Changes in Stool Color and Odor: IBS Insights - Gastroenterology and Hepatology

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Stool color and odor?


Hello, I would like to ask about my condition.
After being diagnosed with irritable bowel syndrome (IBS), my stool has always been dark brown, but in the past few days, it has turned light yellow and has a foul odor.
I've also been experiencing frequent and very smelly flatulence, sometimes with a sewage-like smell.
After using the restroom, I still feel the urge to go.
Could you please explain what might be happening? Thank you!

Youjiali, 50~59 year old female. Ask Date: 2020/02/14

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: It may be related to your diet.
Please pay attention to your eating habits, avoid high-fat and high-protein foods, and increase your intake of fruits and vegetables.
If there is no improvement, you may consider visiting a gastroenterologist for a stool examination.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2020/02/14

More Info


Understanding changes in stool color and odor can be quite concerning, especially for individuals with Irritable Bowel Syndrome (IBS). IBS is a common gastrointestinal disorder characterized by symptoms such as abdominal pain, bloating, gas, and changes in bowel habits, including diarrhea and constipation. The changes in stool color and odor you are experiencing can be attributed to several factors, including dietary changes, gut flora alterations, and the underlying condition of IBS itself.

Firstly, the color of your stool can vary based on what you eat. A diet high in certain foods, particularly those rich in fats or artificial colors, can lead to changes in stool color. For instance, if you have recently consumed more fatty foods, your stool may appear lighter or yellowish due to the malabsorption of fats. Additionally, certain foods like beets, carrots, or even food dyes can alter stool color. It's essential to consider your recent dietary habits when evaluating these changes.

The odor of your stool is also a significant indicator of digestive health. A foul smell can be attributed to the fermentation of undigested food in the intestines, which can occur in IBS. This fermentation process often leads to the production of gas, which can result in increased flatulence and a more pungent odor. The presence of a "sewer-like" smell may indicate that your gut is not processing food effectively, possibly due to an imbalance in gut bacteria or the presence of certain undigested food particles.

In your case, the combination of a change to a lighter stool color, an increase in foul-smelling gas, and a persistent urge to defecate could suggest a few possibilities. One potential explanation is that your IBS may be exacerbated by dietary factors or stress, leading to changes in bowel habits and stool characteristics. Stress is known to significantly impact gut function and can lead to increased gastrointestinal symptoms, including changes in stool consistency and frequency.

Another consideration is the possibility of an infection or an imbalance in gut flora, which can occur in individuals with IBS. This imbalance can lead to symptoms such as diarrhea, changes in stool color, and increased gas production. If you have recently experienced any gastrointestinal infections or have been on antibiotics, this could also contribute to the changes you are noticing.

It is crucial to monitor your symptoms closely. If you notice persistent changes in stool color, especially if it becomes very light or clay-colored, or if you experience other concerning symptoms such as abdominal pain, weight loss, or blood in your stool, it is essential to seek medical advice. These could be signs of more serious conditions that require further investigation.

In summary, while changes in stool color and odor can be common in individuals with IBS, they can also indicate dietary issues or potential gastrointestinal disturbances. Keeping a food diary to track your diet and symptoms may help identify any triggers. Additionally, maintaining a balanced diet rich in fiber, staying hydrated, and managing stress can help alleviate some of the symptoms associated with IBS. If symptoms persist or worsen, consulting with a healthcare provider for further evaluation and management is advisable.

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