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Does blood in stool apear as dark flecks?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have noticed dark (do not know if they are dark brown, more greenish, or black) flecks in what looks like otherwise very normal stool. Can this be blood, or does blood typically only present as fully-black, tarry stool? Also, I have PKU, and my supplemental food contains 4 g of Ferrous Sulfate per serving. Could this cause discoloration in my stool from time-to-time? I am 43 years old with a history of anxiety, 6'2", 190, decent health. Please help.

Thanks.

Answered by Dr. Divakara P

Education:

MBBS

Professional Bio:

Dr. Divakara. P is a Diabetologist and an Endocrinologist specializing in Pain Medicine and Pulmonology with 18 years of clinical experience. He completed his MBBS at the Karnataka Institute of Medical Sciences in 2006 and MD in General Medicine at the Rajiv Gandhi University of Health Sciences in 2011. He is qualified to diagnose and treat disorders of the endocrine glands. Currently, he is practicing in Dr. Divakara's Speciality Clinic, Bangalore, Karnataka, India.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Once in a while these kind of dark flecks is normal but if it is persistent then it is abnormal. Also, Ferrous Sulphate can cause blackish discoloration of stools. Blood in stools need not always be fully black, tarry stools but I strongly feel that it is due to Ferrous Sulfate. Still, I advise you get a test called Stool for Occult Blood. This test will detect any blood in your stool. If it comes positive revert back to me as you may require further tests.

Patient's Query

Thank you doctor,

I did want to follow up with this: I do not so much tend to notice any of the flecks in the toilet. I notice these things more on the toilet paper. They sometimes very much appear to be undigested food (I tend to have nervous bowels and there is a huge history of IBS on my mother'ss

side of the family), but even when they don't so much appear to be undigested food, I'm only noticing them on the toilet paper. I have, in the past, passed dark stool, but rarely, and without accompanying pain, and almost every time it's happened, I've been able to think of dietary reasons. (along with my PKU diet, I'm allowed fruits, veggies, and junk food, and I I tend to eat a fair amount of chocolate-y things). Anyway, my whole point was that, with the flecks, I only notice them when I wipe. I guess, I'm wondering, also, isn't it very natural that stool can exit our body in a variety of dark and light shades of brown as well? Thanks again, so much, Chris

Answered by Dr. Divakara P

Education:

MBBS

Professional Bio:

Dr. Divakara. P is a Diabetologist and an Endocrinologist specializing in Pain Medicine and Pulmonology with 18 years of clinical experience. He completed his MBBS at the Karnataka Institute of Medical Sciences in 2006 and MD in General Medicine at the Rajiv Gandhi University of Health Sciences in 2011. He is qualified to diagnose and treat disorders of the endocrine glands. Currently, he is practicing in Dr. Divakara's Speciality Clinic, Bangalore, Karnataka, India.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

Definitely I agree with you that the stool color can vary from slight yellow to dark brown, and there may not be any abnormality in your stools. But still it is better that we rule out blood in your stool as it is important and can be tested very easily. So, I advise you get stool for occult blood test done and revert back with report. There is no relation between nervous bowel or IBS (irritatable bowel syndrome) and dark color of your stools. I also advice you stop taking tablet Ferrous Sulfate for one week and observe your stool color. Stool color persist to be dark even after stopping Ferrous Sulfate for about a week, then revert back.

Answered by Dr. Divakara P
Medically reviewed by Dr. Divya Banu M
Published At December 14, 2019
Reviewed At February 19, 2026

Education:

MBBS

Professional Bio:

Dr. Divakara. P is a Diabetologist and an Endocrinologist specializing in Pain Medicine and Pulmonology with 18 years of clinical experience. He completed his MBBS at the Karnataka Institute of Medical Sciences in 2006 and MD in General Medicine at the Rajiv Gandhi University of Health Sciences in 2011. He is qualified to diagnose and treat disorders of the endocrine glands. Currently, he is practicing in Dr. Divakara's Speciality Clinic, Bangalore, Karnataka, India.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Divakara. P is a Diabetologist and an Endocrinologist specializing in Pain Medicine and Pulmonology with 18 years of clinical experience. He completed his MBBS at the Karnataka Institute of Medical Sciences in 2006 and MD in General Medicine at the Rajiv Gandhi University of Health Sciences in 2011. He is qualified to diagnose and treat disorders of the endocrine glands. Currently, he is practicing in Dr. Divakara's Speciality Clinic, Bangalore, Karnataka, India.

This doctor is not available for online consultations on the platform anymore.

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