Digestive Issues: What Does Your Stool Say About You? - Gastroenterology and Hepatology

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The stool contains a lot of vegetable residue?


Hello, Doctor.
About six months ago, I visited a gastroenterologist several times due to bloating issues.
The doctor mentioned I had gas problems and prescribed medication, but I took it casually and it was left unresolved.
Recently, two weeks ago, I started feeling significant bloating discomfort again, so I went back to the gastroenterologist.
They took an X-ray, and the doctor concluded that it was still a gas issue, so I started taking medication again, including something called "Normacol," which is a dietary fiber supplement.

The important point is that in the past few days, my bowel movements have not been watery or hard pellets; the stool color is somewhat earthy yellow, but the shape is looser, and there is a noticeable amount of dark vegetable residue mixed in.
Additionally, I’m not sure if it’s related to the fact that I recently ate tomatoes and lion's head meatballs (ground meatballs), but there are clearly some "red fruit skins" and "light pink, ground meat-like remnants" in my stool.

I would like to know if it is common for someone experiencing indigestion or taking laxatives to have such stool characteristics, especially the presence of "light pink, ground meat-like remnants."
P.S.
I am aware that I have hemorrhoids and have previously undergone treatment with suppositories.
I have not had a colonoscopy yet and am still considering whether I need one (I feel like I might be overreacting, but I also think it might be wrong not to get checked...
0.0).

ZAX002, 20~29 year old female. Ask Date: 2015/07/17

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: The light pink residue you observed may be the skin of the tomato.
Any plant fiber cannot be digested or absorbed by the human intestinal tract, especially when consuming darker-colored plant fibers, which may appear in the stool.
This should not be considered a problem of indigestion.
Indigestion refers to delayed gastric emptying or slow intestinal motility, where food/stool moves slowly through the intestines, prolonging the time it takes for the intestinal tract to expel food residues, which is referred to as fecal retention.
When fecal matter remains in the colon for too long, excessive water absorption can occur, leading to constipation.
Excessive constipation/fecal retention creates a vicious cycle, further slowing digestion and intestinal motility.
Whether a colonoscopy is necessary should be determined by a physician (gastroenterologist or colorectal specialist).
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2015/07/17

More Info


When it comes to digestive health, the characteristics of your stool can provide valuable insights into your overall well-being. Based on your description, it seems you are experiencing some digestive issues, particularly with bloating and the appearance of your stool. Let's break down the situation and discuss what your stool may indicate about your digestive health.

Firstly, the fact that you are experiencing bloating and have been prescribed medications like Normacol, which is a fiber supplement, suggests that your healthcare provider is addressing potential constipation or irregular bowel movements. Fiber supplements are often recommended to help regulate bowel movements and improve stool consistency. However, it's important to note that while fiber can help, it may also lead to changes in stool appearance, especially if your body is adjusting to increased fiber intake.

Regarding the characteristics of your stool, you mentioned that it is a "muddy yellow" color and appears loose, with noticeable dark vegetable remnants. The presence of vegetable matter is generally normal, especially if you have been consuming a diet rich in vegetables. However, the color and consistency of your stool can be influenced by various factors, including your diet, hydration levels, and digestive health.

The appearance of "red fruit skins" and "light pink, ground meat-like remnants" in your stool raises some questions. If you recently consumed tomatoes and meatballs, it is possible that these foods are contributing to the appearance of your stool. Foods like tomatoes can sometimes pass through the digestive system without being fully broken down, leading to visible remnants in your stool. The pinkish color could also be attributed to the meat you consumed, especially if it was ground meat, which may not fully digest and can appear as small particles in your stool.

However, it is essential to consider the possibility of other underlying issues. The presence of unusual colors or textures in your stool, particularly if they are accompanied by other symptoms such as pain, significant changes in bowel habits, or blood, should not be ignored. Given that you have a history of hemorrhoids, it's also important to monitor for any signs of bleeding or discomfort during bowel movements, as this could indicate complications related to your condition.

As for your concerns about whether you should undergo a colonoscopy, it is understandable to feel apprehensive. A colonoscopy is a valuable diagnostic tool that can help identify any underlying issues in the colon, such as polyps, inflammation, or other abnormalities. If you have persistent symptoms, significant changes in your stool, or a family history of gastrointestinal issues, it may be prudent to discuss the need for a colonoscopy with your healthcare provider. They can help assess your risk factors and determine whether this procedure is necessary for your situation.

In summary, while changes in stool appearance can be influenced by dietary factors and medications, it is crucial to remain vigilant about any concerning symptoms. If you continue to experience bloating, changes in stool consistency, or any other gastrointestinal issues, it is advisable to follow up with your healthcare provider. They can provide further evaluation and guidance on whether additional diagnostic tests, such as a colonoscopy, are warranted. Remember, your digestive health is an essential aspect of your overall well-being, and addressing any concerns promptly can help ensure a healthier future.

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