Green Stool: Causes and Concerns in Gastrointestinal Health - Gastroenterology and Hepatology

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Green stool


Hello Doctor: Since March 30th, almost every time I have a bowel movement, my stool has been green.
Most of the time, the shape is normal, but occasionally it is unformed.
I would like to know what this could indicate.
I had an upper endoscopy on March 21st; could this be related?

Anita, 30~39 year old female. Ask Date: 2023/05/17

Dr. Chen Shidian reply Gastroenterology and Hepatology


No relevant findings.
Further observation is needed to determine if there is a relationship with the types of food.

Reply Date: 2023/05/17

More Info


Green stool can be a concerning symptom for many individuals, often leading to anxiety about potential underlying health issues. However, it is essential to understand that the color of stool can be influenced by various factors, including diet, medications, and gastrointestinal health.

One of the primary reasons for green stool is the presence of bile, which is a digestive fluid produced by the liver. Bile is typically yellow-green in color, and as it travels through the intestines, it can change color due to the digestive process. If stool passes through the intestines too quickly, such as in cases of diarrhea, it may not have enough time to change from green to brown, resulting in green stool. This can occur due to various reasons, including infections, stress, or dietary changes.

In your case, the fact that you have been experiencing green stool consistently since March 30, with mostly normal shapes but occasional unformed stools, suggests that there may be a few factors at play. If you have recently undergone an upper gastrointestinal endoscopy (gastroscopy) on March 21, it is possible that the procedure may have temporarily affected your digestive system. Sometimes, procedures can lead to changes in bowel habits or the absorption of nutrients, which might contribute to changes in stool color.

Diet is another significant factor that can influence stool color. While you did not mention any specific dietary changes, consuming foods that are high in chlorophyll, such as leafy greens, or foods with artificial coloring can lead to green stool. Additionally, certain supplements or medications can also affect stool color. For instance, iron supplements can cause dark green or black stools, while some antibiotics can alter gut bacteria and lead to changes in stool consistency and color.

Given that your stool is mostly formed and you do not report any significant discomfort, this may not be a cause for alarm. However, it is essential to monitor your symptoms closely. If you experience any additional symptoms such as abdominal pain, persistent diarrhea, fever, or blood in your stool, it would be prudent to seek medical attention. A healthcare provider may recommend stool tests to rule out infections, malabsorption issues, or other gastrointestinal conditions.

In summary, while green stool can be alarming, it is often related to dietary factors, the speed of digestion, or recent medical procedures. Since you have had a recent endoscopy, it is possible that your gastrointestinal system is still adjusting. If the green stool persists or if you develop any concerning symptoms, it is advisable to consult with your healthcare provider for further evaluation and reassurance. Regular monitoring and open communication with your doctor will help ensure that any potential issues are addressed promptly.

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