White Substance in Stool: Signs of Colitis? - Gastroenterology and Hepatology

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The stool has a white liquid?


Hello doctor, three weeks ago I experienced a severe episode of diarrhea, having 7 to 8 bowel movements in one day.
During the last bowel movement, I noticed some blood in my stool.
The amount of blood was not significant, but seeing it was quite alarming.
After that, I started monitoring my bowel movements and found that although my stools have returned to normal (in shape and color), they now contain white, cotton-like substances.
Could this be a symptom of colitis? Should I undergo a colonoscopy for further evaluation?

Niming, 20~29 year old female. Ask Date: 2014/11/09

Dr. Lin Minghui reply Gastroenterology and Hepatology


Hello: In cases of severe gastroenteritis, there may be blood and mucus in the stool.
If stool tests show blood and mucus, or if symptoms such as abdominal pain, diarrhea, bloody stools, or weight loss are present, a colonoscopy may be arranged to check for the possibility of inflammatory bowel disease or other colitis and other colonic lesions.
Wishing you safety and health.
Sincerely, Dr.
Lin Ming-Hui, Department of Gastroenterology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2014/11/09

More Info


When it comes to the presence of white substances in stool, particularly after experiencing severe diarrhea and rectal bleeding, it is essential to approach the situation with caution and an understanding of potential underlying conditions. The symptoms you describe, including the initial severe diarrhea and the subsequent appearance of white, cotton-like substances in your stool, could indicate a few different gastrointestinal issues.

Firstly, the initial episode of severe diarrhea accompanied by blood could suggest a form of colitis, which is inflammation of the colon. Colitis can be caused by various factors, including infections (bacterial, viral, or parasitic), inflammatory bowel diseases (such as ulcerative colitis or Crohn's disease), or even ischemic conditions where blood flow to the colon is reduced. The presence of blood in the stool is a concerning symptom that typically warrants further investigation, especially if it occurs alongside diarrhea.

The white, cotton-like substances you are observing in your stool could be mucus. Mucus in stool can be a normal finding, as the intestines produce mucus to help with the passage of stool. However, an increase in mucus production can also be a sign of inflammation or irritation in the gastrointestinal tract. In conditions like colitis, the intestinal lining may become inflamed, leading to increased mucus secretion.
Given your history of diarrhea and rectal bleeding, it is advisable to consult with a healthcare professional for a thorough evaluation. A colonoscopy may be recommended to visualize the colon and obtain biopsies if necessary. This procedure can help identify any inflammation, ulcers, or other abnormalities in the colon that could explain your symptoms.
In addition to a colonoscopy, your healthcare provider may also consider other diagnostic tests, such as stool studies to check for infections or inflammatory markers in your blood. These tests can help rule out infectious causes and assess the overall health of your gastrointestinal system.

It is important to note that while the presence of mucus or white substances in stool can be associated with colitis, it is not definitive on its own. Other conditions, such as irritable bowel syndrome (IBS), can also present with similar symptoms. Therefore, a comprehensive evaluation is crucial to determine the exact cause of your symptoms and to guide appropriate treatment.

In summary, while the symptoms you are experiencing could be related to colitis or another gastrointestinal condition, it is essential to seek medical advice for a proper diagnosis and management plan. Early intervention can help prevent complications and ensure that any underlying issues are addressed promptly.

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