Question
The patient inquires about the cause of stomach gurgling last night and passing black stools with red blood clots this morning.
Answer
Firstly, since the patient’s stools are dark red, the possibility of hemorrhoids is relatively low. However, to ensure it is not caused by hemorrhoids, it is recommended that the patient visit a colorectal department for a detailed examination. Secondly, considering the possibility of lower gastrointestinal bleeding, which may include diseases of the small intestine, rectum, anal canal, and colon, the causes of bleeding could be inflammation, tumors, or vascular malformations, in addition to polyps. Moreover, upper gastrointestinal bleeding cannot be excluded. The amount and speed of bleeding depend on the location of the digestive tract and may manifest as hematochezia and melena. In addition to gastrointestinal diseases, systemic diseases, blood diseases, liver diseases, uremia, and epidemic hemorrhagic fever should also be considered. This is the suggestion for the question ‘What’s causing my stomach to gurgle last night and my stools are all black with red blood clots this morning?’ I hope this helps you. Wishing you good health!