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Two major causes of black stools include: Medical conditions Food or Medications The medical conditions that may cause black, tarry stools include the following: Peptic ulcer Esophageal dysfunction Colon polyps Abnormal blood vessels Mallory-Weiss tear Ischemic bowel disease Gastritis Trauma or foreign body Cancer Black stool and peptic ulcer Black stools are an indication of peptic ulcer

Luo A, Ning P, Lu H, et al

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Serum iron and TIBC Iron levels drop in iron deficiency

These conditions include, but are not limited to, gallstones and cholecystitis, which is inflammation of the gallbladder