Concerns About Loose Stools and Pinkish Discoloration: When to Seek Help? - Gastroenterology and Hepatology

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Hello Dr.
Chen, I had a normal fecal occult blood test a while ago, but recently I've noticed that my stools have been loose and there are some pinkish specks mixed in with the stool.
When I flush, it breaks apart.
This has been ongoing for a while.
Should I be concerned? I am 27 years old.
Do you think I need to undergo a colonoscopy? Thank you for your guidance.

DC, 20~29 year old female. Ask Date: 2015/12/15

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Hello, the influence of food color should be ruled out first.
The fecal occult blood test is normal, which can exclude bleeding.
If bleeding is suspected after observation, you may visit the outpatient department of the Gastroenterology Division at Taoyuan General Hospital, Ministry of Health and Welfare, to consult with Dr.
Chi-Feng Chen.

Reply Date: 2015/12/15

More Info


When it comes to concerns about loose stools accompanied by pinkish discoloration, it is essential to approach the situation with caution and awareness of potential underlying issues. Based on your description, the presence of pinkish discoloration in your stool, especially when combined with loose stools, warrants further investigation.
Firstly, let's consider the possible causes of your symptoms. Loose stools can result from various factors, including dietary changes, infections (viral, bacterial, or parasitic), food intolerances, or even stress. The pinkish discoloration, on the other hand, could indicate the presence of blood or other substances that may not be typical in stool. Blood in the stool can arise from several sources, including hemorrhoids, anal fissures, or more serious gastrointestinal issues such as diverticulosis, polyps, or inflammatory bowel disease (IBD).

Given that you mentioned a recent normal fecal occult blood test, it is reassuring, but it does not entirely rule out the possibility of bleeding from other areas of the gastrointestinal tract. The fact that the pinkish discoloration persists and is accompanied by loose stools suggests that it is prudent to seek further medical evaluation.

As a 27-year-old, while the risk of serious gastrointestinal conditions is generally lower than in older populations, it is still important to take any changes in bowel habits seriously. A thorough evaluation by a healthcare professional is recommended. This may include a detailed medical history, a physical examination, and possibly further diagnostic tests such as a colonoscopy, especially if there are additional concerning symptoms like abdominal pain, weight loss, or changes in appetite.

In summary, while loose stools and pinkish discoloration can sometimes be benign, the persistence of these symptoms, especially in combination, suggests that you should not hesitate to consult a healthcare provider. They can provide a comprehensive assessment and determine whether further investigation, such as a colonoscopy, is necessary. Early detection and intervention are crucial for addressing any potential underlying issues effectively.
In the meantime, keep track of any additional symptoms you may experience, such as changes in bowel habits, abdominal discomfort, or any other unusual signs. This information will be valuable for your healthcare provider in making an accurate diagnosis and developing an appropriate treatment plan. Remember, it’s always better to err on the side of caution when it comes to your health.

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