Is Black Stool Normal After Eating Purple Sweet Potato Puree? - Pediatrics

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Is it normal for purple sweet potato puree to cause black stools?


Hello, doctor.
I am a caregiver taking care of a relative's child at home.
Recently, the child's mother mentioned that the child has black stools.
However, the child has no pain after drinking milk! The only thing I gave him as a snack was purple sweet potato puree.
Could you please tell me, doctor, what color should the stool be after consuming purple sweet potato? The child's mother believes it should be green, while she thinks black indicates a bleeding condition.
However, the child is very active and shows no signs of discomfort.
What color should the stool be after eating purple sweet potato? Thank you.

Ms. Zheng, 40~49 year old female. Ask Date: 2017/09/17

Dr. Lin Yishou reply Pediatrics


Dear parents, consuming darker-colored foods can indeed cause the stool to appear darker.
However, if there is black stool, it is important to consider the possibility of gastrointestinal bleeding.
If black stool persists, it is advisable to visit a hospital for a stool test for peace of mind.

Reply Date: 2017/09/17

More Info


Black stool can indeed be a cause for concern, especially when it appears suddenly or is accompanied by other symptoms. However, it is important to note that the color of stool can be influenced by various factors, including diet. In the case of purple sweet potato puree, it is possible for the stool to appear darker due to the pigments present in the food.

Purple sweet potatoes contain anthocyanins, which are natural pigments that can impart a deep color to the stool. When consumed, these pigments can sometimes lead to a darkening of the stool, which may be perceived as black. This is particularly true if the child has consumed a significant amount of the puree. Therefore, it is plausible that the black stool observed in the child could be a result of the purple sweet potato puree rather than an indication of gastrointestinal bleeding.

It's essential to differentiate between stool that is dark due to dietary factors and stool that is black due to bleeding. Black stool resulting from bleeding, known as melena, typically has a tarry appearance and may have a foul odor. This occurs when blood is digested as it passes through the gastrointestinal tract, often indicating bleeding from the upper gastrointestinal tract, such as the stomach or duodenum. In contrast, stool that is dark due to food pigments, such as those from purple sweet potatoes, will not have the same characteristics and is generally not associated with any discomfort or pain.

In the case of the child you are caring for, since they are active and not exhibiting any signs of discomfort, it is likely that the black stool is related to the consumption of purple sweet potato puree. However, it is always prudent to monitor the situation closely. If the black stool persists or is accompanied by other symptoms such as abdominal pain, vomiting, or changes in appetite, it would be advisable to consult a healthcare professional for further evaluation.

In summary, while purple sweet potato puree can cause stool to appear darker, it is important to remain vigilant. If there are any concerns about the child's health or if the stool color changes significantly, seeking medical advice is always the best course of action. Regular monitoring of the child's stool and overall well-being will help ensure that any potential issues are addressed promptly.

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