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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Black Colored Bleeding During Bowels?

I had preterm labor about two weeks ago. Im 20 years old. and I was 21 weeks when I had to give birth cause my cervix couldnt hold her. But I am bleeding black blood and it has some black stuff in it like looks like poop and it has a horrible smell.. Should I be worried? (I have had the LEEP procedure a few years ago and always had problems with my cervix and my periods)
posted on Fri, 12 Sep 2014
Twitter Mon, 21 Mar 2016 Answered on
Twitter Mon, 21 Mar 2016 Last reviewed on
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General Surgeon,  's  Response
Hi.
Thank for your query.
Noted your history of preterm labor 2 weeks ago at 21 weeks due to cervix not holding the pregnancy as LEEP was done a few years ago. You are bleeding black blood and black stuff in it looking like a poop and has a horrible smell.
With your history I can think of reasons:
Firstly the intra-uterine contents like clot or retailed placenta could have got infected, causing the bleeding to continue and have horrible smell.
Another possibility is that there is a fistula between the intestine and vagina and so.
Hence I would advise you the following:
Get a clinical examination, Hysteroscopy and see the contents and clear the cavity.
Colonoscopy and dye test may be required to to rule out any fistula and if preset can be planned to operate.
Send the sample of the discharge for microscopy, culture and sensitivity.
The report will further guide the plan of treatment.

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What Causes Black Colored Bleeding During Bowels?

Hi. Thank for your query. Noted your history of preterm labor 2 weeks ago at 21 weeks due to cervix not holding the pregnancy as LEEP was done a few years ago. You are bleeding black blood and black stuff in it looking like a poop and has a horrible smell. With your history I can think of reasons: Firstly the intra-uterine contents like clot or retailed placenta could have got infected, causing the bleeding to continue and have horrible smell. Another possibility is that there is a fistula between the intestine and vagina and so. Hence I would advise you the following: Get a clinical examination, Hysteroscopy and see the contents and clear the cavity. Colonoscopy and dye test may be required to to rule out any fistula and if preset can be planned to operate. Send the sample of the discharge for microscopy, culture and sensitivity. The report will further guide the plan of treatment.