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    When to worry about blood in stool...

    What’s the Difference Between Hematochezia and Melena?

    Your doctor can usually differentiate between melena and hematochezia by simply looking at a stool sample.

    Based on the color of the blood, they’ll do additional testing to narrow down a diagnosis.

    Hematochezia

    If you have hematochezia, your doctor will likely start with a colonoscopy. This involves inserting a small tube with a camera through your rectum.

    The device will give them a view of your lower GI tract, including your colon, so they can pinpoint where the blood is coming from.

    Pictures of blood in stool

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  • During the procedure, they may also take a small tissue sample for additional testing.

    Other tests used to diagnose the cause of hematochezia include:

    • Enteroscopy. You’ll swallow a small capsule containing a camera that produces images of your GI tract.
    • Barium X-ray.

      Your doctor will have you swallow a contrast material called barium. They might also insert it into your rectum. This will help your GI tract show up on an X-ray.

    • Radionuclide scanning. A small amount of radioactive material is injected into a vein while y

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