Unusual Stool: Causes and When to Seek Medical Advice - Gastroenterology and Hepatology

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Presence of foreign objects in stool?


Hello doctor, I have noticed that recently when I have diarrhea or softer stools, there are yellowish substances in my stool that resemble egg yolk, almost like a membrane or film.
I would like to ask what might be the cause and if I need to get checked.
I have irritable bowel syndrome and had a normal colonoscopy six months ago.

Mr. Wei, 20~29 year old female. Ask Date: 2022/05/27

Dr. Chen Shidian reply Gastroenterology and Hepatology


Observation is sufficient.

Reply Date: 2022/05/27

More Info


Understanding unusual stool can be a crucial aspect of monitoring your gastrointestinal health, especially for individuals with pre-existing conditions like irritable bowel syndrome (IBS). The presence of unusual substances in your stool, such as yellowish, membrane-like material, can be concerning and may warrant further investigation.

Firstly, it’s important to recognize that stool consistency and appearance can be influenced by a variety of factors, including diet, hydration, and underlying health conditions. In your case, the occurrence of softer stools or diarrhea, along with the presence of yellowish material, could be attributed to several potential causes:
1. Dietary Factors: Changes in your diet can significantly affect stool consistency. High-fat foods, dairy products, or certain fruits and vegetables can lead to softer stools or the appearance of unusual substances. If you have recently altered your diet, consider whether this might be a contributing factor.

2. Irritable Bowel Syndrome (IBS): Since you have a history of IBS, it’s possible that your symptoms are related to this condition. IBS can cause a range of gastrointestinal symptoms, including diarrhea, constipation, and changes in stool appearance. Stress and anxiety, which often accompany IBS, can also exacerbate these symptoms.

3. Infections: Gastrointestinal infections, whether viral, bacterial, or parasitic, can lead to diarrhea and changes in stool appearance. If you have experienced other symptoms such as fever, abdominal pain, or nausea, it may be worth considering an infection as a potential cause.

4. Malabsorption Issues: Conditions that affect nutrient absorption, such as celiac disease or pancreatitis, can lead to the presence of undigested food particles or unusual substances in the stool. If you notice persistent changes in your stool, it may be beneficial to discuss this with your healthcare provider.

5. Mucus in Stool: The presence of mucus in stool can be normal, but an increase in mucus production can indicate inflammation in the intestines, which may be associated with conditions like IBS or inflammatory bowel disease (IBD).

Given your symptoms and history, it is advisable to seek medical advice, especially if the unusual stool persists or is accompanied by other concerning symptoms such as significant abdominal pain, weight loss, or blood in the stool. A healthcare provider may recommend further evaluation, which could include stool tests, imaging studies, or even a repeat colonoscopy if deemed necessary.

In summary, while occasional changes in stool appearance can be benign, persistent or concerning symptoms should not be ignored. It’s always better to err on the side of caution and consult with a healthcare professional who can provide personalized advice and appropriate diagnostic testing based on your specific situation. Your health and peace of mind are paramount, and addressing these symptoms early can lead to better outcomes.

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