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What Causes Alternating Diarrhea And Constipation After 1 Year Of Surgery For Diverticulitis Along With Black Stool?

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Posted on Fri, 1 Apr 2022
Question: Today I had a long stringy black stool that I had to pull out of my rectum. Could this be from black grape skins. I have had bowel issues since my colon surgery for diverticulitis one year ago. Clustering every morning or bouts of diarrhea.
doctor
Answered by Dr. Vasudha (2 hours later)
Brief Answer:
Further investigations needed to find the cause and management plan.

Detailed Answer:

Hi,

Yes, the black color of stools could be due to skins of black grapes....still if recurred without eating black grapes, blood in stools needs to be excluded while stool examination.

Alternate diarrhea & constipation after 1 year of surgery for diverticulitis can be-
-Some intestinal infection (especially bacterial or amoebic).
-Diarrhea/constipation can be due to recurrent diverticulitis (postoperative incidence being 10%).

-You need investigations to reach to the certain cause, i.e.CBC, stool examination, abdominal CAT-scan & get specific treatment... (with suitable antibiotic/anti-amoebic drugs)
-Self-care with having a high fiber diet and sufficient water intake (avoid laxatives) along with weight reduction(if overweight) would help.

In this context, I'd suggest you consult your gastroenterologist and follow the treatment plan offered along with self-care.

I hope that answers your query. Any follow up query is welcome.
Thanks.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Vasudha (55 minutes later)
Could the grape skins have been undigested? Therefore giving me the stringy stool that I had to pull out.
doctor
Answered by Dr. Vasudha (4 hours later)
Brief Answer:
Cause explained down.

Detailed Answer:

Hi,

Black grapes contain fibers in addition to vitamin C and minerals. The fibers (in pulp and skin) retain water but do not to get absorbed and cause clearance of bowels.
Skin of the black grape does get finely pasted but not digested that is why it can colour stools.
It seems You were going to have constipation, on the day reffered in the query but the fibers in grape caused mass peristaltic (movement of large intestine to cause bowel movement). This caused a comparatively looser stool and this was mixed with mucus in stools to make it stringy and sticky so could not come out easily and you had to pull it out.

I hope that answers your query. Any follow up query is welcome.
Thanks.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Vasudha

General & Family Physician

Practicing since :1970

Answered : 10395 Questions

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What Causes Alternating Diarrhea And Constipation After 1 Year Of Surgery For Diverticulitis Along With Black Stool?

Brief Answer: Further investigations needed to find the cause and management plan. Detailed Answer: Hi, Yes, the black color of stools could be due to skins of black grapes....still if recurred without eating black grapes, blood in stools needs to be excluded while stool examination. Alternate diarrhea & constipation after 1 year of surgery for diverticulitis can be- -Some intestinal infection (especially bacterial or amoebic). -Diarrhea/constipation can be due to recurrent diverticulitis (postoperative incidence being 10%). -You need investigations to reach to the certain cause, i.e.CBC, stool examination, abdominal CAT-scan & get specific treatment... (with suitable antibiotic/anti-amoebic drugs) -Self-care with having a high fiber diet and sufficient water intake (avoid laxatives) along with weight reduction(if overweight) would help. In this context, I'd suggest you consult your gastroenterologist and follow the treatment plan offered along with self-care. I hope that answers your query. Any follow up query is welcome. Thanks.