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Black or Bloody Stools

Stools that look tarry, black, or bloody can be alarming, but they are not always a sign of serious illness. To understand what to do about this symptom, it is important to recognize which unusual-looking stools are simply bothersome and which require a visit to the doctor.


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What to do About
Black or Bloody Stools
Known hemorrhoids: blood on toilet tissue or blood-tinged water in toilet bowl, or rectal pain or itching, or both Symptoms can usually be treated at home. If symptoms persist, you should call your doctor for advice.
New onset of blood on toilet tissue or blood-tinged water in toilet bowl with no history of hemorrhoids Symptoms need to be evaluated by a doctor. When you call to make an appointment, your doctor will help you determine how soon you need to be seen. 
Black, tarry stools unrelated to intake of food or medicine  Symptoms in this category are serious and should usually be seen within 2 hours. Depending on your health insurance, you may choose to call your doctor to determine if you should be seen in the doctor’s office, in an urgent care center, or in an emergency room.
Bright red rectal bleeding associated with abdominal pain or fever  Symptoms in this category are serious and should usually be seen within 2 hours. Depending on your health insurance, you may choose to call your doctor to determine if you should be seen in the doctor’s office, in an urgent care center, or in an emergency room.
Bright red rectal bleeding associated with bleeding disorders, ulcers, or gastrointestinal disease or with taking blood thinners, aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) Symptoms in this category are serious and should usually be seen within 2 hours. Depending on your health insurance, you may choose to call your doctor to determine if you should be seen in the doctor’s office, in an urgent care center, or in an emergency room.
Sudden onset of heavy, continuous, bright red rectal bleeding or black, tarry stools Symptoms in this category are life threatening and require immediate medical treatment.

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