Scary Stool Changes: When to See a Doctor for Digestive Issues - Gastroenterology and Hepatology

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Oh my gosh~ what a scary stool!


Something terrifying happened with my bowel movement tonight.
I passed about three stools.
The first two were red, and the last one was black.
Oh my gosh, how could this happen? Could it be related to food? Last night, I had a plate of red fermented pork, and this morning, I had a bowl of pig's blood soup.
Should I see a doctor?

Xiao An, 30~39 year old female. Ask Date: 2005/08/14

Dr. Yuan Hongdao reply Gastroenterology and Hepatology


Hello, certain foods can cause stool to appear red or black; for example, pig's blood can make stool turn black.
If there is no abdominal pain or dizziness, it is advisable to monitor the situation.
If the stool remains black or red, you can collect a sample in a plastic bag and bring it to the outpatient clinic for testing.
Sincerely, Dr.
Yuan Hong-Dao, Internal Medicine.

Reply Date: 2005/08/14

More Info


When it comes to changes in bowel movements, especially those that involve unusual colors or consistencies, it is essential to approach the situation with caution. The symptoms you describe—having red and black stools—can be alarming and may indicate underlying health issues that require medical attention.

Firstly, the color of your stool can provide valuable insights into your digestive health. Red stools can be indicative of bleeding in the lower gastrointestinal tract, such as from hemorrhoids or diverticulitis, or they could be a result of consuming certain foods, such as beets or red food coloring. In your case, since you mentioned eating red fermented pork (紅糟肉) and pig's blood soup (豬血湯), it is possible that the red color could be attributed to these foods. However, it is crucial to note that if the red color persists beyond the consumption of these foods, it could signify a more serious condition that warrants further investigation.

On the other hand, black stools can indicate bleeding from the upper gastrointestinal tract, such as from ulcers or gastritis, as the blood turns black as it is digested. Black stools can also result from certain medications, particularly iron supplements or bismuth subsalicylate (found in medications like Pepto-Bismol), or from consuming foods like black licorice or blueberries. Given that you have experienced both red and black stools in a short period, this combination is particularly concerning.

In general, if you notice any of the following symptoms, it is advisable to seek medical attention promptly:
1. Persistent Changes: If the changes in stool color persist for more than a couple of days, it is essential to consult a healthcare professional.

2. Accompanying Symptoms: If you experience additional symptoms such as abdominal pain, cramping, nausea, vomiting, or changes in appetite, these could indicate a more serious condition.

3. Signs of Blood: If you notice blood in your stool or if your stool appears tarry or black without a clear dietary cause, you should see a doctor immediately.

4. Dehydration: If you experience diarrhea along with these changes and signs of dehydration (such as dizziness, dry mouth, or decreased urination), it is crucial to seek medical help.

In your case, considering the combination of red and black stools, it would be prudent to consult a healthcare provider. They may recommend diagnostic tests, such as a stool test, blood tests, or imaging studies, to determine the cause of these changes and to rule out any serious conditions.

In conclusion, while dietary factors can influence stool color, the presence of both red and black stools is a concerning sign that should not be ignored. It is always better to err on the side of caution when it comes to your health. Seeking medical advice can provide peace of mind and ensure that any potential issues are addressed promptly.

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