<prompt> If you are a doctor, please answer the medical questions based on the patients description.hi my husband had no thing before in his liver and HCV was -ve just last year. He has some digestion problems and he did parium meal. They discover fatty liver , elevated liver enzymes , low plasma level and HCV ve. Yesterday he experienced tarry stool with blood clots. I want to ask is acute hepatitis can cause melena ?? we are shocked and can t know what to do.  <response>: Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. He might be having Acute or Chronic Hepatitis C. Melena can occur due to coagulopathy. Melena can occur in acute or decompensated CLD. He required PTINR, and might require Fresh Frozen plasma Transfusions is my best advice for you with the available details, if you have any further query, please ask us. Stay Healthy 