Chair of green color

There are norms of physiological excretions of the human body. In particular, feces are assessed by consistency, color, odor, composition. In healthy people, feces have a formal appearance, a soft consistency, a brown color from light to dark brown.

If a green chair is seen, it often becomes a frightening factor, forcing people to seek a pathology. We will analyze the causes of green intestinal secretions. To do this, we first briefly recall what the color of the stool depends on and how.

Why is feces brown?

The color of the stool is formed mainly by the bile pigments, which are formed in the hepatic cells, and then with the bile enter the intestine. They are the product of processing the iron-containing part of the hemoglobin erythrocytes( heme) and myoglobin muscle tissue. In addition, the spleen is involved in the breakdown of red blood cells. Old blood cells are disposed of, unnecessary substances are sent to the slag.

Similar pigments are found in mammals, inferior vertebrates and invertebrates, in bright green plants and red algae. Biochemical reaction passes through the stage of the formation of biliverdin greenish-blue, yellow-orange bilirubin. In the intestine, bilirubin is acted upon by bacteria. Their enzymes convert biliverdin into sterocobilinogen( up to 280 mg per day).

Under the influence of light, released with feces, the sterkobilinogen is oxidized to sterocilin with a brown color reaction. In addition to natural pigments, coloring substances of food undigested fibers, products of vital activity of bacteria, processed remnants of medicinal substances are excreted with feces. Therefore, the color is unnatural.

With what is normally associated with a green chair in an adult?

It is important to consider that the deviation of the stool by color or consistency always has its own explanation. Optionally, it is associated with a pathological process. Causes in an adult can be conditionally divided into physiological( nutritional) and pathological.

By the shade of feces judge the nature of digestion disorders

Physiological refers to:

• Eating foods containing chlorophyll. It is a green pigment found in plants. The highest concentration is found in leafy vegetables, green peas, lettuce, spinach, broccoli, parsley.
• Dye chemicals are specially added to certain products( sweets, cocktails, marmalade, fruit and berry jelly).An example is the blue Curacao intensively blue( part of the cocktail).But if a person used a salad of carrots, beets, then the "exit" appears mixed color of a salad or yellow-green hue.
• A dark green can become a stool after taking food colors on a background of functional constipation caused by stress. The feces acquire a firm consistency.
• Conversely, with diarrhea caused by excitement, passing through an accelerated pace through the intestine, biliverdin does not have time to transform into sterbilin. Therefore, a chair of green color and liquid appearance is possible.
• Foods also include red meat, sea kale, seaweed, fish, red beans. They have a high iron content. This means that excess biliverdin is formed during processing.

One common cause is the consequence of taking antibiotics, iron ferricyanide( prescribed in the treatment of heavy metal poisoning).With non-pathological reasons, a person has a good general state of health, no abdominal pain, normal temperature.

When is it necessary to suspect a pathology?

The green stool is a symptom of the pathology:

• in liver diseases;
• enhanced erythrocyte decay;
• of celiac disease;
• enterocolitis;
• intestinal tumors;
• gastrointestinal bleeding.

Violation of the digestive process causes the failure of the production of enzymes and juices of the organs concerned. This is reflected in the transformation of bilirubin derivatives in the intestine. Celiac disease is a hereditary autoimmune disease that destroys villi in the small intestine with gluten. As a result, atrophy of the small intestine begins, the absorption of fats and carbohydrates stops.

Disease begins both in childhood and after age 40

Intolerance to lactose, an enzyme digesting milk. It appears in the period of newborn. At the beginning of breastfeeding, the stool of the child has a liquid green color. The adult person is aware of his own peculiarities. Does not use dairy products. But sometimes it can not envisage the inclusion of milk additives. Therefore, do not get upset when you see the changed color of feces.

In the inflammatory process in the intestine( enterocolitis, Crohn's disease, ulcerative colitis), a green shade of feces is provided by leukocytes, pus, rapid movement with diarrhea. Purulent discharge with ulcer in the lower parts of the large intestine is not mixed with feces, but looks like a layering or a film. The patient has cramping or pulling pains in the abdomen, the temperature rises, worries weakness.

Salmonellosis is a common intestinal infection. Often occurs in the form of group outbreaks in children's institutions, food facilities. Infection comes from contaminated meat, dairy products, eggs with insufficient culinary processing. The source can be a sick employee. The detection of the disease is an occasion for an extraordinary check by the surveillance authorities.

The disease has an acute onset. There is a sharp increase in temperature, nausea, vomiting, frequent diarrhea with a greenish stool. In children, loss of fluid can lead to a syndrome of dehydration of the body. Profuse bleeding of their vessels of the stomach or intestine in the complicated course of peptic ulcer, colitis, Crohn's disease is accompanied by a liquid black tar-like stool.

Optional, the patient's condition is accompanied by previous abdominal pain. Symptoms are characterized by:

• vomiting of the color of the "coffee grounds";
• increasing weakness;
• pallor of the skin;
• weak rapid pulse and lower blood pressure.

Diseases of the liver, bile duct, pancreas cause mechanical jaundice by overlapping the outflow of bile. Due to the lack of bilirubin, stercobilin does not form in the intestinal contents. The feces turn gray-green. Simultaneously, urine intensely darkens, on the sclera of the eyes and the skin appears yellow, as the pigment is released into the blood. This symptom is an important symptom of viral hepatitis.

Salmonellosis is one of the pathologies that provokes the appearance of green feces

Simultaneously, the patient notes weakness, loss of appetite before aversion to food, nausea, bloating. Dysbacteriosis in the intestine occurs after taking antibacterial drugs. The lack of useful flora activates decay and fermentation. In patients there is flatulence, greenish feces, mild abdominal pain. In people prone to allergies, the manifestation of a reaction to certain foods can be diarrhea with a shade of green.

How to understand the cause of

If the greenish feces appeared once after eating the listed products or drinks, then there is no reason to worry. It is necessary to pay attention to the color after 1-2 days. Persistent changes in the background of the use of medicines require clarification from the attending physician. Perhaps the individual reaction is better to stop, giving up the drug and switch to another analog.

Severe persistent symptoms of stool consistency in combination with green color require diagnostic measures. First of all, you should visit a doctor and tell about all the signs. If you suspect food poisoning or an infection, you need to be ready to report on food, eating place taken the day before.

In case of fever, vomiting, diarrhea, call a doctor at the house. If liquid black and green feces are released on the background of vomiting with dark contents, gastrointestinal bleeding can not be ruled out. This is especially likely in patients with peptic ulcer or gastritis. You need to call an ambulance, it's impossible to make an exact diagnosis yourself.

Depending on the severity of the condition, patients are taken to the hospital, where they perform the examination while simultaneously providing the necessary medical care. The complex of diagnostic measures includes:

• blood test with leukocyte formula, with a suspicion of bleeding appoint an analysis for hematocrit, blood group and Rh factor, electrolytes;
• urine analysis is general and for diastase;
• biochemical tests for liver pathology;
• feces for coprology;
• tank sowing feces and vomit.

Only the doctor

will be able to understand the pathology of elderly people. In the first day, the patient is doing hardware research;

• ultrasound of the abdominal cavity;
• electrocardiogram;
• roentgenoscopy of the stomach with barium suspension;
• fibrogastroscopy.

If necessary: ​​

• is performed under anesthesia colonoscopy;
• computer and magnetic resonance imaging.

Causes in pregnancy

Digestion in a pregnant woman does not differ from the physiological processes of a healthy person. Perhaps sensitivity to some products increases after the change in taste. Therefore, the basis for green feces during pregnancy should be sought in nutrition. Pregnant with pleasure eat: broccoli, dill, spinach, parsley. The increase in the rate of transit of such plant products through the intestine is affected.

Some vitamin preparations containing iron also affect the color of the stool. They are appointed by midwives quite often to prevent anemia. The management of pregnancy in women with chronic diseases requires the attention of the doctor and relatives. It is impossible to predict the aggravation in advance. Therefore, it is necessary to come ahead of time for examination with suspicious feces.

The ban on spicy and pickles causes an increase in the need for fresh herbs

Medication at home

Disease therapy is performed in the infectious disease department or gastroenterology, depending on the diagnostic results. If there is a suspicion of salmonellosis in pre-medical care,

• has an abundant drinking regimen, even with vomiting it is necessary to give boiled warm water in small portions, the best drug is Regidron;
• reception of sorbents - drugs that attract slag in the intestines and remove them with feces, activated charcoal( every 2 hours an adult should drink 4 tablets), Smecta, Polysorb.

You can not wash the stomach, give antibiotics and drugs that stop intestinal peristalsis. With the diarrhea slag substances must be removed. If you suspect a bleeding patient should be laid on his side, forbid him to get up, put on the stomach with a hot-water bottle with ice or cold water( anything from the freezer wrapped in cellophane and towel), you can allow to ingest small pieces of ice.

Treatment in a hospital

In a hospital, a doctor prescribes treatment for a green chair rather than a disease that resulted in it. You can not refuse hospitalization, if it is offered by a doctor. Pregnant women are placed in the department of pathology. The severity of the patient's condition can progress very quickly. With the emerging danger to life at home, it is impossible to cope.

For all infectious diseases, the following are prescribed:

• intravenous injection of solutions for the removal of intoxication;
• liquid diet;
• antibacterial drugs( antiviral for hepatitis);
• vitamins;
• probiotics.

The detection of blood in the feces makes it necessary to look for a source of bleeding. Fibrogastroscopy measures the size of the ulcer, the condition of its edges. Depending on this, doctors take conservative measures or prepare the patient for urgent surgery. Continuation of blood loss requires transfusion of blood substitutes, protein preparations.

For small defects in the mucosa, coagulation( burning) is performed using a modified endoscopic technique. Diseases of the intestine have various forms. Bleeding is given by polyps, tumors, nonspecific colitis. In each case, targeted treatment is prescribed.

It is difficult to determine the cause of the abnormal color of the feces independently. When buying, we do not know which dyes are in the caramel, fresh, soda water. You can not leave a symptom without attention. If there is a general disorder, vomiting, nausea, abdominal pain, you should immediately seek medical help.