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Gastroenterology  (Expert Forum)
 | 
Yellow colored stool
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.

Yellow colored stool

by ant158, May 26, 2003 12:00AM
I'm a healthy man, early 40's, currently on no medication. Quiet often my stool is light colored, from orange-brown to yellow, but not pale, and it's spongy solid, low density and breaks up up when it mixes with water, but no mucous or blood. When that happens, I have frequent bowel movement, between 3 to 5 times in the morning. My appetite is healthy, no fever, chills, nausea or vomiting. My gastro-specialist had me do all test, from celiac (blood & stool), Hepatitis, gall stones, colonoscopy, small bowel and upper GI series, malabsorption, and other tests, but, with the exception of some slight gastritis, the were all negative. He thinks that the light stool color is due to short transit time in the small intestins, due to nervousnes. I mentioned to him that those symptoms started few years ago after a 4 weeks course of Cypro, taken for chronic non-bacterial protatitis, so he gave me Diflucan for 5 days, because a stool test showed some Candida. My stool went back to normal when I was take in the Diflucan. It was darker and more solid and dense, but it changed again after I finished the Diflucan. A second course of Diflucan made my stool slighly darker. Periodically, I experience plain fatigue, with no fever or chills, and I hear digestion noises (water trickling) in my stomach and intestins after a meal with some gas, but not excessive. The fatigue lasts for few days. Sometimes I experiense some light pulsating muscle aches. I saw several specialists, rheumatologist, infectious deseases specialist, neurologist, but they cannot find anything wrong with me. I noticed that the more fiber I eat, especially vegetables and oat cereals, the spongier my stool gets, and my bowel frequency increases. I tried changing breakfast ceral from oat to corn flakes, and it made my stole color slighly darker (light brown). I thought of being allergic to some foods, and a visit to an Allergist showed no allergies, after he did a skin test.
What's causing the stool cloror to change, and is my chronic fatigue related to it?
Thank you

by Kevin Pho, MD, May 27, 2003 12:00AM
Hello - thanks for asking your question.

You note light colored stool.  Celiac disease (blood & stool), hepatitis, gall stones, colonoscopy, small bowel and upper GI series, and malabsorption tests are all non-revealing.

It is obvious that you have had a comprehensive workup.  You have been to 4 seperate specialists.  Here are some other considerations.

Obstruction to bile flow out of the liver or liver infections like viral hepatitis (A, B, C, etc.), may produce clay colored stools.  These causes have been ruled out.

Irritable bowel syndrome can also cause clay colored stools (due to decreased transit time).  There are anecdotal stories that candida overgrowth may be related to IBS.  This may be why taking the Diflucan may be making your stool darker.  There is no consensus data linking these disease, but there are enough smaller studies and anecdotal stories that make it worth mentioning.  

Here is a link that suggests a connection between irritable bowel disease and candidiasis:
http://ibscrohns.about.com/library/weekly/aa110900a.htm

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.
Member Comments (11)

by PAJ, May 26, 2003 12:00AM
They  most certainly are related , you have answered your own question you almost certainly have a yeast infection . Unfortunately what is happening with your liver is guesswork. Your symptoms are familiar to most with a candida infection . Look up my other posts for more info , As you will find out the medical profession are in glorious denial over the condition. if you need more info post your questions,
Two pieces of info you may find interesting.
Candidiasis of the biliary tree

. Candidiasis of the biliary tree. Candida organisms are considered to be part of normal human flora. However, in immunocompromised hosts–particularly patients with diabetes or malignancies or those requiring broadspectrum antibiotics, corticosteroids, or parenteral nutrition–Candida can become pathogenic. In rare cases, it has been implicated as the causative organism of cholangitis in both immunocompromised and immunocompetent patients. Ho and colleagues have reported a patient with sickle cell disease who presented with jaundice and abdominal pain; endoscopic retrograde cholangiopancreatography (A) revealed biliary dilation and intrahepatic and common hepatic duct filling defects. Histologic examination of an extracted stone (B) revealed numerous Candida organisms. The characteristic hyphae of Candida are seen in the inset. This patient was successfully treated with surgical exploration and intrabiliary infusion of amphotericin. (From Ho et al. [66]

This extract from : Chronic Fatigue Syndrome: The Hidden Epidemic, by Jesse E. Stoff, M.D., and Charles R. Pellegrino, Ph.D. may also be relevant
The liver is one of the primary targets of Epstein-Barr Virus (EBV), Cytomegalovirus (CMV), and some other viruses associated with Chronic Fatigue Syndrome. Indeed, most people suffering from acute EBV disease (mononucleosis) or chronic EBV (CEBV) develop subacute hepatitis. The liver is also one of the major powerhouses of the body and, when it is badly infected, disruption of both the metabolism and the immune system results, followed by fatigue - a main hallmark of CEBV disease, and depression. Thus, it is essential that the liver be treated.

by ant158, May 26, 2003 12:00AM
My liver seems to be fine, or at least the doctors tell me so, since I have no signs of jaundice and numerous blood tests showed normal enzymes. I donnot know how conclusive small bowel xrays are, but to my knowledge my gastro-specialist did not find any problem or obstruction in my gall blader. So my next question is why is my stool yellow, if my liver seems to be fine? Is there a difference between yello and pale colore stool? And why does my diet seem to make a difference? I've read in the past about persistent candiditis, and one of the symptoms is the "leaky gut syndrome", where the intestines become overwhelmed by candida and fail to absorb the nutrients. Could that be my case? Can yellow stool be the result of other problems than the biliary function? Can candididis be cured with another dose of Diflucan?

by PAJ, May 27, 2003 12:00AM
Yeast infections cause many symptoms ,not all are understood they are being unravelled but as yet a clear picture of what’s happening just isn’t available, pale /yellow stools are associated with liver problems The point is  if Diflucan resolves the problem albeit temporary ,then a fungal infection is the root cause!!! Diflucan only acts against fungal bugs. Your right to consider a holistic approach ,your infection will not be confined to your liver. Unfortunately “another dose of Diflucan” will not bring  a cure ,if your gut is infected then triple therapy for months  as Dr Cranton will be needed.  Research before you act read the web site’s I’ve provided treating fungal infections sub- optimally is disastrous. Consider very carefully the triple treatment protocol that Dr Cranton uses . On the bright side at least you have found the cause of your problem early on , obviously the earlier you treat the more optimistic the outcome. Leaky gut can be tested for! See Great plains site. Post your  e-mail address  & I’ll send more information.

by ant158, May 27, 2003 12:00AM
To: PAJ
I reviewed many sites about treatments and diets for treating yeast (Candida) infection, but they differ in some ways on the diet issue. Can u email me a good web site, or even a list of doctors that acknowledge and treat long term Candiditis in the NY/NJ metro area?
Tks
My email is: ***@****

by Courtsy, May 30, 2003 12:00AM
I was reading a little about the problems that people have with their stomachs and your suggestions.  I have been having problems with mine as well for about a year.  And when I was reading, I read yeast infection twice but it was in regards to the stomach problems.  Is it true that someone can get a yeast infection in their rectum?

Thanks,

Courtney

by PAJ, May 30, 2003 12:00AM
Courtsy, The answer is yes  yeast can be the cause of your problems . See if you can twist your doctors arm to try Nystatin two weeks at about 6 million units a day [12 tablets it’s a very safe drug] ,if it helps with your problem you know your enemy!! You can buy Nytatin over the internet!! [Search Mexican or Philippine pharmacy’s  or most European countries sell the drug over the counter   a few extracts from my web page I’m working on ,hope it helps . Search medline home page, type in the numbers,



Inflammation
Inflammation is nearly always present it’s one mechanism fungi use to disrupt & disable the immune system,[see Medline extracts below] although when testing for inflammation it’s not specifically testing for infection it’s useful in the overall picture
inflammation releases molecules that are destructive & downgrade/disable our immune systems & Yeast /fungus can induce that inflammatory response,
See these extracts,12407412, 12408438 This ones interesting quoting fungi as the cause of sick building syndrome 11181112, 10510392, 12490957 and 12134235
Reduced body temperature
Again  other pointers are present in a large percentage of candidaisis cases ,one being a reduced body temperature typically being 1 degree below normal.
Hormonal imbalance  
hormones are chemical messages .Various trials in America have shown, for example, that many of those with CFS put out either too high or too low levels of DHEA and cortisol, which are hormones produced by the adrenal glands. Research has shown that this constant biological stress causes adrenal fatigue. MRI scans of the adrenal glands of CFS patients has shown that there is actually a reduction in adrenal gland size in some cases
According to Kent Holtorf, M.D., "CFS and FM patients will often have a number of thyroid abnormalities including a low free T3, a high reverse T3, and a low TSH. These abnormal ratios are not usually discovered using the standard laboratory interpretation of hypothyroidism.
When CFS and FM patients are treated with thyroid, they are almost always under-dosed because their pituitary dysfunction results in their TSH becoming quickly suppressed, which normally indicates too much thyroid. Because these patients have pituitary dysfunction, one must forget about the TSH and not treat based on this parameter.
These patients can also have a thyroid resistance syndrome. This has not been a well-accepted concept by general mainstream medicine and many refuse to believe it exists because the exact mechanism has not been elucidated, but this a real phenomenon.
In fact, in a recent issue of International Journal of Medical Research, a major peer reviewed medical journal, a patient was described that required 10 times the normal dose of thyroid intravenously before her symptoms would resolve. This resistance usually improves as the patient gets better and they subsequently need less thyroid."
(. Read complete article at http://www.immunesupport.com/library/showarticle.cfm/id/4532

Acidosis
"ACIDOSIS” note Dr. Pasteur's dying words [or at least he said them]: "The germ is nothing, the inner terrain is everything." It has been demonstrated that an acidic, anaerobic (lacking oxygen) body environment encourages the breeding of fungus, mould, bacteria, and viruses. An acidic condition of in particular the blood although other areas are affected, urine saliva etc; this blood alkalosis inhibits the transport of oxygen to tissues and organs, constricts the blood vessels, and lowers overall circulating blood volume.
Search body PH Balance for more on Acidosis. read this article by Dr Paul Cheney

http://www.immunesupport.com/library/bulletinarticle.cfm?ID=3953&PROD=PH12

by lizbeth219, May 31, 2003 12:00AM
To: ant 158
hi- i am waiting to have a colonoscopy-- but i took anti biotics for two weeks and after another three weeks i started to have yellow / okra diarreha with lots of mucous-after a few weeks things got darker- orange -brown- mow yellow diarreha again

by yoshi, Jun 06, 2003 12:00AM
i thought it is plain obvious if you take anti biotics,you get yeast infection.
someone mentioned cypro for 4 weeks(or is it cipro),dont you think it is wiping out all the good bacteria needed for flora and healthy living??
have anyone thought of adding the good  bacteria back by eating yogurt (i dont mean dannon yogurt but healthfood store yogurt) or taking acidophilus pills or culture??
just my 2 cents!!

by mr57, Jul 25, 2003 12:00AM
I have many of the same symptoms as the above poster and also have had what feels like a severe rash.  In a recent test of my stool, it came up that I had high yeast content but my doctor brushed it off.  Could you please email more information?  Thanks.  ***@****

by camarohead, Sep 27, 2003 12:00AM
About 3 weeks ago I was diagnosed with a bacterial infection in my urethra.  My family doctor gave me Doxycyclene for 7 days. At the end of the 7th day I got a yeast infection on my tongue, known as thrush and a rash on my groin area.  I went to a Urologist that diagnosed it as Canadisas, sp?, yeast infection and gave me dsome topical ointment to use.
Now I have lower back pain and diarreha.  I called my family doctor and she said to go on a liquid diet for three days.  I am on my third day now and my diarreha is yellow.  Is this yeast? Bile? or something more serious.  My stomach gurgles and feels queezy but I know half of that is from nerves about this illness.  What is going on? Has anyone experienced this? I am 51 and married with two kids.  Thanks for any help anyone can share.

by Qah, Sep 29, 2003 12:00AM
Hi There!

I have read all these messages (I think). My problem is same. I have gone through the tests and OK.

Then I have talked to a hmeopath whom I know for some years as a friend and not a doctor.

He has given me some medication and the most important of them according to him is "Natrium Phosphoricum 6X"

Or commonly called  as "Nat. Phos 6".

Every one who is in trouble due to some kind of disbalance in intestines please do take it. It is quite harmless otherwise. And by taking it for like 2/3 days you will understand the difference.

My email is ***@**** for further discussions.

Thanks and take care.
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