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69 Possible Causes for Foul Smelling Stool, Melena

  • Upper Gastrointestinal Hemorrhage

    The clinical presentation features primarily hematemesis, melena, and epigastric pain.[] We report a case of an unusually large Brunneroma in a patient who presented with fresh melena and anemia.[] Reported cases of gastrointestinal hemorrhage have been in the form of coffee ground emesis, melena, or hematochezia.[]

  • Progressive Familial Intrahepatic Cholestasis

    Also, these patients produce copious amounts of foul-smelling stool, which may persist following liver transplant.[] The main clinical features were early onset of loose, foul-smelling stools, jaundice, hepatosplenomegaly, impaired growth with short stature, and in 4 of 6 cases, death between[]

  • Gastrointestinal Hemorrhage

    Continued When there's bleeding in the esophagus, stomach, or duodenum (part of the small intestine), the stool is usually black, tarry, and very foul smelling.[] Five months after the surgery, she was re-admitted because of melena and anemia.[] The prevalence of an upper GI source for patients with melena or hematochezia without hematemesis was 32% to 74%.[]

  • Chronic Pancreatitis

    Patients complain of diarrhoea, foul smelling stools that are difficult to flush, and weight loss.[] METHODS: A 32-year-old nonalcoholic male presented with hematemesis and melena for one month.[] The diarrhea is a result of fat malabsorption, which results in bulky, foul-smelling stools that may appear oily and float (steatorrhea).[]

  • Gastric Cancer

    Symptoms of Gastric CancerSymptom PercentWeight loss 62%Abdominal pain 52%Nausea 34%Dysphagia 26%Melena 20%Early satiety 18%Ulcer type pain 17% 10.[] (may appear black and tarry and have a foul smell) Vomiting blood These symptoms also may be caused by other medical conditions, so the doctor will need to perform tests[] Stomach cancers may also bleed, resulting in the vomiting of blood or the appearance of black, tarry stools (melena).[]

  • Giardiasis

    He had a sufficient diet for iron and recurrent bouts of diarrhea without melena. At upper endoscopy, duodenal mucosa was diffusely nodular.[] Symptoms include explosive, watery, greasy, foul-smelling stools, bloating, nausea, pain, gas, fatigue, and loss of appetite.[] Symptoms of giardiasis may include: Explosive, watery, foul-smelling stools Greasy stools that tend to float Bloating Nausea Loss of appetite Abdominal (belly) pain Excessive[]

  • Portal Hypertension

    The blood may also pass through the digestive tract, making stools black, tarry, and foul-smelling (called melena).[] The clinical presentation is quite variable, with melena and hematemesis being initial symptoms in 30%-70% of the cases.[] Dizziness, nausea, vomiting with red blood, melena was presented on admission.[]

  • Bleeding Peptic Ulcer

    The passing of foul smelling black, tarry stools could be one of the first symptoms of a gastric ulcer or a duodenal ulcer that has started bleeding The presence of dark red[] , and 29/281 (10.3%) with melena alone, p 0.01, OR 20.[] A randomized prospective study was performed on 129 bleeding peptic ulcer patients with hematemesis or melena.[]

  • Whipple Disease

    […] that are bulky, greasy, foul smelling, difficult to flush away, and leave a film of oil in the toilet pan after flushing.[] The first presented with melena and generalized hyperpigmentation. The second had depression for two years before the typical symptoms.[] […] tract, resulting in weight loss, diarrhoea from malabsorption (the commonest symptom), and less often abdominal pain. 13 , 14 Fat malabsorption (steatorrhoea) results in stools[]

  • Lower Gastrointestinal Hemorrhage

    The inclusion criteria were hematochezia or melena and hypotension refractory to conservative treatment and requiring blood transfusion.[] Melena refers to black, tarry, foul smelling stool that results from the bacterial degradation of hemoglobin over a period of at least 14 hours.[] Patients with melena and patients admitted for reasons other than acute lower GI hemorrhage were significantly less likely to benefit from provocative mesenteric angiography[]

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