Changes in Bowel Movements: What Black-Green Stool Means - Nutrition

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Excretion issues?


I would like to ask about my bowel movements.
I almost have a bowel movement every day.
A few months ago, I had a habit of eating red-fleshed guava, which made me go several times a day.
However, after I stopped eating it, I didn't have a bowel movement for three consecutive days until this morning.
When I finally went, my stool was dark green and had an unpleasant odor.
Is there something wrong with my body? My height is 165 cm and my weight is 44 kg.

Ru Ru, 20~29 year old female. Ask Date: 2005/03/04

Dr. Cai Xiuwen reply Nutrition


Hello! To help with bowel movements, it is beneficial to consume more high-fiber foods such as brown rice, whole grain rice, vegetables, and fruits.
Additionally, it is important to drink plenty of water.
The longer stool remains in the intestines, the more nitrogenous waste the intestines will absorb, and the more harmful gas-producing bacteria will proliferate, resulting in a worse odor.
It is recommended to develop a habit of drinking a glass of water every morning and then going to the bathroom, as establishing a regular bowel movement schedule is important for health.
Regarding your previous daily bowel movements and now having a bowel movement every three days, this does not seem to indicate a specific intestinal issue.
However, if you have concerns, it is advisable to consult a gastroenterologist for further examination.
Wishing you good health.
This response is provided by Dietitian Tsai Hsiu-Wen from Nantou Hospital, Department of Health.

Reply Date: 2005/03/04

More Info


Changes in bowel movements, particularly the color of stool, can often be indicative of dietary habits, digestive health, or underlying medical conditions. In your case, the observation of black-green stool can be attributed to several factors, and it’s essential to understand these to determine if there is a cause for concern.

Firstly, the color of stool is primarily influenced by what you eat. Foods rich in chlorophyll, such as leafy greens (spinach, kale), can lead to greenish stool. If you have recently consumed a significant amount of such foods, this could explain the color change. Additionally, certain foods, particularly those high in iron or artificial coloring, can also alter stool color. For instance, consuming iron supplements or foods like black licorice can result in darker stools.

Moreover, the digestive process plays a crucial role in stool color. When food moves through the intestines too quickly, as can happen with diarrhea, it may not have enough time to break down completely, leading to green stool. This rapid transit can be due to various reasons, including infections, food intolerances, or stress. If you experienced any gastrointestinal discomfort or changes in your diet leading up to this change, it might be worth considering.

In your specific case, you mentioned that you have not had a bowel movement for three days prior to the black-green stool. This could indicate a temporary disruption in your digestive system. The foul odor you noted could also suggest that the stool is a result of a buildup of waste that has been sitting in your intestines longer than usual, which can lead to fermentation and the production of gas, resulting in an unpleasant smell.

However, it’s important to consider that while dietary factors are often the primary cause of stool color changes, there are medical conditions that can also lead to abnormal stool colors. For instance, black stools can indicate the presence of blood, particularly from the upper gastrointestinal tract, which may be digested and appear dark. If the stool is black and tarry, it is crucial to seek medical attention promptly, as it could signify a serious condition.

Given your history of irregular bowel movements and the recent change in stool color, it would be wise to monitor your symptoms closely. If the black-green stool persists, or if you experience additional symptoms such as abdominal pain, nausea, vomiting, or any signs of bleeding, you should consult a healthcare professional. They may recommend stool tests or other diagnostic procedures to rule out any underlying issues.

In summary, while changes in stool color can often be attributed to dietary habits, they can also signal potential health concerns. It’s essential to pay attention to your body’s signals and seek medical advice if you have any doubts or if symptoms persist. Maintaining a balanced diet, staying hydrated, and managing stress can also contribute to better digestive health.

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