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Melanotic stools can be caused by medication, including Pepto-Bismol. Blueberries can sometimes cause melanotic stools. Treatment for melanotic stools depends on the cause. Melanotic stools can be indicative of a disorder or injury of the digestive system.
Melanosis coli is a condition usually associated with chronic laxative use in which dark pigment is deposited in the lamina propria (one of the lining layers) of the large intestine (colon). The pigment deposition results in a characteristic dark brown to black discoloration of the lining of the large intestine.