Melena

Melena
Other namesMelaena, melæna
Pronunciation
SpecialtyGeneral surgery, gastroenterology
SymptomsDark blood in stool
Causes

Melena or melaena refers to the dark black, tarry feces that are associated with upper gastrointestinal bleeding.[1] The black color and characteristic strong odor are caused by hemoglobin in the blood being altered by digestive enzymes and intestinal bacteria.[2]

Iron supplements may cause a grayish-black stool that should be distinguished from melena,[3] as should black coloration caused by a number of medications, such as bismuth subsalicylate (the active ingredient in Pepto-Bismol), or by foods such as beetroot, black liquorice, or blueberries.[4]

  1. ^ MedlinePlus Encyclopedia: Bloody or tarry stools, retrieved 19 July 2010.
  2. ^ Walker, Brian; Colledge, Nicki; Ralston, Stuart; Penman, Ian, eds. (2014). Davidson's Principles and Practice of Medicine (22nd ed.). Edinburgh: Churchill Livingstone. p. 854. ISBN 978-0-7020-5103-6.
  3. ^ Navarra, Tova (2004). The Encyclopædia of Vitamins, Minerals, and Supplements. Infobase Publishing. ISBN 9781438121031. Iron supplements cause a grayish-black stool that should be distinguished from the black, tarlike stool that occurs from bleeding ulcer.
  4. ^ Dugdale, David (2009-11-01). "Bloody or tarry stools". National Institutes of Health. Retrieved 2009-11-30.

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