Dark Purple Diarrhea During Ovulation: When to Seek Help

Diarrhea during ovulation with dark color?

Dr.
Chen would like to inquire about experiencing diarrhea for three days after menstruation over the past six months.
Recently, he consumed red beans, purple rice, spinach, and blueberries, which resulted in the diarrhea being a deep purple-red color.
Two years ago, he underwent a gastroscopy, during which a 1 cm gastric polyp was removed, and there were no polyps found in the colon at that time.
Should he continue to monitor this condition, or should he seek immediate medical evaluation? Thank you, doctor.

Yuan, 30~39 year old female. Ask Date: 2023/12/13

Dr. Chen Shidian reply Gastroenterology and Hepatology

No need to worry, you can continue to observe.

Reply Date: 2023/12/13

More Info

When it comes to experiencing dark purple diarrhea, especially during ovulation, it is essential to consider various factors that could contribute to this symptom. The presence of deep purple or dark red stools can often be alarming, and it is crucial to understand the potential causes and when to seek medical attention.

Firstly, the color of your stool can be influenced by your diet. Foods such as red beans, purple rice, spinach, and blueberries, which you mentioned consuming, can impart a dark color to your stool. This is particularly true if these foods are consumed in significant quantities. The pigments in these foods can lead to changes in stool color, which may not necessarily indicate a gastrointestinal issue. However, if the color persists or is accompanied by other symptoms, further evaluation may be warranted.

Given your history of gastrointestinal issues, including a previous endoscopy where a gastric polyp was removed, it is wise to remain vigilant about any changes in your bowel habits. While your prior colonoscopy showed no polyps, the presence of new symptoms, such as dark purple diarrhea, should not be ignored. It is essential to differentiate between dietary causes and potential underlying gastrointestinal conditions, such as bleeding or inflammation.

If you experience additional symptoms such as abdominal pain, cramping, fever, or blood in your stool, it is advisable to seek medical attention promptly. These symptoms could indicate a more serious condition, such as gastrointestinal bleeding, infection, or inflammatory bowel disease. In such cases, a healthcare provider may recommend further diagnostic tests, including stool tests, imaging studies, or even repeat endoscopy, to assess the situation thoroughly.

In your case, since the dark purple diarrhea coincides with your menstrual cycle, it may also be worth considering whether hormonal changes could be influencing your gastrointestinal function. Some women experience gastrointestinal symptoms related to hormonal fluctuations during their menstrual cycle, which can include diarrhea or changes in stool consistency.

In summary, while dietary factors may explain the dark purple color of your stool, it is essential to monitor your symptoms closely. If the diarrhea persists beyond a few days, or if you develop additional concerning symptoms, it would be prudent to consult with a healthcare professional. They can provide a comprehensive evaluation and determine whether further testing or treatment is necessary. Remember, it is always better to err on the side of caution when it comes to gastrointestinal health.

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