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The reason for black stool in upper gastrointestinal bleeding

Nov 08, 2024 Source: Cainiu Health
Dr. Shen Yonghua
Introduction
In general, the causes of black stool due to upper gastrointestinal bleeding may include dietary factors, medication effects, chronic gastritis, gastric ulcers, cirrhosis, and others. If discomfort symptoms occur, timely medical consultation is recommended for targeted treatment under a physician's guidance. Detailed analysis is as follows: in daily life, attention should be paid to rest, avoiding excessive fatigue and staying up late.

Generally, the causes of black stool due to upper gastrointestinal bleeding might include dietary influences, medication effects, chronic gastritis, peptic ulcer, cirrhosis, etc. If discomfort symptoms occur, it is recommended to seek medical attention promptly and undergo targeted treatment under a doctor's guidance. Detailed analysis is as follows:

1. Dietary Influence

Consuming large amounts of iron-rich foods may cause the iron elements in food to react with digestive fluids in the intestinal tract, forming black substances that are excreted with feces. Adjust the diet structure and reduce the intake of iron-rich or pigment-rich foods.

2. Medication Effects

Taking iron supplements, bismuth preparations, or other medications may cause components in the drugs to react with digestive fluids in the intestinal tract, possibly leading to darkening of stool color. Follow medical instructions to take medications correctly, avoiding self-adjusting dosages or discontinuing medication. Pay attention to changes in stool color; if black stool persists and is accompanied by other symptoms, seek medical advice promptly.

3. Chronic Gastritis

Consuming excessively cold or hot foods may trigger chronic gastritis. When the gastric mucosa remains inflamed long-term, erosion and bleeding may easily occur, which could lead to black stool. Symptoms may also include upper abdominal pain, fullness, loss of appetite, etc. Treatments may include omeprazole enteric-coated tablets, lansoprazole tablets, pantoprazole enteric-coated tablets, etc., as directed by a physician.

4. Gastric Ulcer

Gastric ulcers are usually caused by Helicobacter pylori infection, medication factors, genetic susceptibility, and other factors. Gastric ulcers can erode blood vessels in the gastric mucosa, causing vessel rupture and bleeding. The iron in blood is oxidized into black ferrous sulfide in the intestinal tract, which may cause darkened stool. Accompanying symptoms may include epigastric pain, loss of appetite, acid regurgitation, vomiting, hematemesis, etc. Medications such as esomeprazole magnesium enteric-coated tablets, rabeprazole sodium enteric-coated tablets, and lansoprazole tablets may be used under medical guidance to alleviate symptoms.

5. Cirrhosis

Cirrhosis is usually caused by long-term alcohol consumption, hepatitis virus infection, and other factors. Cirrhosis can lead to esophageal and gastric varices; when consuming coarse foods or experiencing increased intra-abdominal pressure, veins may rupture and bleed, resulting in black stool. Other symptoms may include abdominal discomfort, jaundice, ascites, palmar erythema, spider angiomas, etc. Treatment options may include furosemide injection, bumetanide tablets, and Anluoxue纤丸 (Anluo Huaqian Pills), as advised by a doctor.

In daily life, ensure adequate rest and avoid excessive fatigue and staying up late. Maintain a relaxed mood and avoid mental stress and anxiety.

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