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Black watery diarrhea can be caused by peptic ulcer bleeding, bleeding esophageal varices, or taking black medications or black foods The most important and the most dangerous cause of black watery diarrhea is bleeding inside your gut tract. If you notice your poop is black or tarry, it might be due to something as simple as a change in your diet Sometimes it's a sign of a medical problem Learn why your stool may have a different. If you see unexplained color changes in your liquid bowel movement, especially red, black, or tarry stool, seek emergency medical treatment. Poop color can indicate one’s health state by giving some clues about his diet and lifestyle or the presence of gastrointestinal infection Know when to seek help. Causes of black poop include certain foods, iron supplements, and medications Upper gastrointestinal bleeding can also cause stool to appear black. This is a sign of upper gastrointestinal bleeding, which could result from a peptic (stomach) ulcer or esophageal varices (varicose veins of the esophagus). The causes of black stool usually include colitis, stomach ulcers, and certain foods Treatment depends on the cause Learn more about black stool, and when to see a doctor, here. What does black liquid diarrhea mean Melena (black stool) is a symptom of internal bleeding, usually in your upper gastrointestinal (gi) tract The blood turns black as it travels through your digestive system before coming out in your poop Find a primary care provider What causes melena (black stool)?.