What are pale or clay-colored
Normal stools can vary in shades of brown, mostly due to your
diet. Pale or clay-colored stools are not normal. If your stools are pale or
clay-colored, you may have a problem with the drainage of your biliary system,
which is comprised of your gallbladder, liver, and pancreas.
Bile salts are released into your stools by your liver,
giving the stools a brown color. If your liver is not producing enough bile, or
if the flow of the bile is blocked and not draining from your liver, your
stools may become pale or clay-colored.
Having pale or clay-colored stools once in a while may not
be a cause for concern. If it occurs frequently, you may have a serious
illness. You should see your doctor whenever you have pale or clay-colored
stools in order to rule out illness and disease.
conditions that can cause pale or clay-colored stools
There are many possible causes of pale or clay-colored
stools. Some of the common causes include:
Certain medications, such as the nonsteroidal
anti-inflammatory drugs ibuprofen (Advil)
(EC-Naprosyn), birth control pills, some antibiotics, and anabolic steroids can
cause drug-induced hepatitis. Drug-induced hepatitis is a swelling or
inflammation of the liver caused by medications.
Drug-induced hepatitis and the related discolored stools
usually go away within a few weeks after the medications are discontinued in
the majority of people.
Viral hepatitis is a swelling or inflammation of the liver
caused by viruses such as the hepatitis A, B, or C viruses. Hepatitis C often
leads to liver disease.
Your doctor can diagnose the type of hepatitis virus you have
and help you figure out the best treatment plan for you.
is swelling or inflammation of the liver caused by drinking excessive amounts
of alcohol. Alcoholic hepatitis can lead to liver disease or liver failure.
To treat this form of hepatitis, you’ll have to stop
drinking alcohol. Your doctor can help you if you’ve become dependent on
alcohol. Alcoholic hepatitis can also cause malnutrition, so you may also need
to be put on a special diet to get the vitamins and other nutrients you need.
Medications such as prednisone
(RAYOS) and pentoxifylline
(Pentopak) can also treat liver inflammation.
In severe cases, a liver transplant may be needed.
Biliary cirrhosis is an inflammation or irritation of the
bile ducts in the liver. The inflammation or irritation blocks the flow of bile
to the intestines. The exact cause of biliary cirrhosis is unknown. There is no
cure for biliary cirrhosis,
and the disease can be fatal.
Treatment can help manage your symptoms and prevent
complications. Commonly prescribed medications include cholestyramine
(Questran) to treat itching and ursodiol (Urso
Forte), which aids in removing bile from the bloodstream.
Your doctor may also suggest taking vitamins A, K, E, and D,
to replace the nutrients that are lost in the fatty stools. Calcium supplements
can also help prevent loss of bone density.
In severe cases, your doctor may suggest a liver treatment.
Gallstones are hardened deposits in the gallbladder that can
block the flow of bile.
Medications can sometimes dissolve gallstones. You may need
surgery to remove your gallstones if they’re large or medication isn’t
Sclerosing cholangitis is an inflammation or scarring of the
bile ducts, which are the tubes that carry bile throughout the body. The exact
cause of this disease is unknown, but genetic factors may be partially
Both medications and surgeries are possible treatments for
sclerosing cholangitis. Commonly prescribed medications include:
Your doctor may also prescribe supplements for vitamins A,
D, E, and K to replace what the body has lost. Your doctor may also prescribe antibiotics.
Common surgeries used to treat sclerosing cholangitis
- endoscopic balloon: inserting a balloon at the end
of a long tube into the bile ducts to open any narrowing
- biliary drainage catheter: placing a drain in
the narrowing of the bile ducts
- removal of the colon and rectum in severe cases
- liver transplant
in the biliary system
You may have been born with structural defects in your
biliary system that prevent the flow of bile.
After a physical exam, your doctor may order several tests
to determine if you have structural defects. These tests include blood tests,
scans, and X-rays.
Your doctor may be able to surgically repair the defects.
The type of defect will determine the type of surgical procedure the doctor
Gallbladder removal surgery can result in the narrowing of
the bile ducts. This condition is known as biliary stricture.
Your doctor may be able to correct the problems using
surgery or a stent. A stent is a small tube that a surgeon places inside the
ducts to keep them open so that bile can flow freely.
Benign (noncancerous) or malignant (cancerous) tumors in the
biliary system can interfere with bile flow or inflame the liver.
Your doctor may be able to remove the tumor surgically. If
the tumor is cancerous, you may need radiation, a therapy that uses X-rays or
gamma rays to destroy cancerous cells. Chemotherapy can also be used. This is the
use of powerful drugs to kill cancer cells.
Cysts on the bile ducts can prevent the flow of bile.
The cysts may go away without treatment, or your doctor may
perform surgery to remove them. The surgery is done laparoscopically and with
small incisions and less discomfort that common surgery.
of pale or clay-colored stools
One of the most common complications of pale or clay-colored
stools is jaundice. This is due to a buildup of bile in your body. Jaundice is
a yellowing of your skin or around the whites of your eyes. See your doctor
immediately if you have signs of jaundice because it may also be a symptom of
Pale or clay-colored stools in children
Brightly colored stools in children are usually caused by
colorful foods like breakfast cereal. However, pale, white, or clay-colored
stools in children can be caused by something more serious. Some of the causes
- a milk-only diet
- barium sulfate from barium enema
- blocked bile ducts or liver disease
You should contact your doctor any time your child’s stool
changes color, especially if they haven’t had any brightly colored foods or if
the stools are pale, white, or clay-colored. Only your doctor can determine the
exact cause and provide the proper treatment.
If the cause is a food or medication, removing it from the
child’s diet will clear up the condition. If the cause is liver disease or a
blocked bile duct, this can be life-threatening and may require surgery or
of pale or clay-colored stools
Your doctor will ask you questions about accompanying
symptoms and medications you’re taking. Your doctor may also perform tests to
help diagnose the cause of your pale or clay-colored stools. Possible tests
- blood tests, to check for
infections and jaundice
- computed tomography (CT)
scans, to see if you have any swelling of your liver or bile ducts
- magnetic resonance
cholangiopancreatography (MRCP), a special type of magnetic resonance
imaging (MRI) that captures detailed images of the biliary system
- abdominal ultrasound, to
develop a picture of your organs
Once the underlying cause of pale or clay-colored stools is
treated, your stools should return to a normal brown color. However, some
causes, such as liver disease and some cancerous tumors, are incurable. If the
cause is incurable, you will continue to have pale or clay-colored stools.
Some of the causes of pale or clay-colored stools are not
preventable, but others are. Some forms of hepatitis have vaccines for
prevention. Alcoholic hepatitis can be prevented by not drinking alcohol in
excess. If the cause is unknown, work toward having healthy bowel movements by eating
a balanced diet that is high in fiber.