Can sucralfate (sucralfate) cause coffee ground stools, also known as melena?

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: April 16, 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.

From the Guidelines

Sucralfate does not typically cause coffee ground stool, and if you're experiencing this symptom, it's likely a sign of gastrointestinal bleeding that requires immediate medical attention. Coffee ground stool or vomit indicates the presence of partially digested blood in the gastrointestinal tract, which is a medical concern that requires prompt evaluation. Sucralfate (commonly sold as Carafate) is a medication used to treat ulcers in the stomach and small intestine by forming a protective coating over damaged tissue. It generally has minimal side effects, with constipation being the most common 1.

The provided evidence does not directly link sucralfate to coffee ground stool, but rather discusses its use in preventing gastrointestinal bleeding and its comparison to other medications like H2 blockers and proton pump inhibitors 1. In fact, sucralfate may be used to treat certain types of gastrointestinal bleeding, such as radiation proctitis, by forming a protective barrier and stimulating epithelial healing 1.

If you're experiencing coffee ground stool while taking sucralfate, this is likely not a side effect of the medication but rather a sign of an underlying gastrointestinal issue that requires immediate medical attention. This appearance occurs when blood has been partially digested by stomach acid, changing its color to dark brown or black, resembling coffee grounds. Such symptoms could indicate conditions like a bleeding ulcer, gastritis, or other serious gastrointestinal issues. You should seek medical care right away as this could represent a potentially serious condition requiring prompt diagnosis and treatment.

Key points to consider:

  • Sucralfate is not typically associated with coffee ground stool
  • Coffee ground stool is a sign of gastrointestinal bleeding that requires immediate medical attention
  • Sucralfate is used to treat ulcers and prevent gastrointestinal bleeding
  • If you're experiencing coffee ground stool while taking sucralfate, seek medical care right away to rule out underlying gastrointestinal issues.

From the Research

Sulfucrate and Coffee Ground Stool

  • There is no direct evidence in the provided studies that sulfucrate causes coffee ground stool.
  • However, sucralfate, a medication with a similar name, is mentioned in several studies as a treatment for peptic ulcer disease and prevention of upper gastrointestinal bleeding 2, 3.
  • Sucralfate is known to be minimally absorbed after oral administration and is believed to act primarily at the ulcer site by protecting the ulcer from the effects of pepsin, acid, and possibly bile salts 2.
  • One study mentions that sucralfate can cause constipation in 2% of patients, but does not mention coffee ground stool as a side effect 2.
  • Another study compares sucralfate and ranitidine for the prevention of upper gastrointestinal bleeding in long-term ventilated patients, and finds that sucralfate prevents minor bleeding better than ranitidine, but does not mention coffee ground stool as an outcome 3.
  • The other studies provided discuss the management and treatment of upper gastrointestinal bleeding, but do not mention sulfucrate or sucralfate as a cause of coffee ground stool 4, 5, 6.

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.