My stool is black and I have sever stomach pain

Patient

Q: My stool is black and I have sever stomach pain which has been happening for the past 3 days. Every time I eat my stomach seems to tense up.

Doctor

A:   Welcome to Ask The Doctor.
We are here to help you.

Black tarry stools are called as Melena. They represent upper gastrointestinal bleed.
Now, this is very important to rule out the causes.
Most common are:
1. NSAIDs induced gastric ulcer / duodenal ulcer.
2. Alcoholic liver disease.
3. Esophageal Varices due to Chronic liver disease.
If you have taken any NSAIDs recently, then that might be the cause. If you have any associated jaundice, then it can be due to chronic liver disease Like Hepatitis B and C. If you consume alcohol, you might have developed chronic liver disease alcohol related.
You should get investigated.
You would require to get Upper Gastro-Intestinal Endoscopy (UGIE) done, which will rule out any gastric/duodenal ulcers, esophageal varices.
You should also get following tests done:
1. Ultrasound Abdomen
2. PT/INR
3. Liver Function Test done.
4. Stool for occult blood.
You would require to take Proton Pump Inhibitors like Pantoprazole. Rest treatment would depend on the cause.
Share my opinion with your doctor.

I hope it helps.
Stay Healthy

Related Q&A

Q: I was inner tubing down a steep hill and fell off onto a patch of ice. I hit my elbow directly. I am able to move my ...

Q: Hello, My mother had severe pain and numbness in legs around 2 months ago. She was not able to walk freely. Spine ...

Q: RN of 27 years lifted a patient falling out of a w/c. That was the 13th. Increasing abdominal, hip, thigh pain despit...

Q: Im a 43 year old male and about a day and a half ago I started experiencing a dull pain from my scrotum (or left test...

Q: I have had a sore throat and pain along the side of my tongue (left lateral side) for nearly a full year now. I have ...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews