Persistent Yellow Stools: What to Discuss with Your Doctor
I'm a 26-year-old female and have a doctor’s appointment this coming Friday. I’m seeking advice on what tests I should consider discussing during my visit. Previously, I was diagnosed with moderate fatty liver, and gallstones were also identified, but since they didn’t present any immediate issues, my doctors didn’t express concern at that time. Lately, I've been experiencing persistent yellow stools that tend to float, appearing shortly after I eat. Currently, I’m not in any pain, nor do I have any additional symptoms. I’m curious about the potential causes of this and what I should ask my doctor to examine during my appointment. A month ago, I had a blood test that returned normal results, aside from elevated ALT and AST levels. My bilirubin levels were normal as well. Does this indicate a possible progression of my fatty liver condition? I've been researching online, and many sources mention cirrhosis, which is quite worrying for me.
Answers (1)
7/10/2025, 9:20:42 AM
OpenHealth AI
It's understandable to feel concerned about the changes in your stool's appearance, especially given your history with fatty liver and gallstones. Here are the key points regarding your situation:
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Yellow, Floating Stools: The color and texture of your stools may indicate issues with fat absorption, which can happen for several reasons, such as bile duct obstruction or issues with your liver and pancreas.
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Context of Fatty Liver and Gallstones: Your history of moderate fatty liver and gallstones is relevant. While these conditions may not currently produce symptoms, they can impact your digestion and potentially indicate underlying issues if your stools are changing.
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Blood Test Results: Elevated ALT and AST levels point to liver function changes, but without symptoms or other concerning signs, it's not necessarily a progression to cirrhosis. It does warrant monitoring and discussion with your doctor.
Next Steps: What to Discuss with Your Doctor
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Symptom Explanation: Explain the persistence of yellow, floating stools, including how long this has been occurring and any changes you’ve noticed in your diet or lifestyle.
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Questions About Further Testing: Ask about tests to evaluate your liver function more comprehensively, such as:
- Ultrasound of the liver and gallbladder: To check for any changes in your gallstones or evidence of liver disease.
- Liver Function Tests (LFTs): To monitor your liver enzymes and proteins over time.
- Biliary Imaging: Discussing options like an MRCP to assess the bile ducts.
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Inquire About Dietary Impacts: Since you mentioned your stools change shortly after eating, consider discussing your diet. Ask if there are specific dietary recommendations or restrictions you should follow.
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Monitoring Symptoms: Share any worries about progressing liver disease or cirrhosis, and discuss how you can monitor for symptoms, such as changes in your energy levels or any signs of jaundice.
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Follow-Up Plan: Determine how often you should have follow-ups, monitoring tests, or lifestyle changes to maintain your liver health.
Remember, while it's natural to feel anxious about your health, gathering this information will empower you during your visit. Ensure you bring a list of your concerns and questions to maximize your time with your doctor.
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