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Gastroenterology  (Expert Forum)
 | 
Strange Orange/Waxy Mucus in Stool!! - baffled, Need advice.**
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D. Boston - MA
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.

Strange Orange/Waxy Mucus in Stool!! - baffled, Need advice.**

by Jth76, Jan 29, 2006 12:00AM
Hi!  My name is jeân and I am 30 years old,  4 year Veteran of the military. I noticed I began having chronic diarrhea 3 years ago after an overseas trip to southeast Asia, passing stool, diarrhea, 3-4 times a day, but have subsided to a tolerable 1 maybe twice a day now. My doctor recently ran a stool test on me, but the results come back negative (see below). I explained to the family practitioner that I have all the symptoms of IBS, and she concluded as such… Stool Test Results ===>:  9/2/05 Stool culture Final Report – No Salmonella, shigella or campylobacter isolated…9/2/05 Protozoa Final Report- No Protozoa seen, no WBCs seen..9/2/05 Helminths Final Report – No eggs or larva seen..9/2/05 Giardia Gea – Negative for giardia be EIA…//// I used to have occasional bout of white mucus which comes along with my diarrhea, but recently I notice that I have this very strange orange-looking mucus. They have a very waxy texture and seem to thicken/harden with contact to the air. My wife previously had reported to me the same problem with the orange looking waxy mucus, and I feared that I might pass something very bad on to her- maybe something that my practitioner did not catch  The orange mucus leaked out of my anus while I thought I was passing gas, but shows up more prevalent when I began to pass stool this morning 1/29/05… I don’t know if these mscl info helps, but I remember that soon after the overseas trip where I had unprotected sexual intercourse with a female friend, I became sick for a week, feverish and quite ill. My anus and penis area became really ichy-rash like (burning and intense itching- But there is no discharge that I know of), and there was a slight burning sensation when I urinate. This was ongoing for a couple of weeks, but went away after I took some of my dad’s leftover antibiotics. I noticed that my urination was more frequent than normal, and once in a long while, has an intense off yellow color to it, like fluorescent yellow, but it has now been normal. I still sometimes feel irritation in both my kidneys area (slight pain at times) and continue to feel discomfort in my lower bladder area, especially in the morning when it its full. I had taken urine & blood tests on a few occasions before but they all come back negative.  

**My personal theory* – I could be having Chlamydia, hepatitis B, syphilis, or urinary tract infection all along, which had progress and spreads to other vital organs like my kidneys, pancreas, and liver which leads to the problem of orange-like mucus in my stool- to which my wife and I are having now??**  Any advices, insight, and suggestions are greatly appreciated… I no longer have health insurance but have ER access. *The mucus pics I took below turned out more redish on the pictures. It is more like flaky brownish-orange and very waxy in texture. ADVISORY: These pictures contains unpleasant snapshot of my stool sample. Sincerely, Jean   http://www.villagephotos.com/pubbrowse.asp?folder_id=1587944

by Kevin Pho, MD, Jan 30, 2006 12:00AM
With the tests that you have had, it would make an infectious cause less likely.



You can consider more chronic diseases like inflammatory bowel disease, malabsorption, and irritable bowel syndrome.



A colonoscopy should be considered to evaluate for colitis and inflammatory bowel disease.



The stool can be sent off for fat malabsorption.  I would also consider obtaining pancreating enzymes and imaging studies to rule out chronic pancreatitis.



If the tests remain negative, then treatment can be optimized for irritable bowel syndrome (i.e. with antispasmodic agents).



I would discuss these options with your personal physician.



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Kevin, M.D.

kevinmd_b
Member Comments

by cjbby53, Oct 25, 2008 10:59AM
A related discussion, Do I have IBS? was started.
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