Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: June 12, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Differential Diagnosis for Tarry Black Stool in a 2-Month-Old

Single Most Likely Diagnosis

  • Swallowed Maternal Blood: This is the most common cause of tarry black stools in newborns, especially if the mother has cracked nipples or is bleeding during breastfeeding. The blood is swallowed by the infant and then appears in the stool.

Other Likely Diagnoses

  • Gastroesophageal Reflux Disease (GERD) with bleeding: Although less common, GERD can cause irritation and bleeding in the esophagus, leading to black stools.
  • Allergic colitis: An allergy to cow's milk protein can cause inflammation and bleeding in the colon, resulting in black stools.
  • Infectious colitis: Certain bacterial or viral infections can cause colitis, leading to bleeding and black stools.

Do Not Miss Diagnoses

  • Intussusception: A condition where a part of the intestine telescopes into another part, causing bowel obstruction and potentially life-threatening bleeding. Although less common in this age group, it's crucial to consider due to its severity.
  • Volvolus or Midgut Malrotation: These conditions involve twisting of the intestines, which can cut off blood supply and lead to tissue death and bleeding.
  • Hirschsprung's Disease with Enterocolitis: A condition characterized by the absence of nerve cells in parts of the colon, leading to severe constipation and potentially life-threatening enterocolitis.

Rare Diagnoses

  • Congenital vascular malformations: Abnormal blood vessel formations that can cause bleeding in the gastrointestinal tract.
  • Gastrointestinal duplication cysts: Rare congenital anomalies that can cause bleeding if they become ulcerated or rupture.
  • Meckel's Diverticulum: A congenital anomaly of the small intestine that can cause bleeding due to the presence of ectopic gastric mucosa.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.