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Melena
(Blood in Stool) |
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What is melena?
A person with melena has black stool, which is caused by digested
blood in the stool. When blood enters the intestine, it is
digested. The waste product of digested blood is black. The source
of the bleeding is usually bleeding in the esophagus, stomach or
small intestine.
What are the symptoms of
melena?
The most common symptom is black stools that are like tar. Other
symptoms of gastrointestinal bleeding include vomiting blood or
coffee grounds-appearing material, blood in the stool, rapid
pulse, lightheadedness, fainting, pale skin, and other symptoms of
anemia.
How does the doctor treat melena?
The treatment for melena depends on the underlying cause.
Treatment for melena may include intravenous fluids, blood
transfusion, proton pump inhibitors, and upper GI and lower GI
endoscopy to control bleeding. Surgery may be required in more
severe cases that cannot be controlled with endoscopy.
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