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Apr 30, 2021

Yellow Stool Color - Possible Liver Issue?

This topic is about a person who recently had colorectal cancer surgery, resulting in an ileostomy. They are noticing a bright-yellow output and are concerned about whether this is normal or if it could indicate a liver problem. Here are some insights and advice shared by others:

- It's common for ileostomy output to vary in color, including shades of yellow. This often reflects the food you eat or the presence of unaltered bile. Many people with ileostomies experience this regularly.

- Yellow output typically means that bile salts are passing through quickly, not that there is an excess of bilirubin. Since the colon is bypassed, the usual conversion to a brown pigment doesn't happen.

- Always feel free to reach out to your doctor if you have concerns. You can ask for:
1. Comprehensive liver-function tests to ensure everything is working well.
2. A complete blood count to check for any infections.
3. Imaging tests, like a CT or PET scan, to rule out any liver issues. Early detection can make treatment easier.

- If any part of the upper small bowel was removed, seeing persistent yellow-orange output is especially common.

- Regular blood work can provide peace of mind. Many people report having yellow output while their liver function tests remain normal for years.

- If you notice yellow or orange output in the morning, it might be due to overnight fasting. Having a small snack, like a plain biscuit or a slice of white bread, before bed can help darken the morning output.
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