Yellow Granules in Stool: Causes and Concerns - Gastroenterology and Hepatology

Q: Yellow Granules in Stool: Causes and Concerns

Hello： If you have undergone an endoscopy and no issues were found, there is no need to worry excessively. <br>Sometimes, the presence of undigested or unchewed food can lead to such phenomena. <br>Changhua Hospital cares about your health. <br>Dr. <br>Tsai An-shun.

There are yellow specks in the stool?

Hello, I am someone who suffers from chronic constipation.
Sometimes I have regular bowel movements, but other times I may go three to four days without a bowel movement, during which I take enzymes (I do not feel uncomfortable when constipated).
I have a question that has been bothering me for several years: when I go to the bathroom, I notice small, peanut-sized objects of a similar color in my stool.
Each time I use the restroom, there is usually one or more than three of these objects.
I have poked at them with toilet paper, and they are soft, but I still do not understand why they appear.
Three years ago, I saw a doctor who performed a stool test and a colonoscopy, but nothing unusual was found.
However, I still experience this when I go to the bathroom, which makes me a bit worried.
Can you please tell me what might be the cause of this? Thank you.

scarce, 30~39 year old female. Ask Date: 2020/07/13

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: If you have undergone an endoscopy and no issues were found, there is no need to worry excessively.
Sometimes, the presence of undigested or unchewed food can lead to such phenomena.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2020/07/13

More Info

The presence of yellow granules in your stool can be concerning, especially if it has been a recurring issue for several years. Based on your description, these granules are soft and resemble the size of peanuts. While I cannot provide a definitive diagnosis without a physical examination and further testing, I can offer some insights into potential causes and considerations.

Firstly, the yellow granules could be related to dietary factors. Certain foods, especially those high in fat or fiber, can lead to the formation of undigested food particles in the stool. For instance, if you consume a lot of nuts, seeds, or fibrous vegetables, these may not be fully broken down during digestion, resulting in their appearance in your stool. Additionally, if you have a high-fat diet, it can lead to the presence of fat globules, which may appear as yellowish granules.

Another possibility is related to the digestive process itself. If you are experiencing constipation, as you mentioned, the stool may become harder and more compacted, which can lead to the formation of these granules. When stool is not passed regularly, it can also lead to the accumulation of bile salts, which can give a yellowish color to the stool.
Moreover, the presence of yellow granules could also indicate a malabsorption issue. Conditions such as celiac disease, Crohn's disease, or other gastrointestinal disorders can affect how your body absorbs nutrients, leading to undigested food particles in your stool. However, since you have previously undergone stool tests and a colonoscopy that did not reveal any abnormalities, this may be less likely.

It is also worth considering the role of gut flora. An imbalance in gut bacteria can affect digestion and stool consistency. Probiotics or dietary changes may help restore balance and improve your digestive health.

Given that you have already consulted with a physician and undergone testing, it might be beneficial to revisit your healthcare provider, especially if the issue persists or worsens. You may want to discuss your dietary habits in detail, as well as any other symptoms you may be experiencing, such as abdominal pain, changes in bowel habits, or weight loss.
In summary, while the presence of yellow granules in your stool can be attributed to dietary factors, digestive issues, or malabsorption, it is essential to continue monitoring your symptoms and seek further medical advice if necessary. Keeping a food diary and noting any changes in your bowel habits can also provide valuable information for your healthcare provider. Remember, maintaining a balanced diet, staying hydrated, and managing stress can significantly impact your digestive health and overall well-being.

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