; for example, gastric stasis, bowel obstruction or ileus, that can cause ...
Blood may be observed in vomit or in altered form as black stool. Depending on the amount of the blood loss, symptoms may include shock. Upper gastrointestinal bleeding can be caused by peptic ulcers, gastric erosions, esophageal varices, and rarer causes such as gastric cancer.
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A number of foods and medications can turn the stool either red or black in the absence of bleeding. [2] Bismuth found in many antacids may turn stools black as may activated charcoal. [2] Blood from the vagina or urinary tract may also be confused with blood in the stool. [2]
GI doctors caution against ignoring blood in the stool. "Blood in the stool is one of the more common symptoms of colon cancer in older patients—less so in younger patients," Dr. Ligresti says.