Stool Color Chart: What Poop Colors Mean and Why

Stool Color Chart: What Poop Colors Mean and Why
Brown is the normal stool color, and MedlinePlus says it comes from bile salts the liver releases into the stool. Cleveland Clinic says most color changes trace back to something you ate and should fade once the food is out of your system, and to contact a provider if stool doesn't go back to brown within a few days. Black or dark red stool can be a sign of bleeding, and the NHS says to ask for an urgent GP appointment or contact NHS 111. MedlinePlus says pale or clay-colored stool may come from problems in the biliary system, which drains the liver, gallbladder and pancreas.

Most odd colors in the toilet have a boring explanation. Cleveland Clinic says the color of your poop usually points to something you ate, and that it should go back to brown once that food is out of your system. Colors that could mean blood, or bile not getting through, deserve the closest look.

Why brown is the baseline

MedlinePlus explains that the liver releases bile salts into the stool, and that is what gives it its normal brown color. Cleveland Clinic calls brown the ideal color for adults and says the shade can vary. A few off-color stools don’t mean you’re unhealthy. A color that stays, or keeps changing, is the thing to watch.

Color by color

Rows come from Cleveland Clinic’s stool color page unless marked MedlinePlus.

Color Food or medicine causes Health causes named Read more
Green Kale, spinach, green food coloring Bacterial infections, IBS, food passing through too fast Green stool
Yellow Carrots, sweet potatoes, fatty or fried foods Excess fat in the stool, pancreatitis, celiac disease, bile duct issues Yellow stool, greasy stool
Red Red food coloring, tomato juice, beets, cranberries Rectal bleeding from hemorrhoids, ulcers or fissures; inflammatory bowel disease Blood in stool, red stool after beets
Black Blueberries, black licorice, iron pills, bismuth medicines such as Pepto-Bismol (MedlinePlus) Bleeding in the esophagus, stomach or first part of the small intestine (MedlinePlus) Black stool
Pale, gray or clay Anti-diarrheal medicines; rarely, dairy Liver, bile duct, gallbladder or pancreas problems Pale stool

Orange isn’t on Cleveland Clinic’s chart. It has its own article.

Blood and bile

MedlinePlus says the color of blood in stool hints at where it came from. Black or tarry stool may mean bleeding in the upper digestive tract, where blood darkens as it’s digested on the way down. Red or fresh blood most often comes from the colon, rectum or anus. Blood thinners raise the risk of bleeding in the gut.

Some lookalikes aren’t blood at all. MedlinePlus names iron pills, bismuth medicines, activated charcoal, black licorice, blueberries and blood sausage for black stool, and beets or red food coloring for reddish stool, and says a provider can test the stool for blood. The NHS agrees that iron tablets and dark foods can darken poo, but says it’s sometimes a sign of something else.

With pale stool the question is bile. MedlinePlus says pale or clay-colored stool may be due to problems in the biliary system: a liver infection can cut bile production, or bile flow out of the liver can be blocked. Yellow skin (jaundice) and dark urine can come with it.

A week of color notes

A made-up example:

Day Color Food or medicine Other notes
Mon Green Spinach smoothie at breakfast Felt fine
Tue Brown
Wed Very dark Second day of iron tablets No pain, no dizziness
Fri Pale, clay-like Nothing new Urine darker than usual
Sat Pale Urine still dark
Sun Pale

Monday fits Cleveland Clinic’s food causes, and the color was gone by Tuesday. Wednesday lines up with iron, which all three sources name as a cause of dark stool. The NHS still puts black poo on its list for an urgent GP appointment, and says a GP can test dark poo if you’re worried. Friday to Sunday shows pale stool with dark urine, a pairing MedlinePlus describes. It says to contact a provider when stool isn’t brown for several days. Cleveland Clinic goes further: clay-colored poop with yellow skin or eyes (jaundice) and dark pee means contacting a provider right away, without waiting for more entries.

MedlinePlus lists questions a provider may ask that make good log notes: when it started, whether every stool looks this way, and whether you’ve had blood thinners, NSAIDs such as ibuprofen, iron, Pepto-Bismol, black licorice or blueberries.

When to get help

  • See a GP (NHS) if you’ve had blood in your poo for 3 weeks, or your child has blood in their poo.
  • Ask for an urgent GP appointment or contact NHS 111 if your poo is black or dark red, or you have bloody diarrhea.
  • Contact a provider right away (MedlinePlus) if you notice blood or color changes in your stool, vomit blood, or feel dizzy or lightheaded.
  • Call 999 or go to A&E (NHS) if the bleeding won’t stop or there’s a lot of blood, such as red toilet water or large clots. Don’t drive yourself.

NIDDK says confusion or unconsciousness, a fast heart rate, pale skin, cold hands and feet, and sweating can be signs of shock from severe bleeding, which needs emergency help right away. Outside the UK, routes differ: MedlinePlus, a US government health site, says to call 911 or go to the nearest emergency room for black, tarry stools, a lot of blood in the stool, or vomiting blood. Where you live, contact a doctor if you see blood in your stool, and use your local emergency number for black, tarry stool, heavy bleeding or signs of shock. This article is general information, not medical advice.

How bellySignal helps

bellySignal logs each bowel movement with a Bristol type from 1 to 7, a color, and blood or mucus flags. Next to it you can add food triggers and a note such as “started iron” or “pale again,” and track urine color on a 1 to 8 hydration scale plus water in cups or mL. The app doesn’t diagnose anything, but a provider can see when a color started and what came before it. Get bellySignal on Google Play.

Your diary is stored on your device, and you can start logging without signing up. Optional login, health platform sync, and export are available. Some health values, including stool type, symptoms, and manually entered weight, are also sent to PostHog, which is enabled by default. The analytics switch in settings controls PostHog only. Firebase Analytics receives usage events without those health values and remains active. Privacy policy.

Frequently asked questions

Is green or yellow stool something to worry about?
Usually it points to food. Cleveland Clinic lists leafy greens and green food coloring for green stool, and carrots, sweet potatoes and fatty or fried foods for yellow. It also names health causes: bacterial infections, IBS or food passing through too fast for green, and excess fat in the stool, pancreatitis or celiac disease for yellow. If stool doesn't go back to brown within a few days, it says to contact a provider.
Can iron tablets make stool black?
Yes. The NHS, MedlinePlus and Cleveland Clinic all name iron as a cause of very dark or black stool. MedlinePlus and Cleveland Clinic also list bismuth medicines such as Pepto-Bismol, and MedlinePlus and the NHS list dark foods like blueberries or black licorice. Black or tarry stool can also come from bleeding in the upper digestive tract, so MedlinePlus notes that a provider can test the stool for blood, and the NHS lists black poo among reasons to ask for an urgent GP appointment.
When is a stool color an emergency?
The NHS says to call 999 or go to A&E if bleeding from the bottom won't stop or there is a lot of blood, such as red toilet water or large clots. MedlinePlus says to contact a provider right away if you vomit blood or feel dizzy or lightheaded. NIDDK says confusion, a fast heart rate, pale skin, cold hands and feet, and sweating can be signs of shock, which needs emergency help. Outside the UK, MedlinePlus says black, tarry stools are also a reason to call 911 or go to the emergency room; use your local emergency number.

Sources

bellySignal provides general wellness information and does not replace professional medical advice or diagnosis.