If you’ve noticed black stool in your dog, it can be quite alarming. A question I have received many times over the years is “Why is my dog’s poop black?” A change in stool color may point to a serious issue, such as internal bleeding, but there can be other, less serious causes as well. In this article, I will help guide you through the common causes, what the dog poop color guide reveals, and when to contact your vet if you see black poop in your dog.

What makes the stool black?

That alarming dark color is often a sign of digested blood in your dog's stool, a condition we veterinarians call "melena." Let me explain what that means.

When bleeding happens in the upper part of your dog's digestive system, such as their stomach or small intestines, the blood gets broken down during its journey through the intestines. This process is what turns the blood into a dark, almost black color and gives the stool that sticky, tarry consistency. Bleeding in the lower GI tract, such as the colon, will cause red, bloody stool.

To visualize this, think of it like a bad bruise on your skin. Initially, it might look red or purple, but as the blood breaks down over time, it gradually becomes dark blue or even black.  A similar process occurs with blood in your dog's digestive tract.

While black, tarry stool can be a worrying sight, remember that it's a symptom, not a disease itself.  My primary goal as a vet is to determine why the bleeding is happening, which will guide us toward the appropriate treatment.

What are the most common causes of black poop in dogs?

As black stool, or melena suggests bleeding in the gastrointestinal tract, the first place we look is the stomach and upper small intestinal tract.

1. Gastrointestinal ulcers

These are sores that develop in the lining of the stomach or intestines. Gastrointestinal ulcers can form due to various factors, including certain medications (like NSAIDs), infections, and stress. When an ulcer bleeds, it can cause melena.

2. Medications

  • Non-steroidal anti-inflammatory drugs (NSAIDs): While excellent for pain and inflammation, NSAIDs can irritate the stomach lining and sometimes lead to ulcers. Examples would include Metacam®, Deramaxx®, and Rimadyl®.
  • Corticosteroids: Like NSAIDs, these powerful anti-inflammatory drugs can also increase the risk of ulcers with long-term use. Examples are prednisone and dexamethasone.
  • Pepto-Bismol: Pepto-Bismol is an over-the-counter medication that contains bismuth subsalicylate, which can turn your dog's stool black. This is not true melena, as it's simply a color change, not digested blood.

3. Infections

  • Bacterial: Certain bacteria, like Clostridium or Salmonella, can cause inflammation and bleeding in the intestines.
  • Viral: Viral infections, such as Parvovirus (especially in puppies), can severely damage the intestinal lining, leading to bloody diarrhea and melena.
  • Parasites: Intestinal parasites like hookworms and whipworms can attach to the intestinal wall and cause bleeding.

4. Inflammatory Bowel Disease (IBD)

IBD is a chronic condition that involves ongoing inflammation in the digestive tract, which can lead to bleeding and melena.

5. Foreign Body Ingestion

If your dog swallows a sharp object (like a bone splinter) or a toxic substance, it can damage their digestive system and cause bleeding.

6. Tumors

Tumors in the stomach or intestines, while less common, can also bleed and cause melena. Gastrinoma (stomach cancer) and GI lymphoma are examples of cancers that can affect the digestive system and cause black stool.

7. Bleeding Disorders

  • Von Willebrand's disease: This inherited condition affects blood clotting, making dogs more prone to bleeding.
  • Rodenticide poisoning: Ingesting rat poison (which often contains anticoagulants) can interfere with blood clotting and cause internal bleeding.

8. Hemorrhagic Gastroenteritis (HGE)

HGE is a serious condition that causes sudden and severe bloody diarrhea and vomiting, often leading to dehydration and shock. Melena can be present as well.

9. Addison's disease

Addison's disease is a hormonal disorder that affects the adrenal glands, which can lead to various symptoms, including vomiting, diarrhea, and sometimes melena.

How to determine the cause of black stools (melena)?

Finding the root cause of your dog's black stool often involves a multi-pronged approach. Here's a glimpse into the diagnostic process:

A thorough physical exam

Your veterinarian will begin with a comprehensive physical examination, checking for any signs of abdominal pain, pale gums (which can indicate anemia), and other clues that might point toward the underlying cause of the melena.

Blood tests

Blood work is essential, as it can reveal a lot about your dog's internal health. It can help assess organ health and function, and hydration status, and check for signs of infection or inflammation. 

Importantly, blood tests can also detect anemia, which often develops when there's significant blood loss. We'll evaluate red blood cell count, hemoglobin levels, and other factors to determine the severity of anemia, if present.

Imaging (X-rays and/or Ultrasound)

X-rays can help visualize any foreign objects that might have been swallowed.

Sometimes, we'll use a special type of X-ray called a barium series. In this procedure, your dog swallows a liquid containing barium that appears white on X-rays. This allows us to track the barium as it moves through the digestive system, helping to identify any blockages, tumors, or abnormalities in the intestines. 

Ultrasound, on the other hand, allows us to examine the organs in the abdomen more closely, looking for tumors, ulcers, or signs of inflammation.

Endoscopy

In some cases, we may need to perform an endoscopy. This involves inserting a thin, flexible tube with a camera into the esophagus and stomach to visualize the lining and take biopsies if necessary.  

Additional tests

Depending on the suspected cause, we might recommend further tests, such as a biopsy of the intestinal lining, specific blood tests for clotting disorders, or an ACTH stimulation test to check for Addison's disease.

Remember that every dog is different, and the diagnostic journey might vary based on their individual needs. Please rely on your veterinarian's recommendations for your dog.

Treatment options for black stool in dogs

The treatment for your dog's black stool depends entirely on the underlying cause. Once we've identified what's causing the bleeding, a treatment plan will be tailored to your dog's specific needs. This might include:

  • Medications: To treat infections, reduce inflammation, or manage underlying conditions like IBD or Addison's disease.
  • Gastroprotectants: To protect the stomach lining and promote ulcer healing. Examples include omeprazole, famotidine, and sucralfate.
  • Fluid therapy: To combat dehydration, especially in cases of HGE or severe blood loss.
  • Surgery: In situations involving foreign bodies or tumors, surgery may be necessary.
  • Dietary changes: Adjusting your dog's diet can be helpful in managing some cases of IBD or food sensitivities. Consider using a hypoallergenic diet or a specialized gastrointestinal diet.
  • Supportive care: This might include a bland diet, and close monitoring to help your dog recover comfortably.

Black poop in dogs, while alarming, is often treatable once we uncover the root cause. Remember that melena signals bleeding in your dog's upper digestive tract, and the color comes from the blood being digested. Many things can cause this, from ulcers and infections to medications and underlying health issues. If you notice black, tarry stool, don't hesitate to contact your veterinarian. They will work with you to diagnose the problem and create a treatment plan to get your pet back to feeling its best.

If you have any questions or are concerned about your dog, please contact your veterinarian.