Can K.C.B. Medication Cause Black Stool? Gastrointestinal Effects - Gastroenterology and Hepatology

Share to:

Bowel issues


Hello Doctor, I would like to ask if K.C.B.
(Bismuth Subcitrate) enteric-coated tablets can cause black stools.
I visited a colorectal surgeon yesterday, and the doctor prescribed this medication to help alleviate my diarrhea.
I just checked, and it contains Bismuth Subcitrate, which is known to cause black stools.
However, the prescription mentions it may cause gray stools but does not mention black stools, so I am a bit concerned and would like to inquire about this.
Thank you for your response.

yu, 20~29 year old female. Ask Date: 2023/10/04

Dr. Chen Shidian reply Gastroenterology and Hepatology


It may be caused by medication; you can try stopping the medication and observe.
If the darkening of hair color persists, medical attention is necessary.

Reply Date: 2023/10/04

More Info


K.C.B. medication, which contains Bismuth subcitrate, can indeed lead to black stools as a side effect. Bismuth compounds are commonly used in the treatment of gastrointestinal issues, including diarrhea and peptic ulcers. They work by coating the stomach lining and protecting it from irritation, while also having antimicrobial properties. However, one of the well-known side effects of bismuth-containing medications is the darkening of stools, which can appear black.

The reason for this color change is that bismuth can react with sulfur in the gastrointestinal tract to form bismuth sulfide, which is black. This is a harmless effect and is not indicative of gastrointestinal bleeding, which is a common concern when one notices black stools. In fact, true melena (black, tarry stools) is typically associated with upper gastrointestinal bleeding, where the blood has had time to be digested and altered by stomach acids.

In your case, since you are taking K.C.B. to alleviate diarrhea, it is important to monitor your stool color and consistency. If you notice that your stools remain black for an extended period or if they become more liquid and tarry, it would be prudent to consult your healthcare provider. This is especially true if you experience any additional symptoms such as abdominal pain, dizziness, or weakness, which could indicate a more serious condition.

Regarding your concerns about the potential for gray stools, it is worth noting that while bismuth can cause black stools, other medications or dietary factors can also influence stool color. If you are experiencing persistent changes in stool color or consistency, it may be beneficial to discuss this with your doctor, who may consider adjusting your medication or conducting further evaluations.

In summary, while K.C.B. can cause black stools due to its bismuth content, this is generally a benign side effect. However, it is essential to remain vigilant about any significant changes in your gastrointestinal symptoms and to communicate openly with your healthcare provider about your concerns. If you have any doubts or if your symptoms worsen, seeking medical advice is always the best course of action.

Similar Q&A

Understanding Black and Green Stool: Possible Causes and Medication Effects

Hello, doctor. Today I noticed that my stool was very dark, and there was a green color when I wiped. Could this be related to the medications I have been taking? The medications include: Hiwang enteric-coated tablets, Amoxicillin, and Chloramphenicol. Thank you.


Dr. Ke Fangxu reply Surgery
The use of these medications is indeed for the treatment of Helicobacter pylori. It is common to experience loose stools and abnormal coloration after 3-5 days of use, as the intestinal flora is also affected. However, these symptoms will return to normal once the treatment is co...

[Read More] Understanding Black and Green Stool: Possible Causes and Medication Effects


Understanding Side Effects of Psychiatric Medications: A Patient's Concern

Due to depression for four months, I am currently taking the following medications: Fuanyuan three times a day, two capsules of Rifampicin (Rifampin) at bedtime, two capsules of Clonazepam, two capsules of Duloxetine, and Amberning as needed. Recently, I have noticed two issues: ...


Dr. Liang Sunyuan reply Psychiatry
Hello Rick: 1. If you are still experiencing instability after taking medication for more than 12 hours, it is advisable to return to the clinic and discuss with your physician whether a medication adjustment is necessary. 2. If you notice black stools, first consider whether any...

[Read More] Understanding Side Effects of Psychiatric Medications: A Patient's Concern


Understanding Black Stool: Causes and Concerns for Your Health

Hello, Doctor: Today I was startled by my stool because it appeared almost black. I have looked up information online and it said that this could be due to gastrointestinal bleeding. I am very worried, but I have been taking medication for the past few days... it’s for my circumc...


Dr. Chen Shidian reply Gastroenterology and Hepatology
Dear concerned individual: Please discuss with your physician and, if necessary, visit the gastroenterology clinic for stool examination and further evaluation (it is recommended to discontinue anti-inflammatory medication for now). Changhua Hospital cares about your health. Chen...

[Read More] Understanding Black Stool: Causes and Concerns for Your Health


Understanding Side Effects After Ulcer Treatment: Black Stool and More

Hello, doctor. After experiencing black stools for two consecutive days, I was diagnosed with a gastric ulcer. The doctor prescribed Pantoprazole 40 mg and Sucralfate 1 GM/10 ML. I have experienced side effects of constipation and headaches. On the first bowel movement two days a...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If there are side effects from medication, you can consult your physician to change the medication and make a note of the drug name to avoid taking it again in the future. Usually, there may still be some old black stools in the intestines that need to be fully expelled. H...

[Read More] Understanding Side Effects After Ulcer Treatment: Black Stool and More


Related FAQ

Medication Side Effects

(Gastroenterology and Hepatology)

Hepatitis B Medication

(Gastroenterology and Hepatology)

Diarrhea

(Gastroenterology and Hepatology)

Constipation

(Gastroenterology and Hepatology)

B

(Gastroenterology and Hepatology)

Jaundice

(Gastroenterology and Hepatology)

Drug Interactions

(Gastroenterology and Hepatology)

Gastrointestinal Bloating

(Gastroenterology and Hepatology)

Accidental Ingestion

(Gastroenterology and Hepatology)

Blood In Stool

(Gastroenterology and Hepatology)