Bleeding internal hemorrhoids usually do not cause black stools. Internal hemorrhoidal bleeding is mostly painless blood in stool, the bleeding is immediate, after the bleeding is discharged to the outside of the body in a timely manner, usually appearing after the stool dripping blood, spraying blood or toilet paper stained blood, the color is bright red, will not lead to black stools. Asymptomatic internal hemorrhoids usually do not need treatment, patients can adjust their diet and avoid spicy and irritating foods. Black stool is usually seen in various causes of gastrointestinal bleeding, such as gastroduodenal ulcer, or long-term use of non-steroidal anti-inflammatory drugs, anticoagulant drugs and other causes of intestinal bleeding, black stool. Patients can take acid-suppressing drugs such as omeprazole under the guidance of the doctor. Pay attention to the daily diet, eat more fresh vegetables and fruits. If the patient has black stools and other discomforts, it is recommended to go to a regular hospital in time, to clarify the cause of the disease, and actively treat under the guidance of a professional doctor to avoid delaying the condition.