Black stool should be treated differently according to non-disease causes, as well as different causes such as esophageal and fundal varices, peptic ulcer, etc. Different treatments such as observation, application of antiemetic, acid-suppressing, anti-Helicobacter pylori medication and surgical treatment should be taken.
1. Non-disease causes: Eating too much food such as chocolate, pig’s blood, sheep’s blood, etc., as well as drugs such as iron supplements, bismuth, and traditional Chinese medicine may lead to black stools, which usually do not require special treatment and can be temporarily observed.
2. Varicose veins of esophagus and gastric fundus: commonly seen in the late stage of liver cirrhosis, if the varicose veins rupture and bleed, black stool symptoms may appear, the treatment needs to apply growth inhibitors, vasopressin and other antiemetic drugs, and cefoperazole, omeprazole, etc., or endoscopic ligature and other treatments.
3. Peptic ulcer: If gastric ulcer and duodenal ulcer, the ulcer invades the peripheral or deep blood vessels, which can produce bleeding and show the symptoms of black stool, the treatment needs to inhibit the secretion of gastric acid and protect the gastric mucosa, such as omeprazole, magnesium alumina carbonate, etc. If necessary, surgery is needed. Surgery is needed if necessary, and anti-Helicobacter pylori treatment is also needed if Helicobacter pylori infection exists.
There may be other reasons for the black stool, it is recommended to consult the doctor in a timely manner, improve the relevant examination to clarify the cause of the standardized treatment, to avoid delaying the condition.