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1 Passing black, tarry stools and Blood in stools as in case of inflammatory bowel disease (16 causes) 2  Passing black, tarry stools and Bloody stool (16 causes)  Passing black, tarry stools and Abdominal symptoms (15 causes)
If there's no obvious reason for a black stool (such as food, a supplement, or a medication like Pepto-bismol), it could be time to look for blood in the stool. 1  A variety of medical reasons can cause black stools that are also tarry with a foul smell. Black Stools Caused By Blood: Melena. Blood that comes from higher up in the digestive tract (such as the esophagus or stomach) may turn stool black, which is called melena.