Dark Green Stool: Causes and Concerns - Internal Medicine

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Dark green stool


I suddenly couldn't hold it while urinating and felt like I was passing gas with liquid.
Upon checking, it was dark green.
Earlier, I had a beef burger and unsweetened green tea for lunch, along with two packs of apple bread and a cup of water.
Before returning home, I drank a cup of lightly sweetened green tea.
After dinner, when I went to the bathroom, I suddenly couldn't hold it again and passed dark green liquid that was also watery.
I asked my family, and they said it might be due to the green tea I drank.
Is that true?

Guo XX, 10~19 year old female. Ask Date: 2016/02/16

Dr. Xie Rongyuan reply Internal Medicine


Hello: It is not possible to determine the presence of occult blood in the stool based on appearance alone; a hospital examination is necessary to find out.
Food may affect the color of the stool.
Thank you for your message!

Reply Date: 2016/02/16

More Info


Dark green stool can be a source of concern for many individuals, especially when it appears suddenly or is accompanied by unusual symptoms. In your case, the occurrence of dark green, watery stool following a meal that included a beef burger and green tea raises several points worth discussing.

First, it’s important to understand that the color of stool can be influenced by various factors, including diet, hydration, and gastrointestinal health. The foods you consume, particularly those high in iron or certain food dyes, can lead to changes in stool color. For instance, dark green stool can result from consuming foods rich in chlorophyll, such as leafy greens, or from iron supplements. However, in your case, since you mentioned not having consumed many green vegetables, the dark color could be attributed to other factors.

The consumption of green tea, especially if it is unsweetened, is generally considered healthy and is not typically associated with causing dark green stool. However, if the tea was particularly strong or if you consumed it in large quantities, it might contribute to changes in stool color. Additionally, certain food combinations can lead to digestive disturbances, which might explain the watery consistency of your stool.

Another important consideration is the possibility of gastrointestinal issues. The sudden urge to defecate, especially if accompanied by watery stool, could indicate a mild gastrointestinal upset, such as food intolerance or a minor infection. If your body is reacting to something you ate, it could lead to symptoms like diarrhea, which might explain the watery nature of your stool.

It’s also worth noting that stress and anxiety can impact gastrointestinal function. You mentioned experiencing anxiety, which can lead to symptoms like irritable bowel syndrome (IBS), characterized by changes in bowel habits, including diarrhea and urgency. Stress can affect gut motility, leading to rapid transit through the intestines, which can result in watery stools.

While dark green stool is often benign, it can sometimes indicate underlying health issues, particularly if it persists or is accompanied by other symptoms such as abdominal pain, fever, or blood in the stool. If you experience any of these symptoms, it would be prudent to consult a healthcare professional for further evaluation.

In summary, while your dark green, watery stool may be related to your recent dietary choices or stress, it’s essential to monitor your symptoms. If the condition persists or worsens, seeking medical advice is advisable. A healthcare provider may recommend stool tests to rule out infections or other gastrointestinal issues. Remember, maintaining a balanced diet, staying hydrated, and managing stress can significantly contribute to overall digestive health.

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