Green Stool: When to Seek Medical Attention - Internal Medicine

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Green stool


I have a history of hemorrhoids.
For the past two days, I have been having green stools, which are not loose but rather solid and formed.
I have searched online for related information, and some sources suggest that it could be due to consuming a lot of green vegetables; however, my diet has not changed significantly, so I am a bit concerned.
I would like to know if it is possible that this could be a sign of intestinal cancer, especially since the dark green color could be due to bleeding in the intestines.
This has been ongoing for two days now.
How many more days should I wait before seeking a medical diagnosis? Thank you.

Miss Lin, 20~29 year old female. Ask Date: 2016/01/15

Dr. Li Zhiyao reply Internal Medicine


Hello: If you have consumed foods that are rich in blood or iron, it is possible to experience the type of stool you described.
If you are certain that you have not eaten such foods, I recommend visiting a gastroenterologist.

Reply Date: 2016/01/15

More Info


Green stool can be a concerning symptom, especially for someone with a pre-existing condition like hemorrhoids. While it’s understandable to worry about potential serious conditions such as colorectal cancer, it’s important to consider various factors that could contribute to the change in stool color.

Firstly, green stool can result from dietary changes. Foods high in chlorophyll, such as leafy greens (spinach, kale) or foods with green food coloring, can lead to green-colored stools. However, since you mentioned that your diet hasn’t changed significantly, it’s less likely that this is the sole cause.
Another common reason for green stool is the rapid transit of food through the intestines. When food moves too quickly through the digestive tract, bile (which is green) doesn’t have enough time to break down completely, resulting in green stool. This can happen due to various reasons, including gastrointestinal infections, stress, or even certain medications.

In your case, since you have hemorrhoids, it’s essential to monitor any associated symptoms. If you experience additional symptoms such as abdominal pain, diarrhea, fever, or blood in your stool, it would be prudent to seek medical attention sooner rather than later. Blood in the stool can appear as red streaks or can make the stool look darker or tarry, which could indicate bleeding in the gastrointestinal tract.

Regarding your concern about colorectal cancer, while green stool alone is not a definitive indicator of cancer, any persistent changes in bowel habits, especially if accompanied by other symptoms like weight loss, changes in appetite, or abdominal discomfort, should prompt a visit to a healthcare provider.
As a general guideline, if the green stool persists for more than a few days without any other symptoms, it would be wise to consult a physician. They may recommend tests such as stool analysis, blood tests, or imaging studies to rule out any underlying conditions.
In summary, while green stool can be benign and related to diet or rapid transit, it’s crucial to pay attention to your body and any accompanying symptoms. If you have any doubts or if the condition persists, seeking medical advice is always the best course of action. Your health and peace of mind are paramount, and a healthcare professional can provide the necessary guidance and reassurance.

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