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  1. Oct 13, 2023 · Gastrointestinal (GI) bleeding is a sign of a disorder in the digestive tract. The blood often shows up in stool or vomit but isn't always obvious. Stool may look black or tarry. Bleeding can range from mild to severe and can be life-threatening. Imaging technology or an endoscopic investigation can usually locate the cause of the bleeding.

  2. Mar 27, 2018 · You might notice it mixed in with your stool, though it can also come out separately. In addition, hematochezia tends to cause more minor bleeding than melena does. Other symptoms that might ...

  3. Apr 1, 2024 · Stool has a wide range of normal colors, but medium brown is typical. Melena causes stool to be much darker, appearing black or nearly black. Melenic stool is also different in texture from normal stools. It is often described as tarry, meaning it is sticky and dense. The third part of melena is the smell.

  4. Jun 8, 2023 · If your black stool looks tarry or sticky and has a strong smell, it might be melena. Melena means you’re bleeding somewhere inside. Internal bleeding is always serious, especially when you can’t tell if it’s stopped. The blood that turns your stool black has traveled some distance. By the time you notice melena, that blood may be a few ...

  5. Alternatively, vomited blood may have the appearance of coffee grounds. It results from bleeding that has slowed or stopped, and the blood looks like coffee grounds because it has been partially digested by acid in the stomach. Blood may also be passed from the rectum: As black, tarry stools (melena) As bright red blood (hematochezia)

  6. Nov 11, 2014 · Upper GI bleeding usually presents with hematemesis (vomiting of fresh blood), “coffee-ground” emesis (vomiting of dark altered blood), and/or melena (black tarry stools). Hematochezia (passing of red blood from rectum) usually indicates bleeding from the lower GI tract, but can occasionally be the presentation for a briskly bleeding upper GI source[ 9 ].

  7. Feb 6, 2023 · An individual with hematochezia may additionally feel faint and lightheaded due to the loss of blood and have associated symptoms like abdominal pain, vomiting, or diarrhea. Diagnosis is made by a trained clinician after a thorough interview and physical exam, sometimes followed by a colonoscopy, CT scans, and nuclear red blood cell scans.

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