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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is it due to colonic inertia the stools are pale in colour?

I had a total colectomy a year ago due to colonic inertia. After doing so, I still have issues trying to go to the restroom. I have painful hemorroids die to straining most times. I due have a certain drug I take that has helped some. However, in the last month, my stool is either pale or white or more frequently yellow liquid. I know thiamine normal and I m worried due to my medical history. Please help!
Thu, 11 Aug 2016
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the history of total colectomy for colonic inertia, still issues of going for restroom, straining causes piles, pale to white stools followed by frequent yellow liquid.
This indicates that there mat be gall bladder malfunction not allowing the escape of bile when necessary and releasing at other times.
When the bile is not mixed with the food, that part will appear pale or white.
I would advise you the following:
Get the stool tested for 3 consecutive days, particularly the pale and white part for stercobilinogen
Ultrasonography of the abdomen particularly for hepato-biliary and pancreas system.
Any other tests as may be necessary after clinical evaluation.
Changes of foods and beverages t suit you the most.
Addition of therapeutic dosages of Vitamin A and D has a definite role.

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Is it due to colonic inertia the stools are pale in colour?

Hi. Thanks for your query. Noted the history of total colectomy for colonic inertia, still issues of going for restroom, straining causes piles, pale to white stools followed by frequent yellow liquid. This indicates that there mat be gall bladder malfunction not allowing the escape of bile when necessary and releasing at other times. When the bile is not mixed with the food, that part will appear pale or white. I would advise you the following: Get the stool tested for 3 consecutive days, particularly the pale and white part for stercobilinogen Ultrasonography of the abdomen particularly for hepato-biliary and pancreas system. Any other tests as may be necessary after clinical evaluation. Changes of foods and beverages t suit you the most. Addition of therapeutic dosages of Vitamin A and D has a definite role.