Vomiting Blood and Dark Stool: Key Insights - Gastroenterology and Hepatology

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Hematemesis and melena issues?


Hello, Dr.
Tsai.
The day before yesterday, I suspected that I vomited blood.
I have been monitoring the color of my stool for the past two days.
Yesterday, I experienced some constipation and only passed a small amount, but the color seemed fine, just some dragon fruit seeds.
Today, when I went to the bathroom, a small portion of my stool was lost, and the rest did not show any black color, just a deeper shade, leaning towards dark coffee and slightly dark red, still with some dragon fruit seeds (from white-fleshed dragon fruit).
I would like to ask the doctor, does black stool make all the stool turn black, or could it just be a small portion? I'm a bit worried that the part that was lost might be black.
If I vomited blood, would it definitely lead to black stool? Also, since it has only been two days, could the blood still not have turned black?

A Can, 20~29 year old female. Ask Date: 2016/07/09

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: If there is severe bleeding, the entire stool may appear black, and there may even be tarry black stools or brick-red blood in the stool.
If the amount of gastric bleeding is less than 150cc, the stool may not necessarily show black coloration.
Given your condition, it is likely that there is no ongoing bleeding.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2016/07/09

More Info


Vomiting blood and experiencing dark stools can be alarming symptoms that may indicate underlying gastrointestinal issues. It is essential to understand the potential causes and implications of these symptoms to seek appropriate medical care.

When blood is vomited, it can appear bright red or dark brown, depending on how long it has been in the stomach. Bright red blood typically indicates recent bleeding, while dark brown or "coffee ground" vomit suggests that the blood has been in the stomach for some time, where it has been partially digested. This can occur in conditions such as gastric ulcers, esophageal varices, or severe gastritis.

Dark stools, often referred to as "melena," are typically a result of bleeding in the upper gastrointestinal tract. The blood undergoes a chemical change as it passes through the digestive system, resulting in a dark, tarry appearance. However, not all dark stools indicate the presence of blood. Certain foods, medications (like iron supplements), or even conditions like constipation can also lead to darker stool colors.

In your case, you mentioned observing dark, coffee-colored stools and some segments that appeared darker than usual. It is important to note that if there is bleeding in the gastrointestinal tract, it may not always result in uniformly black stools. Instead, only portions of the stool may be affected, depending on the location and severity of the bleeding. If you have vomited blood, it is possible that you may also experience dark stools, but it is not a certainty that all your stools will be black.

Regarding your concern about the timing of blood turning black, it is crucial to understand that the process of digestion and the appearance of blood in the stool can vary. If bleeding occurs, it may take some time for the blood to be digested and appear in the stool as melena. Therefore, if you vomited blood two days ago, it is possible that you may not see the effects in your stool immediately.

Given the symptoms you are experiencing, it is vital to seek medical attention promptly. A healthcare professional can perform a thorough evaluation, which may include a physical examination, blood tests, and possibly imaging studies or endoscopy, to determine the source of the bleeding and the appropriate course of action.
In summary, while dark stools can indicate gastrointestinal bleeding, they can also result from other factors. If you have vomited blood, it is essential to monitor your symptoms closely and consult a healthcare provider for further evaluation. Early intervention can be crucial in managing potential complications and ensuring your health and well-being.

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