Stool Color Changes: When to Seek Medical Advice - Surgery

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Hello, doctor.
I previously had a condition of internal hemorrhoids and had experienced bleeding due to straining during bowel movements.
I underwent a rubber band ligation procedure for the internal hemorrhoids, but it was not completed (the doctor mentioned it should be done three times, but I only had it done once).
Currently, my bowel movements are relatively smooth, and the color and shape are normal.
However, after my stool sits in the toilet water for a few minutes, the water around the stool takes on a color similar to that of the stool.
I would like to inquire about this condition.
Thank you.

C, 30~39 year old female. Ask Date: 2016/01/07

Dr. Cai Xingzhi reply Surgery


Hello: Please follow the attending physician's instructions to complete the ligation of the unfinished nevus.

Reply Date: 2016/01/07

More Info


When it comes to stool color changes, it’s important to understand that the color and consistency of your stool can provide valuable insights into your digestive health. Normal stool can vary in color from light brown to dark brown, depending on various factors including diet, hydration, and the presence of bile. However, any significant changes in stool color, especially if accompanied by other symptoms, can warrant medical attention.

In your case, you mentioned that your stool is generally normal in color and shape, but you observed that the water in the toilet bowl takes on a similar color to your stool after it has been submerged for a few minutes. This phenomenon can occur due to a few reasons:
1. Dietary Influences: Certain foods can influence the color of your stool. For example, beets can cause a reddish hue, while foods high in green pigments, like spinach, can lead to greenish stool. If you have recently consumed foods that are particularly colorful, this might explain the color change in the toilet water.

2. Bile and Digestion: The color of your stool is largely influenced by bile, which is produced by the liver and helps in the digestion of fats. If your stool is brown, it indicates that bile is present and functioning properly. However, if there are any issues with bile production or flow, it could lead to changes in stool color.

3. Water Absorption: When stool is submerged in water, it can release pigments into the water, causing it to take on a similar color. This is generally not a cause for concern unless you notice other alarming symptoms.

4. Medical Conditions: Given your history of internal hemorrhoids and previous bleeding, it’s crucial to monitor any changes closely. While the color change you described may not be alarming on its own, if you experience any additional symptoms such as pain, significant changes in bowel habits, or blood in your stool, it would be wise to seek medical advice.

5. Hydration: Dehydration can also affect stool consistency and color. Ensuring you are well-hydrated can help maintain normal stool characteristics.

In summary, while the color change of the toilet water may not be a direct cause for concern, it is essential to remain vigilant about any accompanying symptoms. If you notice any changes in your bowel habits, experience pain, or see blood in your stool, it is advisable to consult a healthcare professional. Regular check-ups, especially considering your history with hemorrhoids, can help ensure that any potential issues are addressed promptly.
In conclusion, while the phenomenon you described may be benign, it is always best to err on the side of caution when it comes to your health. Keeping a close eye on your symptoms and maintaining open communication with your healthcare provider will help you manage your digestive health effectively.

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