After fasting for 5 days due to acute gastroenteritis, the initial phase of rehabilitation shows green stool!
Dear Dr.
Tsai,
Hello! I experienced acute gastroenteritis six days ago, which required an emergency visit and subsequent hospitalization.
I was on a five-day fasting regimen, during which I had a high fever that eventually subsided, and the doctors treated me with antibiotics.
However, when I inquired with the medical team, they were still unable to determine whether the cause was viral or bacterial.
Having been on leave for seven days, I was discharged today to rest and have started a gradual diet.
My stool is still somewhat soft and deep green in color.
This is the first time I have experienced this, and I am concerned whether it is due to the prolonged fasting and bile accumulation in my system, or if there is a possibility of a gastrointestinal relapse.
I am quite worried and would appreciate your clarification.
Thank you.
Mao Nan, 30~39 year old female. Ask Date: 2015/12/28
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The stool appears dark green, which should gradually improve as your food intake increases, so there is no need to worry too much.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.
Reply Date: 2015/12/28
More Info
After experiencing acute gastroenteritis, it is not uncommon for patients to notice changes in their stool color and consistency, particularly when transitioning back to a normal diet. The presence of green stool, especially after a period of fasting, can be attributed to several factors, primarily related to the digestive process and the body's recovery mechanisms.
Firstly, the green color of your stool is likely due to the presence of bile. Bile is a digestive fluid produced by the liver and stored in the gallbladder, which helps in the digestion of fats. When food intake is significantly reduced or when fasting occurs, the bile can accumulate in the intestines and may not be fully utilized for digestion. As a result, when you begin to eat again, the bile can pass through the intestines more quickly than usual, leading to green stool. This is particularly common after a period of fasting or when the digestive system is still recovering from an illness.
In your case, the acute gastroenteritis you experienced could have disrupted your normal digestive processes. The antibiotics you received may have also affected your gut flora, which can further influence stool color and consistency. It's important to note that while green stool can be alarming, it is often a benign finding, especially in the context of recent gastrointestinal illness and dietary changes.
However, if you are experiencing other symptoms such as abdominal pain, persistent diarrhea, or any signs of dehydration, it would be prudent to consult with your healthcare provider. The presence of soft stools can be a sign that your digestive system is still adjusting, and while it is common to have some irregularities in stool consistency after gastroenteritis, ongoing symptoms should be evaluated to rule out any complications or a recurrence of the infection.
In terms of dietary recommendations, it is advisable to continue with a bland diet that is easy on the stomach. Foods such as bananas, rice, applesauce, and toast (often referred to as the BRAT diet) can help in stabilizing your digestive system. Gradually reintroducing other foods while monitoring your body's response is key. Avoiding high-fat, spicy, or overly fibrous foods initially can also help prevent further irritation of the gastrointestinal tract.
In summary, while green stool after recovering from acute gastroenteritis can be concerning, it is often a normal part of the recovery process, particularly following a period of fasting. Monitoring your symptoms and maintaining a gentle diet will aid in your recovery. If you have any doubts or if your symptoms persist or worsen, seeking medical advice is always the best course of action. Your health and well-being are paramount, and staying in touch with your healthcare provider will ensure that you receive the appropriate care as you recover.
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