Melena: What Is It, Causes, Symptoms, Bleeding, Treatment, and More

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Unusually foul, pungent, and distinct from normal stool.

Melena is not a disease in itself, but rather a of an underlying gastrointestinal (GI) issue. It occurs when blood—usually from the upper GI tract—is digested by enzymes and bacteria as it passes through the small and large intestines. Appearance: Black, sticky, shiny, and "tarry" [1].

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Tumors can bleed chronically, leading to melena.