the Causes of Bicolor Stool: Black and Yellow Explained - Gastroenterology and Hepatology

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The reasons for having stool that is half yellow and half black can vary. Yellow stool may indicate a high-fat diet, malabsorption issues, or the presence of bile, while black


Hello, doctor.
I would like to ask if it is normal to have stool that is half black and half yellow during a bowel movement this morning.
I don't recall eating anything that would cause my stool to turn black, except for having blueberries last night.
Can blueberries cause black stool? I have irritable bowel syndrome, bloating, and indigestion.
Could these issues be responsible for the stool color? I had a colonoscopy two years ago, and the results were normal.
Should I consider getting my stomach checked? Additionally, if my stool returns to a normal color the next day, does that indicate that it is more likely due to food?

Xiao Chen, 20~29 year old female. Ask Date: 2022/04/23

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: The likelihood is higher that it is caused by the food peel, because if it were bleeding, the blood would be in liquid form and would not only cause localized black discoloration; it should be entirely black instead.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2022/04/23

More Info


The presence of bicolor stool, specifically black and yellow, can be concerning and may indicate various underlying conditions. In your case, the fact that you have a history of irritable bowel syndrome (IBS), bloating, and indigestion adds complexity to the situation. First, let's address the potential causes of your stool coloration.

Black stools can result from several factors, including the consumption of certain foods, medications, or gastrointestinal bleeding. Foods that are known to darken stool include black licorice, blueberries, and iron-rich foods. Since you mentioned consuming blueberries the night before, it is plausible that they could contribute to the darker coloration of your stool. However, if the black color persists or is accompanied by other symptoms such as abdominal pain, nausea, or changes in bowel habits, it is essential to seek medical attention.

On the other hand, yellow stools can indicate a variety of issues, including malabsorption, liver problems, or infections. In individuals with IBS, stool color can fluctuate due to changes in gut motility and the digestive process. The combination of black and yellow stool could suggest a transient issue, possibly related to your diet or digestive health.

If your stool returns to a normal color the following day, it may suggest that the change was indeed related to your diet rather than a more serious underlying condition. However, it is crucial to monitor your symptoms closely. If you experience persistent changes in stool color, consistency, or any accompanying symptoms such as pain or discomfort, it would be wise to consult a healthcare professional for further evaluation.

Given your history of gastrointestinal issues, it might also be beneficial to consider dietary adjustments. Keeping a food diary can help identify any potential triggers that may exacerbate your symptoms. Additionally, staying hydrated and ensuring a balanced diet rich in fiber can support digestive health.

In summary, while the transient appearance of black and yellow stool may not be alarming, it is essential to remain vigilant about your gastrointestinal health. If the symptoms persist or worsen, seeking medical advice is the best course of action. Regular check-ups and open communication with your healthcare provider can help manage your IBS and any related digestive concerns effectively.

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