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Cause Of Sudden Black Stools With Foul Smell And Gas?

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Posted on Sun, 9 Mar 2014
Question: The last three bowel movements I've had have been very very dark if not black. The smell has been quite bad and the third day I lots of gas. What would cause this all of a sudden?
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Answered by Dr. Grzegorz Stanko (32 minutes later)
Brief Answer: Detailed below. Detailed Answer: Hello! Thank you for the query. Black stool (like a tar) is usually caused by bleeding from peptic ulcer. You should also notice upper middle abdominal pain and nausea. The skin can get pale, heart rate increases (over 100). If any of this symptoms are present, please contact your doctor as soon as possible. Gastroscopy should be done right away. Dark stool can also appear due to Iron supplements intake. If the stool is dark but not black, constipation, bacterial infection, hypothyroidism, medicines (ca-blockers, antidepressants) or even colon cancer can cause such symptoms. In such case, you should have stool test, thyroid tests and get scheduled for colonoscopy (it is necessary to rule out colon cancer). Hope this will help. Feel free to ask further questions. Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Grzegorz Stanko (2 minutes later)
The skin is not pale nor is has my heart rate increased. I had a colonoscopy about three years ago and it clean.
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Answered by Dr. Grzegorz Stanko (18 minutes later)
Brief Answer: . Detailed Answer: Than colon cancer is ruled out. Bleeding is less probable (but still possible). Gastrointestinal infection seems most probable. Please start probiotic intake. You should have stool test (along with stool culture test) done. Regards.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5795 Questions

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Cause Of Sudden Black Stools With Foul Smell And Gas?

Brief Answer: Detailed below. Detailed Answer: Hello! Thank you for the query. Black stool (like a tar) is usually caused by bleeding from peptic ulcer. You should also notice upper middle abdominal pain and nausea. The skin can get pale, heart rate increases (over 100). If any of this symptoms are present, please contact your doctor as soon as possible. Gastroscopy should be done right away. Dark stool can also appear due to Iron supplements intake. If the stool is dark but not black, constipation, bacterial infection, hypothyroidism, medicines (ca-blockers, antidepressants) or even colon cancer can cause such symptoms. In such case, you should have stool test, thyroid tests and get scheduled for colonoscopy (it is necessary to rule out colon cancer). Hope this will help. Feel free to ask further questions. Regards.