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Melena (black stool) is a symptom of internal bleeding, usually in your upper gastrointestinal (gi) tract It is caused by bleeding higher up in your digestive tract The blood turns black as it travels through your digestive system before coming out in your poop
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What is melena (black stool)? Although hematochezia and melena cause bloody stools, they each have different possible causes Melena often results from damage to the upper gi tract lining, swollen blood vessels, or bleeding disorders
The most common cause of melena is peptic ulcer disease, in which painful ulcers or sores develop in the stomach or small intestine.
Melena is not a disease itself but rather a symptom of a condition that's causing the bleeding Blood in the stool is never normal, so when melena is present, it is important to see a healthcare provider for an evaluation. Melena is a form of blood in stool which refers to the dark black, tarry feces that are commonly associated with upper gastrointestinal bleeding The black color and characteristic strong odor are caused by hemoglobin in the blood being altered by digestive enzymes and intestinal bacteria
Hematochezia and melena are two terms that describe different ways blood can appear in your stool Hematochezia is bright red blood that generally starts lower in the digestive tract Melena generally starts much higher up in the digestive tract and results in black, tarry stools. Gastrointestinal (gi) bleeding is usually categorized as either melena or hematochezia
Melena refers to black stools, while hematochezia refers to fresh, red blood in your stool
Melena is blood in your bowel movements This is caused by bleeding in your upper gastrointestinal (gi) system or large bowel Your bowel movements may be black or tarry, and have a foul odor They may also be shiny or sticky
How is the cause of melena diagnosed Your healthcare provider will ask about your symptoms. Melana refers to dark, black, tarry (or sticky) looking stools It differs from hematochezia, which refers to bright red blood seen in the stool, on toilet paper after wiping, or in the toilet bowl.
Melena happens when blood originates from more proximal sections of the gi tract, such as the small intestine, or when bleeding from a lower source happens slowly enough to allow for the enzymatic breakdown of haemoglobin
The resulting stool is often dark and tarry. Learn more about melena symptoms, causes, and treatment options What are the common causes of melena
