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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.
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.
Rhinorrhea (American English), also spelled rhinorrhoea or rhinorrhœa (British English), or informally runny nose is the free discharge of a thin mucus fluid from the nose; [1] it is a common condition. It is a common symptom of allergies or certain viral infections, such as the common cold or COVID-19.
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.
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]
The condition is usually asymptomatic, but symptoms can include rectal discharge (which can be creamy, purulent or bloody), pruritus ani, tenesmus, and possibly constipation. When symptomatic, these usually appear 5–7 days post-exposure. [14] Discharge is the most common symptom, and it is usually a brownish mucopurulent consistency. [27]
Fecal incontinence to gas, liquid, solid stool, or mucus in the presence of obstructed defecation symptoms may indicate occult rectal prolapse (i.e., rectal intussusception), internal/external anal sphincter dysfunction, or descending perineum syndrome. [7] ODS often occurs together with fecal incontinence, especially in geriatric people. [39]
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