What Is The Difference Between Hematochezia And Melena

Hematochezia and melena are two conditions that may involve the passage of blood in the stool, but they are actually quite different. In this article, we will discuss the differences between these two conditions, as well as their causes and symptoms.

Definition of hematochezia

Definition of hematochezia

Hematochezia and melena are two terms that are often used interchangeably, but they are actually quite different. Hematochezia is the passage of fresh, bright red blood from the rectum, while melena is the passage of black, tarry stools due to the presence of partially digested blood in the gastrointestinal tract.

The underlying cause of hematochezia is typically a lower gastrointestinal bleeding, such as from hemorrhoids or diverticulosis, while melena can be caused by upper gastrointestinal bleeding, such as from an ulcer or cancer. Additionally, hematochezia is usually painless, while melena can be accompanied by abdominal pain. For this reason, it is important to distinguish between the two terms to properly diagnose and treat the underlying condition.

Definition of melena

Definition of melena

Hematochezia and melena are two different types of gastrointestinal bleeding. Hematochezia is the medical term for bright red blood in the stool often caused by a lower gastrointestinal bleeding.

This type of bleeding is usually painless and more common in adults. On the other hand, melena is the medical term for black or dark tarry stool caused by upper gastrointestinal bleeding. This type of bleeding is usually associated with pain or discomfort and is more common in children.

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Causes of hematochezia and melena

Causes of hematochezia and melena

Hematochezia and melena are two distinct gastrointestinal conditions that have different causes and effects. Hematochezia is the passage of red or maroon-colored stools, which is caused by bleeding in the lower gastrointestinal tract. Melena, on the other hand, is the passage of black or tar-like stools, which is a result of bleeding in the upper gastrointestinal tract.

While both conditions can be alarming, hematochezia is usually less serious than melena. Therefore, it’s important to be aware of the differences between the two so that you can seek the appropriate medical attention if needed.

Clinical significance

Clinical significance

Hematochezia and melena are two medical terms that are often confused. While they both involve the presence of blood in the digestive system, they describe different scenarios.

Hematochezia refers to the presence of fresh red blood in the stool, usually caused by an issue in the lower digestive tract or in the rectum. Melena is the presence of black, tarry stool, which is usually caused by an issue in the upper digestive tract. In both cases, it is important to seek medical attention as the presence of blood in the stool may be a sign of a more serious issue.

Diagnosis and treatment

Diagnosis and treatment

The difference between hematochezia and melena is an important one to understand when it comes to diagnosis and treatment. Hematochezia is the medical term for the passage of fresh, red blood through the rectum.

In contrast, melena is the passing of dark, tarry stools, which is usually a sign of upper gastrointestinal bleeding, such as a gastric ulcer. Understanding the difference between the two can help doctors effectively diagnose and treat their patients’ conditions.

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Bottom Line

The main difference between hematochezia and melena is the color of the stool. Hematochezia is characterized by bright red or maroon colored blood in the stool, while melena is characterized by black or dark brown tarry stool.

Both hematochezia and melena can be signs of serious medical conditions, so it is important to consult with a medical professional if either is observed.

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