White Specks in Stool: Causes and Concerns - Gastroenterology and Hepatology

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There are white substances in the stool?


Hello.
Recently, I've noticed white substances in my stool that look a bit moldy...
but I can only see them when using a sitting toilet, not a squat toilet.
What could this issue be? Also, I typically have a bowel movement every 3 to 4 days.
Thank you.

Ms. Wu, 20~29 year old female. Ask Date: 2015/08/17

Dr. Lin Minghui reply Gastroenterology and Hepatology


Hello, the white substance could possibly be food or sloughed-off epithelial cells from the colon.
This is a response from Dr.
Lin Ming-Hui, attending physician of the Gastroenterology Department at Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/08/17

More Info


When it comes to noticing white specks in your stool, it can be concerning and may lead to questions about what could be causing this phenomenon. The appearance of white specks can be attributed to several factors, and understanding these can help you determine whether you need to seek medical attention.

Firstly, one common cause of white specks in stool is the presence of undigested food. Certain foods, especially those high in fiber, such as seeds, grains, or even certain vegetables, can sometimes pass through the digestive system without being fully broken down. This can lead to the appearance of small white flecks in your stool. If you have recently consumed foods like sesame seeds, chia seeds, or even certain types of nuts, this could explain the white specks you are observing.

Another potential cause could be the presence of mucus. The intestines produce mucus to help with the passage of stool, and sometimes this mucus can appear as white or off-white flecks in your stool. This is generally not a cause for concern unless accompanied by other symptoms such as diarrhea, abdominal pain, or blood in the stool.

In some cases, white specks can indicate a parasitic infection, particularly if the specks resemble small worms or if you have other symptoms such as abdominal discomfort, changes in appetite, or unexplained weight loss. Common parasites that can cause such symptoms include pinworms or tapeworms. If you suspect a parasitic infection, it is crucial to consult a healthcare professional for proper diagnosis and treatment.

Additionally, certain medications or supplements can lead to changes in stool appearance. For example, some antacids or medications containing bismuth can cause white specks in stool. If you have recently started a new medication or supplement, consider discussing this with your healthcare provider.

Given that you mentioned having bowel movements every 3 to 4 days, it is also important to consider your overall bowel health. Infrequent bowel movements can lead to constipation, which may alter the appearance of your stool. Ensuring adequate hydration, a balanced diet rich in fiber, and regular physical activity can help maintain healthy bowel function.

If the appearance of white specks in your stool persists, or if you experience any additional symptoms such as abdominal pain, changes in bowel habits, or any other concerning signs, it is advisable to seek medical attention. A healthcare professional can perform a thorough evaluation, which may include a physical examination, stool tests, or other diagnostic procedures to determine the underlying cause.

In summary, while white specks in stool can be benign and related to dietary factors or mucus, they can also indicate more serious conditions such as parasitic infections. Monitoring your symptoms and consulting with a healthcare provider if you have concerns is the best course of action to ensure your health and well-being.

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