Friday, September 22, 2017

Healthy Stools! Healthy GI! Let's check at home...


Stools are a Comical part of our life which says too much about your healthy or unhealthy guts. Let's have a Safari!

1.      What Your Stool (Bowel) Says About Your Health

Poop(!) may be an embarrassing subject to talk about, but it's actually an important part of our health and fitness. (Oh! Yeah, He is right.) The color and consistency of our stool are shown to be markers of a healthy colon or possible disease. According to research, stool consistency strongly suggests what types of microbes are living in our gut. It also lets us know if we're eating right and staying hydrated. In order to have happy poops, we must maintain a healthy gastrointestinal (GI) system.
Do you have mornings when you feel sluggish and often find yourself visiting the bathroom? This is especially problematic during a workout or even running errands. It can be annoying, embarrassing, but also an indicator of your gastrointestinal health. When it comes to our poop, what is normal? 
It's normal and healthy to have one to three bowel movements per day. Every time we eat, a parasympathetic nervous system reaction starts to signal for digestion, nutrient absorption, and eventually a bowel movement. This process can take anywhere from 24 to 72 hours depending on the food consumed and our activity level. 
You may notice first thing in the morning with increased activity, drinking water or coffee, a bowel movement is stimulated. An early morning workout can hasten your need to use the bathroom even more. 
Going to the bathroom is a natural process and let's face it, many of us are checking out the product. Looking at our poop is one of the best ways to determine our health so don't flush too quickly. Feeling better and having more energy may be as simple as getting to know your poop and improving our colon health. 
Is your poop defined in one of the 10 examples? 
2.      Cannonball (A hard lumpy stool)


Cannonball poop or severe constipation can occur for many reasons. Being dehydrated or not eating enough fiber can cause us to get backed up. Also, electrolyte deficiency, iron supplements, bacteria imbalance, prescription medications, and stress can make going to the bathroom uncomfortable.  
Constipation is typical of the cannonball poop with stool consisting of hard lumps difficult to pass. Straining can occur and sometimes injury to the anus, fissure (tearing) and frank bleeding. In chronic conditions, prolapse of the anus can occur.
Not drinking enough water or dehydration can cause digestion to slow down backing up our stool. The water in our stool is reabsorbed back into the body leaving our poop hard and dry. According to research, high water content in our intestines speeds up poop transit time and promotes a healthier colon environment. To avoid constipation, drinking plenty of water is essential. 
Inadequate fiber intake is another reason for cannonball poop. It's recommended women consume 25 grams of fiber per day and 35 grams for men. Unfortunately, the average adult only eats 15 grams of fiber daily significantly below recommended intake. In order to soften and bulk up our stool, it's advised to consume a high fiber diet including vegetables, fruits, whole grains, and healthy fats.

3.      Torpedo Bum (Bigger lumps but still hard enough to tear)


Torpedo bum poop is similar to the cannonball. The stool is dry, sausage-shaped, lumpy, causing constipation, and difficult to pass. We can feel uncomfortable and often strain to go to the bathroom. Chronic torpedo bum can lead to frank bleeding, obstruction, perforation fissures, and prolapse.
Dehydration is usually the problem causing torpedo bum poops. It's recommended to increase your water before adding dietary fiber, especially if fiber intake is adequate. Consuming healthy fats (i.e. nuts, seeds, oils) can also help lubricate the bowels allowing us to eliminate stool more easily.
Essential oils are also indicated to help with constipation and relax the colon, along with clock-wise abdominal massages. Peppermint, lavender and ginger teas are shown to relax the stomach and improve colon function. 
Stress is also a huge component leading to constipation. When we're stressed and unable to relax, impaired hormone function can occur. The body responds by not absorbing nutrients properly adversely affecting our bowel movements.
Practicing deep breathing techniques can help. Take three deep, long, and slow breaths before eating and while sitting on the toilet.

4.      Half Baked (Oh! Smoothy! but needs little treatment)




Half baked poop is somewhat dry and requires better water intake to bump it up to optimal. It is sausage-like shaped with cracks on the surface. It can still feel uncomfortable to pass often causing us to strain. 
Increasing water intake and dietary fiber (raw nuts, vegetables, fruits, and whole grains) will improve the quality of this poop. It's also suggested to sit with proper posture on the toilet to help pass healthy stool. Some experts indicate squatting is the best position for going to the bathroom, and some are using a squatty potty to help with proper posture. 
As indicated above, consuming between 25-35 grams of fiber daily along with drinking plenty of water will improve the consistency of your poop. Research indicates eating a wide variety of healthy food, especially plants significantly improves gut bacteria and colon health. Improving gut bacteria reduces inflammation and our risk of developing certain gastrointestinal cancers according to studies. 

5.      Mr. Happy (The Mister Perfect! Everyone wants to be)


Mr. Happy is considered the perfect poop and our goal when it comes to having a bowel movement. It shows we're doing a great job with eating right, drinking plenty of water and an indicator of ideal bowel function and optimal health.
It has a sausage or snake-like shape with a soft and smooth consistency similar to toothpaste. The color is light to medium brown, slight odor (not foul), 1-2 inches in diameter and up to 18 inches long. This poop doesn't stick to the toilet bowl or paper and comes out without straining or discomfort.
These are optimal poops which are an indication you're being mindful of your nutrition, physical activity and maintaining a healthy state of mind. Keep up the good work. Happy poops make for happy people.

6.      Stick-n-Slide (It's OK to be soft sometimes)


The stick and slide poop appear as soft blobs but with clear-cut edges. They are softer than Mr. Happy poops but still considered normal. These poops can leave a smear in the toilet bowl and on your toilet paper. 
Sticky soft stools can be caused by eating foods irritating to the gut (i.e. hot sauce, spices). Consuming mild laxatives or diuretics often upset the stomach, cause bloating and soften the stool. High sugar diets, food sensitivities, and fat malabsorption can also cause sticky soft poop. Sometimes, lack of dietary fiber can also contribute to a sticky, soft bowel movement.
It's suggested to increase fiber intake (leafy greens and vegetables), avoid food triggers, irritants, and sugary foods until your stools are back to optimal.

7.      The Avalanche (Now the Problem begins)


Avalanche poops are close to diarrhea consistency with fluffy pieces and ragged edges. The rapid transit time of this poop from our intestines doesn't allow for water to reabsorb back into the body. The result is a quick rush to the bathroom and staying close to the toilet is advised with this kind of gastrointestinal (GI) upset. 
Overly mushy loose stools can occur eating foods our system is unable to tolerate or if we have a mild gut infection. Other possibilities include mild food poisoning, laxative use, consuming artificial sugars and indigestible additives. In all of these cases, the body wants to be rid of the unabsorbed molecules (poop) so attracts water into the intestines causing watery stools.
It's important to get back on track with healthy eating including dietary fiber intake (especially from green leafy vegetables). Drinking plenty of fluids to flush toxins and rehydrate the body is highly recommended. Taking probiotics once diarrhea has settled down is also encouraged.
In order to maintain a healthy colon, avoid laxatives, artificial additives, and sugars. Being aware of food sensitivities, intolerances and allergens are also essential to reduce the incidence of gastrointestinal (GI) upset.

8.      The Rafter (Oh! Boy see your doctor)


This is severe diarrhea with watery and entirely liquid stools. Watery diarrhea can be due to inflammatory bowel diseases (IBD-Crohns, Ulcerative Colitis), food intolerances, excessive use of laxatives, certain drugs, severe food poisoning or dysbiosis (bacterial imbalance).
The most important treatment for watery diarrhea (especially chronic) is staying hydrated. It is also advised to immediately stop using laxatives. 
Excessive diarrhea may require hospitalization to administer intravenous (iv) fluids. The most effective treatment for food poisoning or infection would be fluid and rest followed by taking probiotics or eating fermented foods to replenish good bacteria sources.
Food sensitivities, intolerances, and allergens can sometimes go undetected. Getting an IgG test can show some food sensitivities. Physicians may also prescribe a hypo-allergenic diet for one month. Not only will it show you how your body experiences intolerance, but it also gives your gut the adequate rest it needs to heal properly.
Once the bouts of diarrhea end, slowing introduce more dietary fiber, healthy fats, and proteins. Anti-inflammatory foods will help heal the gut lining along with a hypo-allergenic diet.

9.      Greasy Floater (You are in the middle of way man)


The greasy floater is poop that has retained more fat, floats to the top of the water and can leave a greasy film. This type of stool can happen when inflammation in the gut lining is caused by food intolerances. Food intolerances can impair our ability to absorb nutrients like fat from the gastrointestinal tract. When we're not able to absorb fat nutrients (fat malabsorption), it collects in our poop instead. 
Fat malabsorption causes a problem because it means our body is not absorbing nutrients properly. This can lead to nutrient deficiencies which can adversely affect our health and fitness. We may think we're eating right but in this instance, our body is still not taking in enough nutrients. 
Examples of foods common for causing intolerance are eggs, dairy, wheat, corn, and soy. Eggs are very nutritious, a great protein source, and many of us can eat them without a problem. However, an individual with food sensitivity to eggs may suffer from gas, bloating, headaches, leaky gut, muscle fatigue, joint soreness, and lethargy. It all depends on how your body reacts to food and in what state of stress your body is in. 

10.    Chunky Stool (Be careful to chew it!)


Do you ever see what you ate the day before included in your poop? Seeing chunks of corn are common so no need to panic. This happens with foods difficult for our system to digest. The fibrous shell of corn is insoluble and can sometimes be seen in the stool. Other foods should not be appearing as recognizable pieces of food.
If your stool is chunky, it may be due to not chewing thoroughly; feeling stressed while eating or you are eating too fast. The following mindful eating techniques will help reduce the incidence of chunky stools: 
Calm yourself with 3 slow deep breaths before starting your meal or snack
Sit down with the sole purpose of eating putting everything aside. (Yes! Your Smartphone too!)
Chew thoroughly (as Ayurveda suggest to chew 30-32 times a bite) and swallowing before taking the next bite.
Focus on slowing down and enjoying your food. Enjoy the taste at full and not to be gulped for your GI as there is no tongue to taste the food.
Wait 20 minutes before having seconds. It take 20 minutes for your stomach to send a message that the food has received.
Eat to 80 percent fullness.
Do not exercise for at least 20 minutes after having a meal

11.    Poop Color
 Check Your Poo Color.
The color of your poop can also be a marker of good health. The following color guide will help let you know if your poop is the right shade:
Medium to light brown is considered a healthy color.
Red stool indicates a lower intestinal bleed, but can also be from red colored foods (i.e. beets).
Red streak on toilet paper is due to a rectal bleed (i.e. hemorrhoid, fissure).
Green is the color of undigested bile, antibiotics or eating a lot of leafy greens.
Yellow poo means there is a gallbladder issue (bile) or a parasitic infection (i.e. Giardia)
White or a gray clay-like stool is indicative of a block in bile flow, liver disease, pancreatic disorder, or antacid use (aluminum hydroxide)
Black tarry or coffee ground appearance is most commonly due to an upper gastrointestinal bleed (esophagus, stomach, small intestine) when blood and bile mix to produce black. Black stool can also be caused by high meat consumption or iron supplementation.

Continued...

Thursday, September 21, 2017

PCOD/PCOS : SIGNS & SYMPTOMS POLY-CYSTIC OVARIAN DISEASE (PCOD) - पीसीओडी की समस्या, लक्षण और निदान...

PCOD एक गंभीर समस्या या युवावस्था की नासमझी?



            आज की भागदौड़ भरी जिंदगी में महिलाएं अपने स्वास्थ्य की अनदेखी कर देती हैं, जिस का खामियाझा उन्हें विवाह के बाद भुगतना पड़ता है। लड़कियों को माहवारी (पीरियड्स) शुरू होने के बाद अपने स्वास्थ्य पर खास तौर से ध्यान देने की आवश्यकता होती है। महिलाओं के चेहरे पर बाल उग आना, बारबार मुहांसे होना, पिगमैंटेशन, अनियमित रूप से माहवारी (पीरियड्स) मे होना तथा ज्यादा या कम खून आना और गर्भधारण में हो रही मुशकेलिया महिलाओं के लिए खतरे की घंटी है।

            चिकित्सकीय भाषा में महिलाओं की इस समस्या को पोलीसिस्टिक ओवरी डिजीज यानी पीसीओडी (PCOD) के नाम से जाना जाता है। इस समस्या के होेने पर महिलाओं को खास कर कुंआरी लड़कियों को समय रहते चिकित्सकीय जांच करानी चाहिए। ऐसा नहीं करने पर महिलाओं की ओवरी (अंडाशय) और प्रजनन क्षमता पर असर तो पड़ता ही है साथ ही, आगे चल कर उच्च रक्तचाप, डायबिटीज और हृदय से जुड़े रोगों के होने का खतरा भी बढ़ता चला जाता है।

     आज करीब ३० प्रतिशत महिलाएं इस बीमारी से ग्रसित हैं जबकि चिकित्सकों का मानना है कि इस बीमारी की शिकार महिलाओं की संख्या इस से कई गुना अधिक है, किन्तु उचित ज्ञान न होने व पूर्ण चिकित्सकीय जांच न होने की वजह से महिलाएं इस समस्या से जिंदगी भर जूझती रहती हे। हर महीने महिलाओं की दाईं और बाईं ओवरी में माहवारी (पीरियड्स) के बाद दूसरे दिन से अंडे बनने शुरू हो जाते हैं। यह अंडे १४-१५ दिनों में पूरी तरह से विकसित होकर १८-१९ मिलीमीटर साइज के हो जाते हैं। इस के बाद अंडे फूट कर खुद फेलोपियन ट्यूब्स में चले जाते हैं और अंडे फूटने के १४वें दिन महिला को माहवारी (पीरियड) शुरू हो जाती है लेकिन कुछ महिलाओं, जिन्हें पीसीओडी की समस्या है, में अंडे तो बनते हैं पर फूट नहीं पाते जिस की वजह से उन्हें पीरियड नहीं आता।

     ऐसी महिलाओं को से महीनों तक पीरियड नहीं आने की शिकायत रहती है, जिस की सब से बड़ी वजह है कि फूटे अंडे अंडाशय (ओवरी) में ही रहते हैं और एक के बाद एक उन से गठान (सिस्ट) बनती चली जाती हैं। लगातार गठान (सिस्ट) बनते रहने से ओवरी भारी लगनी शुरू हो जाती है। इसी अंडाशय (ओवरी) के रूप को को पोलीसिस्टिक ओवरी (मृत अंडो से भरी गठनों वाला अंडाशय) कहते हैं।
     इतना ही नहीं, यह बात यहा रुकती नहीं। समस्या और भी विकत स्वरूप लेती जाती हे।  इस के कारण अंडाशय (ओवरी) के बाहर की कवरिंग कुछ समय बाद सख्त होनी शुरू हो जाती है। गठान(सिस्ट) के अंडाशय(ओवरी) के अंदर होने के कारण अंडाशय (ओवरी) का कद धीरे-धीरे बढ़ना शुरू हो जाता है। ये गठान(सिस्ट) झहरीली(ट्यूमर) तो नहीं होतीं पर इन से अंडाशय(ओवरी) सिस्टिक हो चुकी होती है, जिस की वजह से अल्ट्रासाउंड सोनोग्राफी कराने पर कभी ये गठन (सिस्ट) दिखाई देती हैं तो कभी नहीं। दरअसल अंडों के अंडाशय(ओवरी) में लगातार फूटने के चलते अंडाशय(ओवरी) में जाल बनना शुरू हो जाता है। धीरे-धीरे अंडाशय(ओवरी) के अंदर जालों का गुच्छा बन जाता है। इसलिए गठान(सिस्ट) का पूरी तरह से पता नहीं चल पाता है।

     पीसीओडी होने के मुख्य कारणों का पूरी तरह से पता नहीं चल पाया है लेकिन चिकित्सकों की राय में लाइफस्टाइल में बदलाव, आनुवंशिकी व जैनेटिक फैक्टर का होना मुख्य वजहें हैं। परन्तु आयुर्वेद में इसका बड़ा सटीक और विश्वसनीय इलाज है।

क्या हैं सिस्ट के लक्षण

     अंडाशय(ओवरी)में अंडों के न फूटने की वजह से जो गठान(सिस्ट) बनती हैं उन में एक तरल पदार्थ भरा होता है। यह तरल पदार्थ पुरुषों में पाया जाने वाला हार्मोन एंड्रोजन होता है, क्योंकि लगातार सिस्ट बनती रहती हैं तो महिलाओं में इस हार्मोन की मात्रा कई गुना बढ़ जाती है, जिस की वजह से युवतियों के शरीर पर पुरुषों की तरह बाल उगने लगते हैं। इसे हरस्यूटिज्म कहते हैं। इस वजह से महिलाओं के चेहरे, पेट और जांघों पर बाल उगने लगते हैं।

     एंड्रोजन की अत्याधिकता के कारण शरीर की शुगर इस्तेमाल करने की क्षमता भी दिन-प्रतिदिन कम होती जाती है, जिस की वजह से खून मे शुगर का स्तर भी बढ़ता चला जाता है, जिस के चलते खून में वसा(फेट) की मात्रा बढ़नी शुरू हो जाती है और यही वसा महिलाओं में मोटापे का कारण बनती है।

     मोटापा अधिक होने के कारण महिलाओं में इस्ट्रोजन नामक हार्मोन ज्यादा बनने की संभावना बढ़ जाती है। इस स्थिति में लिपिड(कोलेस्टरोल) लेवल भी बढ़ा हुआ होता है जिस की वजह से ब्लड वैसल्स(नसो) में फैट सैल्स बढ़ जाते हैं और ब्लड की नलियों में चिपक कर उन्हें संकीर्ण बना देते हैं। पतला कर देते हे। समय जाते यह फेट सैल्स ब्लड सप्लाई करने वाली नलियों को ब्लौक भी कर सकते हैं।

     महिलाओं में अगर इस्ट्रोजन अधिक मात्रा में बनता है तो ल्यूटिनाइजिंग हार्मोन भी ज्यादा बनाने लगता हे, जिस की वजह से माहवारी में अनियमितता पाई जाती है। साथ ही, काफी दिनों तक इस्ट्रोजन ही बनता जाता है और उसे संतुलित (बैलेंस) करने वाला हॉरमोन प्रोजेस्टेरोन बन नहीं पाता। यदि गर्भाशय में इस्ट्रोजन बहुत दिनों तक काम करता है, तो महिलाओं को यूटेरियन(गर्भाशयका) कैंसर होने का खतरा बढ़ जाता है।

     अगर किसी महिला में पीसीओडी के लक्षण हैं तो उसे इस बीमारी की जांच के लिए पैल्विक अल्ट्रासाउंड सोनोग्राफी कराना चाहिए। इस के अलावा हार्मोनल और लिपिड टैस्ट होते हैं। हार्मोन के सीरम स्तर पर ग्लूकोज टौलरैंस आदि की जांच की जाती हे। इस से बौडी में ग्लूकोज की सही मात्रा की जानकारी मिल जाती है।
            16
से 18 साल की लड़की की माहवारी(पीरियड) अनियमित होने पर उस का सिर्फ इतना ही इलाज किया जाता है कि माहवारी(पीरियड्स) सामान्य हो जाएं। जबकि यह तो हॉरमोन को संतुलित कर के करना चाहिए। जिस तरह से हर महीने कौंट्रासैप्टिव दिए जाते हैं उसी तरह से उसे कौंबिनैशन हार्मोन(एक ही दवाई या भिन्न दवाइयो से बना हॉरमोन का संयोजन) की दवाएं दी जाती हैं। आज के समय मे सामान्य रूप से एक लड़की को 11 साल की उम्र में पीरियड्स होने लगते हैं जो वय कुछ दशक पहले 14 साल की थी। पीरियड(माहवारी) शुरू होने के 4-5 साल बाद यदि वह अनियमित होने लगे या पहले से ही अनियमित हो तो चिकित्सकीय सलाह और जांच करा लेनी चाहिए।

     पीसीओडी से पीडि़त युवती की शादी हो जाने पर उसे पीरियड की अनियमितता और गर्भधारण जैसी समस्याओं का सामना करना पड़ सकता है। जिससे वह काफी मानसिक व्यथा एवं चिंताओका भोग बनती हे। इस स्थिति में उस की माहवारी को नियमित करने और अंडा समय पर पक सके, इस का इलाज किया जाता है।

     इस के अलावा इन महिलाओं की गर्भधारण के 9 माह दौरान अन्य गर्भवती महिलाओं की सापेक्ष में ज्यादा देखभाल करनी पड़ती है, क्योंकि इन में गर्भपात की आशंका बहुत ज्यादा बनी रहती है। इसलिए गर्भधारण करने के 3 महीने तक यदि गर्भ ठहरा रहता है तो फिर वे एक सामान्य महिला की तरह रह सकती हैं। इस के बाद डिलीवरी में किसी प्रकार की कोई दिक्कत नहीं आती है.

     पीसीओडी से ग्रसित महिलाओं में बार-बार गर्भपात के आसार ज्यादा होते हैं।  इसलिए यदि कोई बड़ी उम्र की महिला गर्भवती होती है तो हो सकता है वह प्री-डायबिटिक हो। ऐसी स्थिति में महिलाओं को चाहिए कि समय समय पर खून मे रही शुगर की जांच कराती रहें और यदि किसी महिला का वजन अधिक है तो उसे व्यायाम और अन्य शारीरिक कसरत से अपना वजन घटाना चाहिए ताकि गर्भधारण के दौरान महिला और उस के गर्भ में पल रहे शिशु को किसी भी प्रकार की शारीरिक समस्याओं का भाजन न होना पड़े।

     इन महिलाओं को दिन में एक बार में ज्यादा खाना खाने से बचना चाहिए।  ज्यादा खाना खाने के बजाय उन्हें बार-बार थोड़ीथोड़ी मात्रा में खाना खाना चाहिए।  वे कम कार्बोहाइड्रेट और वसायुक्त भोजन लें, मीठी चीजों से परहेज करें तथा रिफाइंड फूड जैसे की शक्कर, मैदा, कोलड्रिंक आदि से बचे जिससे की शरीर में इंसुलिन का स्तर संतुलित बना रहे। ऐसी तमाम बातों का ध्यान रख कर पीसीओडी से ग्रस्त महिला गर्भवती हो कर मां बनने का सुख प्राप्त कर सकती है

     अनुभवी एवं तजज्ञ आयुर्वेदिक चिकित्सक आप को इस समस्या से मुक्त होने मे अवश्य सहायरूप होगे। अगर आप इस समस्या से ग्रसित हे तो हमे भी संपर्क कर सकते हे।

अपोइनमेंट के लिए कॉल करे : 08734925788

Sunday, September 17, 2017

What Are the Causes of Black Stool?

Why we should take care of such stupidity? or Geniuses?

Black or Darker Stool? Does it happened to you ever?


Black stool isn't always due to a big problem. There are many reasons stool could appear black, and iron supplements or even Oreos could be to blame. This is especially true for people who have had ostomy surgery or a colectomy because food is not being digested as fully as it is in people who have not had any abdominal surgery. However, if you have had gastrointestinal bleeding in the past, there is a foul smell, or the problem goes on for longer than a few days, that are reason to see your doctor.

Fast Facts: What You Need to Know About Black Stools

  • Most cases of black stools are from eating black foods or iron supplements.
  • The most common condition causing black stools is a bleeding ulcer.
  • Black stools caused by blood indicate a problem in the upper digestive tract.
  • Blood in the stool can be detected through a stool test.
  • Black stool along with pain, vomiting, or diarrhea is cause to see a doctor right away.
  • If blood in the stool is suspected, a doctor should contacted as soon as possible.
Black Stools Caused by Food or Supplements


1. Black licorice
"A black colored sweet candy... Who can deny it?"

2. Blueberries
"A healthy and delicious fruit.... Sluurrrp...."

3. Iron Supplements
"Usually taken to cure anemia...

4. Lead
A notorious metal which may lead to heavy metal poisoning...

A black stool could be caused by food, supplements, medication, or minerals. Iron supplements, taken alone or as part of a multivitamin for iron-deficiency anemia, may cause black stools or even green stools. Foods that are dark blue, black or green may also cause black stools. Substances that are often found to cause black stools include:
If you're seeing black stools and can trace it back to a food you ate, that's OK. However, a doctor should be consulted immediately if black stools cannot be traced back to a food, an iron supplement, or Pepto-bismol.
If there's no obvious reason for a black stool (such as food, a supplement, or a medication like Pepto-bismol), it could be time to look for blood in the stool.

A variety of medical reasons can cause black stools that are also tarry with a foul smell.

Black Stools Caused By Blood:
Melena
Blood that comes from higher up in the digestive tract (such as the esophagus or stomach) may result stool in black composition, which is called melena. As the blood passes through the intestines and interacts with enzymes in the digestive process, the blood changes from red to black. This makes it a bit more difficult to see in or on the stool than if there is red blood. Red blood in or on the stool (called hematochezia) is typically from lower in the digestive tract (such as the rectum or the colon). Blood from lower in the gastrointestinal system will be exposed to less of the digestive process and may maintain its red color.

If the black stool is accompanied by other symptoms such as feeling faint or actually fainting, dizziness, pain, or vomiting (especially if there's blood in it or it looks like coffee grounds), seeing your doctor immediately is important, because it could be a medical emergency. For some people, there may already be a known risk factor for bleeding in the digestive tract. Consult a doctor about the potential for bleeding and blood in the stool if any of these potential risk factors are present:

1. Cancer
2. Liver disease
3. Dieulafoy lesion (a rare and difficult condition of the stomach)

4. Erosive gastritis (inflammation in the stomach)
5. Erosive esophagitis (inflammation in the esophagus)
6. Intestinal ischemia (blood supply to the intestines is cut off)
7. Peptic ulcers
8. Varices in the esophagus or stomach

9. Tear in the esophagus (Mallory-Weiss tear)


Diagnosing Blood in the Stool

The black color alone is not enough to determine that it is in fact blood that is being passed in the stool. Therefore, a doctor will need to confirm whether there actually is blood in the stool. This can be done in a doctor's office through a rectal exam.
Or, it can be done at home with a kit that is used to collect a small stool sample which is then sent to a lab for evaluation.
Blood in the stool that is dark could be caused by several different conditions, including a bleeding ulcer, gastritis, esophageal varices, or a tear in the esophagus from violent vomiting (Mallory-Weiss tear). The tarry appearance of the stool is from the blood having contact with the body’s digestive juices.
After melena is diagnosed, a physician may order other diagnostic tests to determine the cause and the exact location of the bleeding. The test that will likely be most imperative in determining the cause of the bleeding will be an esophagogastroduodenoscopy (EGD). Other tests that might be done could include x-rays, blood tests, colonoscopy, stool culture, and barium studies.

Usually Common Causes of Melena are as under

Ulcer
An ulcer is a type of sore on the lining of the stomach which can cause bleeding and result in melena. Contrary to popular belief, stomach ulcers are not usually caused by stress or spicy food (although these can aggravate an already existing ulcer). In fact, they are typically caused by an infection with a bacterium called Helicobacter pylori (H. pylori). Antibiotics are normally prescribed to eliminate the infection, and sometimes an acid reducer.
Another cause of stomach ulcers is the long-term use of pain medications known as NSAIDs (non-steroidal anti-inflammatory drugs). NSAIDs can irritate the stomach by weakening the lining's ability to resist acid made in the stomach. For this same reason, NSAIDs have an adverse effect on Crohn's disease and ulcerative colitis. NSAIDs include common over-the-counter drugs such as ibuprofen, naproxen sodium, and aspirin. Some NSAIDs are prescribed by physicians. Stomach ulcers caused by NSAIDs usually heal after the offending drug is discontinued.

Gastritis
Gastritis is the inflammation of the stomach lining. This inflammation can be caused by too much alcohol or food, eating spicy foods, smoking, infection with bacteria, or by the prolonged use of NSAIDs. Gastritis can also develop after surgery or trauma, or it may be associated with already existing medical conditions.

Esophageal Varices
Esophageal varices are dilated veins in the wall of the lower esophagus or upper stomach. When these veins rupture,= they may cause bleeding, which can cause blood to appear in the stool or in vomit. Esophageal varices are a serious complication resulting from portal hypertension (high blood pressure) brought on by cirrhosis of the liver.

Mallory-Weiss Tear
This is a tear in the mucous membrane that joins the esophagus and the stomach. If this tear bleeds, it can result in melena. This condition is fairly rare (only occurring in 4 of 100,000 people), and may be caused by violent vomiting, coughing, or epileptic convulsions.

A Word From Swasthya Premi Pariwar
In most cases, a black or tarry stool is due to foods or supplement or medication and isn't something to be concerned about. If you have black stools that you can not attribute to a food or to iron supplements, see your doctor immediately. A black stool once in a while that may have occurred after eating foods that are dark in color is typically nothing to worry about. If the black color is accompanied by other symptoms such as vomiting, diarrhea, or acute pain, seek medical attention immediately.

If you are diagnosed with any of the long term disease, talk to your nearby Ayurveda Consultant or consult at Abhikshana Ayurvedic Hospital & Research Centre, Surat, Gujarat.
Ask for appointment : 08734925788