Gastrointestinal Issues: Causes of Green Stool and Gastritis - Gastroenterology and Hepatology

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Gastrointestinal issues


Hello, doctor: I have been suffering from gastritis for over seven months now.
There was a slight improvement in the middle, but I have started experiencing discomfort and pain again.
Since the first endoscopy, the doctor has consistently advised me to just take medication.
My stool has been greenish and yellowish in color at times, but sometimes it appears normal.
Recently, after frequently consuming dragon fruit yogurt made by my mother, I have started to notice some dark green stools.
I would like to know what might be causing this situation.

Niming, 20~29 year old female. Ask Date: 2019/10/05

Dr. Lin Minghui reply Gastroenterology and Hepatology


Hello, I often experience discomfort and pain in my stomach, and I have recurrent gastritis.
I have undergone gastroscopy and treatment.
It is advised to pay attention to your diet and avoid irritating foods (such as those that are too sweet, too oily, or too spicy).
Maintain a regular lifestyle, eat on a schedule, exercise moderately, and manage stress effectively.
Generally speaking, fruits and yogurt can help with bowel movements.
The color and shape of stool are related to the foods consumed; foods rich in iron can result in darker stool.
Stool tests can be conducted to check for abnormalities.
If you frequently experience abdominal pain and weight loss, it is recommended to follow up with outpatient examinations to rule out other causes.
Wishing you peace and health! Sincerely, Dr.
Ming-Hui Lin, Attending Physician, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/10/05

More Info


Green stool can be a perplexing symptom that often raises concerns about underlying gastrointestinal issues. In your case, the presence of green stool alongside your ongoing gastritis treatment suggests a few potential causes that are worth exploring.

Firstly, the color of stool is primarily influenced by the food you consume and how your body processes it. Green stool can occur when food moves through the intestines too quickly, preventing bile from breaking down completely. Bile, which is produced by the liver and stored in the gallbladder, is initially green and changes to brown as it breaks down in the digestive process. If your stool is green, it may indicate that it has passed through the intestines rapidly, which can happen due to diarrhea or other gastrointestinal disturbances.

In your situation, the fact that you have been experiencing gastritis for over seven months and have had fluctuations in your stool consistency and color could suggest that your digestive system is reacting to various factors, including dietary changes, medication, or even stress. The introduction of dragon fruit yogurt into your diet may also play a role. Dragon fruit is rich in fiber and can promote bowel movements, which might explain the changes in your stool color and consistency. If your body is not accustomed to this increase in fiber, it could lead to quicker transit times through the intestines, resulting in green stool.

Moreover, certain medications can also affect stool color. If you are taking any antibiotics or medications for gastritis, these could potentially alter your gut flora and affect digestion, leading to changes in stool color. Antibiotics, in particular, can disrupt the balance of bacteria in the gut, sometimes resulting in green stools due to the rapid passage of food through the intestines.

Additionally, it’s essential to consider the possibility of dietary factors. Consuming large amounts of green vegetables, such as spinach or kale, can also lead to green stools. If your diet has included more of these foods recently, it could explain the color change.
However, it’s crucial to monitor your symptoms closely. If you experience persistent abdominal pain, changes in bowel habits, or any signs of gastrointestinal bleeding (such as blood in your stool or black, tarry stools), it is vital to seek medical attention promptly. Given your history of gastritis, it would be wise to consult with your healthcare provider about these changes. They may recommend further evaluation, such as stool tests or imaging studies, to rule out any underlying conditions.

In summary, green stool can result from a variety of factors, including rapid intestinal transit, dietary changes, and medication effects. While it may not always indicate a serious problem, it is essential to keep track of your symptoms and consult with your healthcare provider to ensure that your gastritis and any associated gastrointestinal issues are managed effectively. Maintaining a balanced diet, staying hydrated, and managing stress can also contribute positively to your gastrointestinal health.

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