White Stool: Causes and Concerns for Your Health - Gastroenterology and Hepatology

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Bowel issues?


I would like to ask the doctor about having white stools for the past few days.
It's not continuous for several days; there are intervals, and there is no fixed frequency.
Also, not all of the stool is white (but they are clustered together).
I have internal hemorrhoids and apply a white ointment.
Could this be a possible cause?

Ming, 10~19 year old female. Ask Date: 2020/03/14

Dr. Yang Zhichao reply Gastroenterology and Hepatology


Hello, Miss Ming.
If your stool is white, please take a photo of it with your phone and show it to your doctor for evaluation.
Changhua Hospital cares about your health.

Reply Date: 2020/03/14

More Info


White stool can be a concerning symptom and may indicate various underlying health issues. It is essential to understand the potential causes and implications of this condition.

Firstly, the color of stool is primarily influenced by bile, a digestive fluid produced by the liver. Bile is typically yellowish-green, and as it passes through the intestines, it undergoes changes that can result in brown stool. When stool appears white or pale, it may suggest a lack of bile reaching the intestines, which can occur due to several reasons.

One common cause of white stool is a blockage in the bile duct. This blockage can be due to gallstones, tumors, or strictures that prevent bile from entering the intestines. If the bile flow is obstructed, it can lead to pale or clay-colored stools. This condition may be accompanied by other symptoms, such as jaundice (yellowing of the skin and eyes), dark urine, and abdominal pain, particularly in the upper right quadrant.

Another potential cause of white stool is liver disease. Conditions such as hepatitis, cirrhosis, or liver cancer can affect bile production and secretion, leading to changes in stool color. If you have a history of liver disease or other risk factors, it is crucial to consult a healthcare provider for further evaluation.

In your case, you mentioned having internal hemorrhoids and using a white topical ointment. While it is possible that the ointment could contribute to the stool's appearance, it is unlikely to be the sole reason for the white color. The intermittent nature of your symptoms and the fact that the stool is not entirely white but has white patches could suggest a more complex issue.

It is essential to monitor your symptoms closely. If you experience any additional symptoms such as abdominal pain, changes in appetite, weight loss, or jaundice, you should seek medical attention promptly. A healthcare provider may recommend diagnostic tests, such as blood tests, imaging studies (like an ultrasound or CT scan), or endoscopy, to determine the underlying cause of your symptoms.

In summary, while occasional white stool may not always indicate a severe problem, it is crucial to take it seriously, especially if it persists or is accompanied by other concerning symptoms. Consulting a healthcare professional for a thorough evaluation is the best course of action to ensure your health and well-being.

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