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Melena is a form of blood in stool which refers to the dark black, tarry feces that are commonly 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]
Human feces photographed in a toilet, shortly after defecation.. Human feces (American English) or faeces (British English), commonly and in medical literature more often called stool, [1] are the solid or semisolid remains of food that could not be digested or absorbed in the small intestine of humans, but has been further broken down by bacteria in the large intestine.
After the meconium, the first stool expelled, a newborn's feces contains only bile, which gives it a yellow-green color. Breast feeding babies expel soft, pale yellowish, and not quite malodorous matter; but once the baby begins to eat, and the body starts expelling bilirubin from dead red blood cells, its matter acquires the familiar brown color.
The result is called steatorrhea, which is bulky, smelly, and pale-colored stool that often floats in the toilet instead of sinking to the bottom due to its fatty or oily content.
Human anatomy of the anorecturm (anus and rectum). Defecation (or defaecation) follows digestion, and is a necessary process by which organisms eliminate a solid, semisolid, or liquid waste material known as feces from the digestive tract via the anus or cloaca.
Keriorrhea (orange oily anal leakage caused by high levels of escolar and oilfish in the diet) [2] [3] [4] Rectal bleeding, melena and hematochezia [5] [6] [7] Feculent rectal discharge (fecal rectal discharge), e.g. fecal leakage, encopresis and incontinence of liquid stool elements; Diarrhea [8] [9]
The presence of bright red blood in stool, known as hematochezia, typically indicates lower gastrointestinal bleeding. Digested blood from the upper gastrointestinal tract may appear black rather than red, resulting in "coffee ground" vomit or melena. [2] Other signs and symptoms include feeling tired, dizziness, and pale skin color. [18]
Blood in stool looks different depending on how early it enters the digestive tract—and thus how much digestive action it has been exposed to—and how much there is. The term can refer either to melena, with a black appearance, typically originating from upper gastrointestinal bleeding; or to hematochezia, with a red color, typically originating from lower gastrointestinal bleeding. [6]