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My Stools Are Solid Brown But Toilet Paper Has Small

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Posted on Mon, 6 Jan 2020
Question: my stools are solid brown but toilet paper has small black particles on it once in awhile. also found small black particles in underwear once. but no discomfort just had to push stool out with slight effort but all stools appeared normal brown
doctor
Answered by Dr. Ramesh Kumar (4 hours later)
Brief Answer:
Stool test is easiest and best way.

Detailed Answer:
Hello and thanks for choosing "Ask a Doctor" for your query,
Have seen your details and I appreciate your concerns,
As per your query answers are-
The black particle could be small larvae or eggs of any parasite which could be suggestive of worm infestation secondly they could be some undigested particles.
I would suggest you to go for a simple stool routine microscopy and culture test to find out what are these black particle.
All you need to do is to take a small sample of your stool to nearest lab for this investigation.
Things would be clear in a day.
Hope I was helpful.
Thank you.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ramesh Kumar (45 minutes later)
the stools were brown and normal I only saw black particles on toilet paper and only once if it doesn't happen again am I ok
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Follow up: Dr. Ramesh Kumar (1 hour later)
I can.t just walk in a lab with a stool sample can I besides it was only on the toilet paper not on stool and only happened once or twice
doctor
Answered by Dr. Ramesh Kumar (13 hours later)
Brief Answer:
Follow up answer.

Detailed Answer:
Hello again and thank you for follow up,
If it has happened only once or twice then i don't think you need to get worried or go for the tests.
Rather i would suggest you to take over the counter deworming tablet one dose Albendazole 400mg(chew it after dinner),Just a single dose.

If the incident repeats itself again then follow up,
Thank you!
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ramesh Kumar (1 hour later)
thanks for that advice. one more thing-if I were to take a stool sample to a lab can I do that on my own or does my doctor need to send a request to do the lab work.
doctor
Answered by Dr. Ramesh Kumar (6 minutes later)
Brief Answer:
Follow up.

Detailed Answer:
Hello dear,
It depends on the state rules of your country,
Stool routine and culture is just a normal test and in most of the states and country no prescription is required.
You just need to take small sample of stool to laboratory and they provide the report to you.
This is just a baseline test.
You could ring your nearest pathological lab or Hospital pathology.
Thank you.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ramesh Kumar (4 days later)
doctor this XXXXXXX XXXXXXX as a follow up it has been 4 days and all my stools continue to be brown and normal. I have had no more black particles on toilet paper or in my underwear as I did once before on toilet paper and once before in underwear. I did not take the albendazole-one dose as you suggested since feel fine and had absolutely no more black particles or symptoms. I feel no need to take the medicine. do you agree
doctor
Answered by Dr. Ramesh Kumar (35 minutes later)
Brief Answer:
Follow up

Detailed Answer:
Hi again,
It's good.
You are perfectly fine.
No need to worry or take any medication.
In case episode repeats itself write back to me.
Enjoy and have a good day ahead.
Thank you.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ramesh Kumar (1 hour later)
thankyou for your fast response doctor. you have put my mind at ease. I never took the albendazole you suggested since I felt fine and I am glad you agreed. So as my final question -there is nothing more I need to do and nothing more I need to worry about -is that correct
doctor
Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
Follow up.

Detailed Answer:
Hello again sir,
No from my side you are clear to do what ever you want.
Thank you and have a excellent and healthy life ahead.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2913 Questions

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My Stools Are Solid Brown But Toilet Paper Has Small

Brief Answer: Stool test is easiest and best way. Detailed Answer: Hello and thanks for choosing "Ask a Doctor" for your query, Have seen your details and I appreciate your concerns, As per your query answers are- The black particle could be small larvae or eggs of any parasite which could be suggestive of worm infestation secondly they could be some undigested particles. I would suggest you to go for a simple stool routine microscopy and culture test to find out what are these black particle. All you need to do is to take a small sample of your stool to nearest lab for this investigation. Things would be clear in a day. Hope I was helpful. Thank you.