Bowel Issues: What Does Greenish Discharge Mean? - Gastroenterology and Hepatology

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Bowel issues


I noticed that my underwear has been damp and has a somewhat grass green color that appears oily.
After a meeting this morning, a colleague noticed that my skirt was dirty and thought I had started my menstrual period.
Dr.
Hsu, could you please advise me on what might be happening with my body? Thank you.

LI, 30~39 year old female. Ask Date: 2008/02/26

Dr. Xu Jinchuan reply Gastroenterology and Hepatology


Hello, it is advisable to consult a gastroenterologist to determine if a stool test is necessary.
Based solely on the description in the letter, it is difficult to make a detailed assessment.

Reply Date: 2008/02/26

More Info


When it comes to bowel issues, particularly the observation of greenish discharge, there are several factors to consider. The color and consistency of stool can provide insights into one’s digestive health and overall well-being. In your case, the greenish discharge you described could be attributed to a variety of causes, ranging from dietary influences to potential gastrointestinal issues.

Firstly, it’s important to note that the color of stool is largely influenced by what we eat. Foods rich in chlorophyll, such as leafy greens (spinach, kale, etc.), can lead to green-colored stool. Additionally, certain food dyes and supplements, particularly iron supplements, can also affect stool color. If you have recently increased your intake of such foods or supplements, this could explain the greenish hue.

However, if dietary changes do not account for the color change, it may indicate a more complex issue. Green stool can sometimes result from rapid transit through the intestines, meaning that food is moving too quickly through the digestive tract for bile (which is initially green) to break down completely. This can occur in conditions such as diarrhea or irritable bowel syndrome (IBS), which you mentioned having a history of. Stress and anxiety can exacerbate IBS symptoms, leading to changes in bowel habits and stool appearance.

The presence of a greenish, oily discharge, as you described, raises additional concerns. Oily stools can suggest malabsorption, which occurs when the body does not adequately absorb nutrients from food. This can be due to various conditions, including pancreatic insufficiency, celiac disease, or infections. If the discharge is accompanied by other symptoms such as abdominal pain, bloating, or weight loss, it would be prudent to seek medical attention.

Furthermore, the fact that your colleagues mistook the discharge for menstrual bleeding indicates that it may be significant enough to warrant further investigation. While it’s understandable to feel embarrassed, it’s crucial to prioritize your health. A healthcare professional can perform tests, such as stool analysis, to check for infections, inflammation, or malabsorption issues. They may also evaluate your dietary habits and overall gastrointestinal health.

In summary, while greenish stool can often be benign and related to diet, the presence of oily discharge and the context of your symptoms suggest that it may be wise to consult a healthcare provider. They can help determine whether this is a simple dietary issue or if further investigation is needed to rule out any underlying health concerns. It’s always better to err on the side of caution when it comes to changes in bowel habits, especially when they are accompanied by other symptoms.

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