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What is the sign of black stool? - Dr. Mohammad Amani, specialist in gastroenterology and liver
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What is the sign of black stool? - Dr. Mohammad Amani, specialist in gastroenterology and liver

3 months ago
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Dr. Mohammad Amani

Dr. Mohammad Amani

Tehran

Adult gastroenterology and liver specialist

What is the sign of black stool?

Home » What is the sign of black stool?

Table of contents Duration of study 13 minutes

As one of the key indicators of digestive tract health, stool can provide valuable information about the physiological state of the body. Changes in the appearance of feces, such as color, texture, and odor, can indicate various disorders in the digestive system. One of the worrisome changes in this field is blackening of feces. This discoloration can occur for a variety of reasons, some of which are harmless and caused by certain foods or medications, while in other cases, this discoloration is caused by bleeding in the upper parts of the digestive tract (stomach or esophagus) and may become a health-threatening condition. Black stools, known as melena, are usually caused by bleeding from sources higher than the colon. It is caused by the breakdown of blood in the digestive system, which turns dark. This symptom can be caused by problems such as stomach ulcers, gastritis or other digestive disorders. Accurate diagnosis of the cause of black stool is of great importance, because in some cases, this condition can require immediate medical interventions. In this article, we will examine the common and serious causes of black stool, its differences with the changes caused by food and drugs, as well as the methods of diagnosis and treatment of this condition.

What is black stool?

Black stool or so-called Melena refers to the change in the color of the stool to a dark or black color. This color change is usually due to the presence of blood in the stool, which turns dark due to its breakdown in the digestive system. Blood in black stool usually comes from higher parts of the digestive system (such as the stomach or esophagus) and can be caused by bleeding in these areas.

The black color of the stool is due to the reaction of blood with stomach acid and digestive enzymes, which causes its color to change to dark brown or black. In cases of severe bleeding, the stool may become liquid and have an unpleasant smell similar to poison.

This symptom may be due to the presence of various diseases from The phrase stomach ulcer, gastritis, esophageal varices, or other digestive disorders. If you experience black stool color, especially if it is accompanied by other symptoms such as abdominal pain, nausea, or weakness, it is recommended to see a doctor immediately to determine the exact cause and appropriate treatment.

What is the cause of black stool?

Black stool can be a sign of various problems in the digestive system. This color change is usually due to the presence of blood in the stool, which turns black after passing through the digestive system and breaking down due to contact with stomach acid. Although some causes of black stools can be harmless, such as the consumption of certain foods or medications, this discoloration can be a sign of more serious problems, such as bleeding in the digestive tract. For this reason, it is necessary to pay attention to other symptoms associated with black stool and consult a doctor. Here are some of the common causes of this phenomenon:

  • 🔴 Bleeding in the upper gastrointestinal tract: Bleeding from the stomach or esophagus can cause the stool to turn black.
  • 🔴 Stomach ulcer: Stomach ulcers may bleed and cause black stool.
  • 🔴 Gastritis: Inflammation of the stomach can cause mild bleeding that leads to stool. It becomes black.
  • 🔴 Esophageal varices: Varicose veins in the esophagus may rupture and cause bleeding, which leads to a change in the color of the stool.
  • 🔴 Consumption of certain foods: substances such as licorice, blueberries or some fruits and foods can cause the color of the stool to change to black.
  • 🔴 Iron supplements: The use of iron supplements can Make the stool black due to its coloring.
  • 🔴 Medications: Some medications, such as antibiotics or antacids, can change the color of the stool to black.
  • 🔴 Internal bleeding due to tumors: Gastrointestinal tumors can cause bleeding and discoloration of the stool.
  • 🔴 Injury to the wall of the stomach or intestine: Physical damage to the The wall of the stomach or intestine can cause bleeding and make the stool black.
Bleeding in the upper gastrointestinal tract, variceal disease, gastric ulcer, consumption of certain foods, stomach inflammation (gastritis), iron supplements, medication, internal bleeding due to tumors, damage to the wall of the stomach or intestine, gastrointestinal infections. See a doctor. Internal bleeding in the digestive tract can lead to more serious problems that require immediate treatment. While certain foods or medications may cause temporary stool discoloration, it is important to identify the exact cause and receive appropriate treatment to prevent further problems. In general, black stool should not be ignored and medical follow-up is necessary if observed.

Symptoms of black stool

Black stool can be accompanied by various symptoms that help to diagnose the exact cause. This discoloration is usually due to the presence of blood in the stool, which originates from the upper digestive tract (such as the stomach or esophagus) and turns black after the blood is broken down by stomach acid. If black stool is accompanied by other symptoms such as abdominal pain, nausea, weakness, dizziness, or changes in stool texture and smell, it can indicate internal bleeding or serious problems in the digestive system. Identifying these symptoms and following them up quickly is of great importance, because in some cases it may require immediate treatment.

  • Abdominal pain: Pain or discomfort in the stomach or abdomen area that can indicate internal bleeding in the digestive system.
  • Nausea and vomiting: Vomiting that looks like rotten coffee indicates blood that has decomposed in the stomach and It is usually seen with black stool.
  • Weakness and dizziness: Internal bleeding can lead to a drop in blood pressure and a feeling of weakness or dizziness.
  • Change in the smell of stool: A sharp and unpleasant smell can be due to the breakdown of blood in the digestive system, which changes the color and smell of stool.
  • 🔸Changes in bowel habits: diarrhea or Constipation with black stools can be a sign of serious digestive problems.

When does black stool indicate a serious problem?

Black stools can be a sign of a serious problem if it is accompanied by symptoms such as severe abdominal pain, nausea or vomiting (like rotten coffee), feeling weak or dizzy. Also, people with a history of digestive problems or black stools that persist for a long time should see a doctor immediately. These symptoms can indicate internal bleeding that needs immediate treatment.

Does taking iron pills cause black stools?

Yes, taking iron pills can cause black stools. This color change is due to the reaction of iron with stomach acid and the digestion process, which causes the stool to turn dark or black in color. This color change is usually harmless and does not indicate the presence of blood in the stool. In fact, taking iron supplements prevents excess iron from being naturally absorbed in the body and is excreted through feces. However, if black stool is accompanied by other symptoms such as abdominal pain, nausea, or weakness, it is best to see a doctor to check for other possible causes such as internal bleeding.

Treatment for black stool

Treatment for black stool depends on the underlying cause. If the change in stool color is caused by the use of drugs or iron supplements, there is usually no need for special treatment and this condition will resolve on its own. However, if the black stool is due to internal bleeding or digestive problems such as stomach ulcers, gastritis, or esophageal varices, it needs immediate and specialized treatment. Especially if black stool is accompanied by symptoms such as abdominal pain, nausea or weakness, it is necessary to see a doctor immediately so that the exact cause can be identified and proper treatment can begin. Correct diagnosis and timely treatment can prevent more serious problems. The exact diagnosis depends on the accompanying symptoms, the individual's medical history and clinical examination. Here are some common ways to diagnose black stools:

1.Physical examination and clinical examination: A doctor may make a preliminary diagnosis by examining accompanying symptoms such as abdominal pain, nausea, or weakness. A physical examination can help identify tenderness or pain in the abdominal area. 2. Stool test: This test is performed to identify hidden blood in the stool. If there is bleeding in the upper gastrointestinal tract, this test can help identify it. 3. Endoscopy: To investigate the cause of bleeding more precisely, the doctor may perform an endoscopy. This method involves inserting a long, narrow tube with a camera into the stomach and intestines to detect ulcers, inflammations, or tumors. 4. X-ray or CT scan: In cases where severe bleeding or internal bleeding is suspected, X-ray imaging or CT scan may be used for a more detailed investigation to identify suspicious areas in the gastrointestinal tract. 5. Blood test: Blood test is used to check hemoglobin level and identify symptoms of anemia caused by bleeding. This test can indicate the presence of internal bleeding and the need for immediate treatment.

6.Medical history and medications: The doctor may inquire about the history of taking medications or iron supplements. This information can help determine whether the change in stool color is due to medication or supplements or internal bleeding.

Determining the exact cause of black stool is important because it can be a sign of more serious problems such as internal bleeding, stomach ulcers, or gastrointestinal disease. There are many ways to diagnose this problem, from simple tests like stool tests to more complex methods like endoscopy and medical imaging. If black stool is accompanied by other symptoms such as abdominal pain, nausea or weakness, immediate medical attention is necessary. Early diagnosis can help prevent more serious complications and initiate appropriate treatment.

Is black stool dangerous?

Yes, black stool can be dangerous. This discoloration is usually caused by blood in the stool, which is caused by bleeding in the upper digestive tract (such as the stomach or esophagus). The blood in these areas turns black due to contact with stomach acid and digestive enzymes. This condition usually indicates problems such as stomach ulcers, gastritis, or esophageal varices. If the bleeding continues, it can lead to serious complications such as anemia or shock. For this reason, if black stool is observed along with other symptoms such as abdominal pain, nausea, or dizziness, it requires immediate medical evaluation. If the change in stool color is caused by taking iron supplements or certain foods such as licorice, this condition is usually harmless and does not require special treatment. But if the black stool is due to internal bleeding or digestive problems such as stomach ulcer or gastritis, its treatment should be done under the supervision of a doctor. In these cases, changes in diet can help, especially eating foods that help improve the functioning of the digestive system. However, if the black stool is due to internal bleeding, it is necessary to see a doctor so that the exact cause can be determined and the appropriate treatment can be started.

Fiber-rich foods Help the digestive system work better and prevent constipation (e.g. fruits, vegetables, whole grains). Adequate water Help digestion and prevent constipation. turmeric, ginger, olive oil). Probiotics help to balance the intestinal microbes and improve the health of the digestive system (e.g. yogurt, kefir). Digestion.

Finally, eating the right foods can help improve the functioning of the digestive system and prevent problems such asconstipation or inflammation. However, if black stools are caused by internal bleeding or serious gastrointestinal problems, dietary changes alone are not enough and you need to see a doctor immediately. Early diagnosis and treatment can prevent more complex problems and help maintain the health of the digestive system. Therefore, if black stool is accompanied by other symptoms such as abdominal pain, nausea, or weakness, a medical examination is necessary.

When should we see a doctor for the treatment of black stool?

If black stool is only due to taking iron supplements or some dark-colored foods, there is usually nothing to worry about; But if this condition continues for more than a few days or is accompanied by symptoms such as severe abdominal pain, nausea, vomiting similar to rotten coffee, weakness, dizziness, or signs of anemia such as fatigue and paleness, you should see a doctor immediately. Also, people who have a history of gastrointestinal diseases such as stomach ulcers or gastritis should seek medical attention if they see black stools. In cases where the black stool is accompanied by a very bad smell or a liquid and viscous state, there is a possibility of serious internal bleeding and needs to be investigated immediately.

Summary

If the black stool is only due to the consumption of iron supplements or some dark-colored foods, there is usually nothing to worry about; But if this condition continues for more than a few days or is accompanied by symptoms such as severe abdominal pain, nausea, vomiting similar to rotten coffee, weakness, dizziness, or signs of anemia such as fatigue and paleness, you should see a doctor immediately. Also, people who have a history of gastrointestinal diseases such as stomach ulcers or gastritis should seek medical attention if they see black stools. In cases where black stool is accompanied by a very bad smell or a liquid and sticky state, there is a possibility of serious internal bleeding and needs immediate investigation.

Frequently asked questions

Is black stool always a sign of illness?

No, sometimes it is caused by taking iron supplements or some dark-colored foods.

When is black stool dangerous?

When accompanied by symptoms such as abdominal pain, nausea, weakness or vomiting

Does taking iron tablets cause black stools?

Yes, one of the common side effects of taking iron supplements is changing the color of stools to black.

Do we need to see a doctor for every black stool?

No, only if it is persistent or accompanied by warning signs.

Can black stools be a sign of internal bleeding?

Yes, in many cases black stools are due to bleeding in the stomach or esophagus.

What food is suitable for improving black stool?

Fiber-rich foods, probiotics and avoiding fatty and spicy foods can help.

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