Black Stools There are a number of reasons for black stools, with the most important one being bleeding from the GI tract. Blood from the upper GI tract breaks down into a black and tarry consistency as it goes through the digestive track. Bismuth is another material that causes jet black stools. Bismuth is a major ingredient in Peptobismal. If one has had a nose bleed and swallowed a lot of blood, it is not uncommon to have black stools in a day or two after. If one has had surgery or endoscopy on their stomach or intestines, there can be associated bleeding from these procedures resulting in black stools a day or two later. With black stools, the physician will usually do an occult blood test, by examining the rectal area with the physicians finger and then taking a sample of and testing if blood is within the sample. If this is positive, then it is important to discover where the blood is coming from. If the person has a stable hemoglobin value, the value is obtained by a blood test, then there is no hurry to discover the source, and the patient can be scheduled for another visit or procedure until the source becomes clearly defined.