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Two toned stools

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I have a patient, generally Spleen qi deficient, post menopausal, obese,

lacks gallbladder, who periodically gets long two toned, striped stools. The

top half is clay colored and the bottom half is unusually dark. Normal

consistency and odor. It doesn't seem to be a lump of greens or related to any

particular food. Any idea either eastern or western what this means?

 

Karen S. Vaughan, L.Ac., MSTOM

Registered Herbalist (AHG)

Creationsgarden1

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The lack of a gallbladder leads to inefficient emulsification of fats

leading to steatorrhea or floating white (fatty) stools. In time, the body

compensates such that this isn't as much of a problem, but I suspect that

the remnants of this mechanism may be visible in that the more fatty

materials will still float to the top or be slower to descend in the colon,

hence the bi-colored stools. Probably looking at some damp or phlegm in the

yang ming to put this into CM terms.

 

Excessively dark stools can indicate upper GI bleeding too. These stools are

described as looking like " coffee grounds " . Haven't seen this myself, but I

conceive of these stools have a friable or granular appearance.

 

I had this one person send me a picture of her stools once and they were

absolutely rainbow colored. It still turns my stomach a bit to recall this

image, but it was amazing in its way.

 

-al.

 

On Thu, Dec 25, 2008 at 9:54 AM, <creationsgarden1 wrote:

 

>

> I have a patient, generally Spleen qi deficient, post menopausal, obese,

> lacks gallbladder, who periodically gets long two toned, striped stools.

> The

> top half is clay colored and the bottom half is unusually dark. Normal

> consistency and odor. It doesn't seem to be a lump of greens or related to

> any

> particular food. Any idea either eastern or western what this means?

>

>

 

 

--

, DAOM

Pain is inevitable, suffering is optional.

 

 

 

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