[18M] Experiencing black, tarry stools and diarrhea

Patient Description

An 18-year-old male reports having black, tarry stools every time he uses the bathroom for the past three days, which is a new occurrence for him. The patient also mentions having diarrhea during this period. He has taken ibuprofen recently and is on a regimen of Estradiol Valerate (1 ML every two weeks), Progesterone (100 mg daily), and Spring Action (25 MG, two tablets once a day). He has experienced lightheadedness but no abdominal pain, blood in vomit, or changes in urine output. The patient has no known chronic illnesses, pre-existing conditions, allergies, or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Gastrointestinal Bleeding: Black, tarry stools (also known as melena) can be a sign of bleeding in the upper gastrointestinal tract. This can be caused by a variety of conditions, such as peptic ulcers, gastritis, or esophageal varices. The lightheadedness you're experiencing could be a symptom of blood loss.

    • Diagnostic tests for this condition might include an endoscopy or colonoscopy to visualize the gastrointestinal tract and identify the source of bleeding. Treatment would depend on the underlying cause but could include medications to reduce stomach acid, endoscopic procedures to stop the bleeding, or surgery in severe cases.
  • Medication Side Effect: Certain medications, like ibuprofen, can sometimes cause gastrointestinal bleeding. This could explain your black, tarry stools.

    • If this is the case, your doctor might recommend stopping the medication or switching to a different one. They might also prescribe a medication to protect your stomach lining.
  • Iron Supplements: Taking iron supplements can sometimes cause stools to turn black. However, this doesn't usually cause diarrhea or lightheadedness.

What you can do

Given your symptoms, it's important to seek medical attention as soon as possible. Here are some steps you can take:

  1. Contact your healthcare provider: Let them know about your symptoms and ask for their advice. They might want to see you for an examination or order some tests.

  2. Monitor your symptoms: Keep track of any changes in your symptoms, and let your healthcare provider know if they get worse.

  3. Stay hydrated: Diarrhea can cause you to lose fluids and electrolytes, so make sure to drink plenty of water and consider rehydration solutions if necessary.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Vomiting blood or material that looks like coffee grounds
  • Feeling faint, dizzy, or confused
  • Rapid, shallow breathing or a fast heart rate
  • Decreased urine output or dark-colored urine

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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1 yr ago

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People Also Ask


What causes black, tarry stools and should I be concerned?

Black, tarry stools, known as melena, can indicate bleeding in the upper gastrointestinal tract. This is a serious condition that requires medical attention to determine the cause and appropriate treatment.


Can ibuprofen cause gastrointestinal bleeding?

Yes, ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), can cause gastrointestinal bleeding, especially if taken in high doses or for prolonged periods. It can irritate the stomach lining, leading to ulcers and bleeding.


What are the symptoms of gastrointestinal bleeding?

Symptoms of gastrointestinal bleeding can include black, tarry stools, vomiting blood or material that looks like coffee grounds, lightheadedness, dizziness, and in severe cases, fainting or rapid heart rate. Immediate medical evaluation is necessary.


How can I manage diarrhea and prevent dehydration?

To manage diarrhea and prevent dehydration, drink plenty of fluids, such as water or oral rehydration solutions. Avoid caffeine and alcohol, and consider eating bland, easy-to-digest foods. If diarrhea persists, seek medical advice.


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