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Ask a doctor on the topic of Internal medicine

Bright stool / Fatigue / Bruises

Hello!

Preface:
About 2 years ago, I visited the doctor due to persistent light, sand-colored stool. After a blood test and an ultrasound of the abdomen, the doctor told me: It is a cosmetic error.
Since then, nothing has changed with the stool. The color is still ochre to dark yellow (when you take a look), occasionally even darker.
However, for a while now, fatigue/weakness (sometimes with dizziness in bursts) and quite a few bruises have been added.
I have attached a blood test result that I received.

About me: 28 years old, office job

Medications: Budecort for years, Omeprazole for about 1 year

My question:
Could it be related to my diet?

I don't want to go to the doctor unnecessarily.
Should I follow up with my primary care physician in my case?

Thank you in advance.

Uni-Arzt Freddy Feuerstein

Dear inquirer,

1. Your lab results last time were completely normal. However, only a few values were taken, and the sample was taken quite some time ago, so the significance is somewhat limited.
2. I assume you are taking the medication Budecort for asthma.
3. I also assume you are taking the medication Omeprazole for heartburn.
4. A pale and discolored stool could indicate a problem with the liver or pancreas. This can be investigated through a laboratory test. The normal stool color is due to a bile pigment, resulting in a brown color.
5. Altered blood clotting, such as increasing bruises, may indicate a clotting disorder. This could be congenital or related to a liver disease, as the liver produces certain clotting factors.
6. Fatigue and weakness are general symptoms and are fairly nonspecific, but can occur in both liver and pancreas diseases.
7. Yellowish stool can also be caused by dairy products, eggs, and starchy foods.
8. Dizziness is a neurological symptom that doesn't quite fit in, unless it occurs in the context of weakness, in which case it would simply be related.

So, in summary for you,
- there could theoretically be a disease of the liver or pancreas, which should be investigated as a precaution
- due to your age and medical history, a serious illness is less likely
- Food can also affect stool color (see above)

Wishing you a speedy recovery.

If you have any further questions, feel free to ask (even if there are additional details such as alcohol consumption, smoking, weight, etc.).

Best regards,

T.C. Müller

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Uni-Arzt Freddy Feuerstein