[69F] Experiencing green foamy stool with occasional dizziness and fatigue

Patient Description

A 69-year-old female has been experiencing green, foamy stools once daily for the past week. She also reports occasional dizziness, fatigue, and severe abdominal pain with bloody stools. No changes in the odor of the stool have been noted. The patient feels occasional goosebumps and tingling but has not had fever or chills. Her medical history includes heart disease diagnosed in 2020 and kidney stones diagnosed in 2023. She does not have any known drug allergies. Current medications include 800 mg ibuprofen, pantoprazole, atorvastatin, and metoprolol. No interventions have been noted to relieve the symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing one of the following conditions:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is the second most common illness in the U.S. It causes diarrhea and can also cause symptoms such as abdominal cramps, nausea, vomiting, and fever.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be prescribed if the cause is found to be bacterial.
  • Malabsorption disorders: These conditions occur when your body is unable to absorb enough of certain nutrients from the food you eat. This can lead to foamy or greasy stool, abdominal discomfort, and fatigue.

    • Treatment typically involves dietary changes and sometimes medication to manage symptoms.
  • Gallbladder disease: The gallbladder stores bile, a substance that helps your body break down fats. Diseases of the gallbladder can lead to changes in bowel movements and abdominal pain.

    • Treatment can range from dietary changes to surgery, depending on the severity and type of gallbladder disease.
  • Pancreatic insufficiency: This is a condition where the pancreas does not produce enough of certain enzymes the body uses to digest food in the small intestine. This can lead to changes in bowel movements, abdominal discomfort, and fatigue.

    • Treatment typically involves taking pancreatic enzymes to help your body break down and absorb nutrients.

Please note that these are possible conditions based on the symptoms you've described, and not a definitive diagnosis.

What you can do

  1. Keep a symptom diary: Note down when you have these bowel movements, what you ate before, and any other symptoms you experience. This can help your doctor identify patterns and potential triggers.

  2. Stay hydrated: Diarrhea can cause dehydration, so it's important to drink plenty of fluids. Water is the best choice.

  3. Eat a bland diet: Foods like rice, bananas, and toast can help make your stool more solid. Avoid fatty, fried, spicy, or sugary foods, which can make diarrhea worse.

  4. Over-the-counter treatments: Anti-diarrheal medications can help slow down your digestive system and reduce the frequency of your bowel movements.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms persist for more than a week.
  • You have severe abdominal or rectal pain.
  • You have bloody or black stools.
  • You have a high fever (above 101 F).
  • You become dehydrated — signs of dehydration include excessive thirst, dry mouth, deep yellow urine or little or no urine, and severe weakness, dizziness or lightheadedness.

Remember, it's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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1 yr ago

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People Also Ask


What could cause green, foamy stools in adults?

Green, foamy stools in adults can be caused by a variety of factors including dietary choices (such as consuming green leafy vegetables or food coloring), infections like gastroenteritis, malabsorption disorders, or issues with bile production or absorption.


How can malabsorption disorders affect bowel movements?

Malabsorption disorders can lead to changes in bowel movements such as diarrhea, foamy or greasy stools, and abdominal discomfort. This occurs because the body is unable to properly absorb nutrients from food, leading to undigested food passing through the digestive tract.


What are the symptoms of gallbladder disease?

Symptoms of gallbladder disease can include abdominal pain (often in the upper right side), nausea, vomiting, changes in bowel movements, and sometimes jaundice. Pain may occur after eating fatty meals.


When should I seek medical attention for abdominal pain and bloody stools?

You should seek medical attention if you experience severe abdominal or rectal pain, bloody or black stools, symptoms persist for more than a week, have a high fever, or show signs of dehydration such as excessive thirst, dry mouth, or severe weakness.


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