Chronic Diarrhea and White Particles in Stool: Causes and Solutions

White substances attached to stool & chronic diarrhea?

Last October, I had skin issues, and the doctor prescribed antibiotics that I took for almost a month.
It seems that diarrhea started around that time.
Doctor, how long does it usually take to restore gut balance? I'm not entirely sure if this is the cause of my current chronic diarrhea, which has lasted for almost a year.
After the diarrhea began, I consulted a doctor and underwent colonoscopy and gastroscopy, which only revealed esophagitis and Helicobacter pylori infection.
I took antibiotics for the H.
pylori for nearly a week, and my bowel movements became more normal afterward, but then the diarrhea returned.
Each time I visited the doctor, they prescribed the same medication for a month, but my diarrhea did not improve.
I then consulted a traditional Chinese medicine practitioner, and my stools gradually became more formed, but I still experience diarrhea.
The diarrhea typically occurs between 5:00 and 7:00 AM.
I only experience more abdominal pain when I eat overly spicy or cold foods; otherwise, my stools are generally normal (with minimal abdominal pain).
What could this condition be? Recently, after bowel movements, I've noticed white objects attached to my stools (the stools are formed, with occasional loose stools), but it's not a lot—just a small portion attached to what seems like normal stools.
Could these white objects indicate a problem with bile function? The previous doctors I consulted did not mention this.
Thank you.

Zhuo Xiansheng, 20~29 year old female. Ask Date: 2018/05/24

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, sir.
Diarrhea is often caused by rapid peristalsis (irritable bowel syndrome).
If antibiotics have led to an imbalance of gut bacteria, it may result in blood or white blood cells in the stool.
It would be advisable to seek medical evaluation.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2018/05/24

More Info

Chronic diarrhea can be a frustrating and debilitating condition, especially when it persists for an extended period, as in your case. The presence of white particles in your stool, along with your history of antibiotic use, raises several important considerations regarding your gastrointestinal health.

Firstly, antibiotics can significantly disrupt the balance of gut microbiota, leading to a condition known as antibiotic-associated diarrhea. This occurs because antibiotics not only target harmful bacteria but can also eliminate beneficial bacteria in the gut, resulting in dysbiosis. Dysbiosis can manifest as chronic diarrhea, as the normal digestive processes are disrupted. Recovery from this imbalance can vary widely among individuals, depending on factors such as diet, overall health, and the specific antibiotics used. In some cases, it may take weeks to months for the gut flora to return to a healthy state.

The white particles you observe in your stool could be due to several factors. One possibility is undigested food particles, which can occur if the digestive system is not functioning optimally. Another consideration is the presence of mucus, which can be a normal component of stool but may also indicate inflammation in the intestines. In some cases, white particles could be related to fat malabsorption, which can occur if the body is not adequately digesting fats due to issues with bile production or pancreatic function.

Given your history of gastritis and Helicobacter pylori infection, it is essential to consider how these conditions may be impacting your gastrointestinal health. H. pylori can lead to chronic gastritis, which can affect digestion and absorption. While you mentioned that your stool became more normal after antibiotic treatment for H. pylori, the recurrence of diarrhea suggests that there may be underlying issues that have not been fully addressed.

The timing of your diarrhea, occurring primarily in the early morning, could also provide clues. This pattern may suggest a functional gastrointestinal disorder, such as irritable bowel syndrome (IBS), which can be triggered by stress, diet, or changes in gut flora. IBS can lead to symptoms such as diarrhea, abdominal pain, and changes in bowel habits.

In terms of treatment, it is crucial to work closely with your healthcare provider to identify the underlying cause of your chronic diarrhea. This may involve further testing, such as stool studies to check for infections, malabsorption issues, or inflammatory conditions. Additionally, dietary modifications can play a significant role in managing symptoms. A diet low in irritants (such as spicy or cold foods) and high in fiber may help regulate bowel movements and improve gut health.

Probiotics may also be beneficial in restoring the balance of gut bacteria after antibiotic use. These supplements can help replenish beneficial bacteria and may alleviate symptoms of diarrhea. However, it is essential to consult with your healthcare provider before starting any new supplements, especially given your complex medical history.

In summary, chronic diarrhea and the presence of white particles in your stool can stem from various factors, including antibiotic use, dysbiosis, and underlying gastrointestinal conditions. Recovery may take time, and a comprehensive approach involving dietary changes, possible probiotic use, and further medical evaluation is recommended to address your symptoms effectively. Always consult with your healthcare provider for personalized advice and treatment options tailored to your specific situation.

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