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Black Stool Symptoms Black stools, or tarry stools, are the primary symptoms many patients will experience, but they may also have a number of other digestive symptoms, including the following: Pain or discomfort in the abdominal area Nausea and vomiting in some severe upper gastrointestinal bleeding cases Heartburn or dyspepsia (indigestion) Bowel habits that are not normal for the individual Fatigue and weakness generally Dizziness or fainting, since heavy loss of blood may lead to lower blood pressure Severe, unexplained weight loss Fever, especially in some infection cases Note: Symptoms of black stools might be changed based on the specific cause