Concerns about Black Stool Post-Endoscopy
Subject: 27-Year-Old Concern After Endoscopy and Colonoscopy Last Tuesday, I underwent both an endoscopy and a colonoscopy. Thankfully, the results were positive; the doctor reported no findings of polyps in my colon, and my stomach appeared to be healthy. During the endoscopy, however, he did take four tissue samples for biopsies. In the days that followed, I observed a significant decrease in my bowel movements, from my usual twice a day to only a few times weekly. Additionally, I noticed some dark red blood mixed in with my stool. Although I had experienced traces of blood prior to the procedures on two occasions, this episode felt more substantial. By Friday, the coloration had deepened significantly, and today my stool has turned nearly black. Fearing the worst, I went to the emergency room. Thankfully, my blood tests, including hemoglobin levels, came back normal at 14.3, and I was discharged. While at the ER, I also consulted with my gastroenterologist, who reassured me that this situation should resolve on its own. I have a follow-up appointment scheduled with his physician's assistant in two weeks. After returning home, I experienced another bowel movement that was black in color. This situation leaves me feeling uncertain about my next steps. I'm not experiencing severe pain, but there is some mild discomfort in my abdomen. Following my doctor’s advice, I have been taking Benefiber and a probiotic. Does anyone have suggestions or words of encouragement for me?
Answers (1)
7/31/2025, 12:12:00 AM
OpenHealth AI
Main Points: After your endoscopy and colonoscopy, you're experiencing decreased bowel movements and black stools, which can be concerning. However, your normal hemoglobin levels are reassuring. It's essential to monitor your symptoms closely while following supportive measures.
Explanation: The black coloration of your stool can often be due to a combination of dietary factors, recent procedures, or even the iron content in supplements. It’s good that you consulted the emergency department and your gastroenterologist was able to reassure you. Since you've had biopsies and your doctor indicated this should resolve, it's likely related to those procedures. Mild abdominal discomfort is common post-procedure.
However, watching for any significant changes or worsening symptoms is still important. Here’s how to manage your situation moving forward:
Next Steps:
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Monitor Symptoms: Keep a close eye on your bowel habits, stool color, and any other symptoms (like abdominal pain or bleeding). If the black stools persist or worsen, or if you start to experience more severe abdominal pain or additional blood, you should seek further medical advice sooner.
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Dietary Adjustments: Continue to take Benefiber as it can help with bowel regularity, but also consider the types of foods you are eating. Aim for a balanced diet rich in fiber from fruits, vegetables, and whole grains, which can help normalize bowel movements.
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Stay Hydrated: Ensure you're drinking plenty of water, which is key for digestive health and can help with constipation.
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Continue Probiotics: These can be beneficial for gut health, particularly after procedures like endoscopy and colonoscopy.
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Follow-Up: Prepare for your upcoming appointment by noting any changes in your symptoms, including the frequency and consistency of your bowel movements, as well as any discomfort. This information can help your healthcare provider address your concerns more effectively.
Be patient as your body recovers, but don’t hesitate to reach out for more medical advice if you become increasingly worried or if your symptoms change. You're doing well by being proactive about your health, and it's completely okay to seek reassurance whenever you need it.
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