Stool Color Changes: What Your Bowel Movements May Indicate - Gastroenterology and Hepatology

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Issues with Stool Color


Hello Doctor, I have irritable bowel syndrome.
Today at noon, I had two small pieces of yellow stool, but then I passed a lot of deep brown stool that looked almost dark red and had a strong sour smell.
After dinner, I passed a small amount of stool that looks like the picture here: https://drive.google.com/file/d/18CgHXpZafF39CX_nixW6q5z4cxEF6b6A/view?usp=sharing.
In the photo, it appears dark red, and the color temperature seems adjusted to look more realistic.
It resembles a darker latte with some mucus on the side that looks a bit like snot.
I would like to ask the doctor if this indicates bleeding?

Huang, 20~29 year old female. Ask Date: 2020/09/22

Dr. Chen Shidian reply Gastroenterology and Hepatology


Please continue to monitor and pay attention to food-related concerns; a stool occult blood test can be performed for further evaluation.

Reply Date: 2020/09/22

More Info


Understanding the changes in stool color and consistency can provide valuable insights into your gastrointestinal health, especially for individuals with conditions like Irritable Bowel Syndrome (IBS). Based on your description, it seems you are experiencing a range of stool colors and consistencies, which can be concerning.
Firstly, it's important to note that stool color can be influenced by various factors, including diet, hydration, and the presence of gastrointestinal conditions. Normal stool colors range from light brown to dark brown, primarily due to the presence of bile and bilirubin, which are products of liver metabolism. However, changes in color can indicate different underlying issues.

In your case, the transition from yellow to deep brown and potentially reddish stool raises some questions. Yellow stool can be a result of a diet high in fats or certain foods, while brown stool is typically normal. The appearance of deep brown or dark reddish stool could suggest the presence of blood, especially if it appears darker than usual or has a tarry consistency, which is often associated with upper gastrointestinal bleeding. However, if the stool is more of a reddish hue without the tar-like consistency, it may indicate bleeding from the lower gastrointestinal tract, such as the colon.

The presence of a foul odor and mucus-like consistency can also be significant. Mucus in the stool can occur due to inflammation in the intestines, which is common in IBS. The foul smell may indicate the presence of undigested food or an imbalance in gut bacteria, which can also be influenced by diet or gastrointestinal infections.

Given your symptoms, it is advisable to monitor your stool closely. If you notice persistent changes in color, especially if they are accompanied by other symptoms such as abdominal pain, changes in bowel habits, or weight loss, it would be prudent to consult a healthcare professional. A stool test for occult blood may be recommended to rule out any bleeding, and further investigations may be necessary to assess your gastrointestinal health.

In addition to monitoring your symptoms, consider evaluating your diet. Foods rich in artificial colors, beets, or certain medications can also cause changes in stool color. Keeping a food diary may help identify any correlations between your diet and stool changes.

Lastly, stress and anxiety can significantly impact gastrointestinal function, particularly in individuals with IBS. Stress management techniques, such as mindfulness, yoga, or cognitive behavioral therapy, may help alleviate some of the symptoms you are experiencing.

In summary, while changes in stool color can be benign and related to diet or IBS, the specific characteristics you described warrant careful observation. If the changes persist or worsen, seeking medical advice is essential to ensure proper evaluation and management of your gastrointestinal health.

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