Stools - pale or clay-colored - All Information

Definition of Stools - pale or clay-colored:

Stools that are pale, or clay- or putty-colored may result from problems in the biliary system (the drainage system of the gallbladder, liver, and pancreas).

Considerations:

The liver releases bile salts into the stool, giving it a normal brown color. You may have clay-colored stools if you have a liver infection that reduces bile production, or if the flow of bile out of the liver is blocked.

Yellow skin (jaundice) often occurs with clay-colored stools due to the buildup of bile chemicals in the body.

Common Causes:

Possible causes for clay-colored stools include:

Alcoholic hepatitis
Biliary cirrhosis
Cancer or noncancerous (benign) tumors
Cysts of the bile ducts
Gallstones
Medications
Narrowings (strictures) of the bile ducts
Sclerosing cholangitis
Structural problems in the biliary system that are present from birth (congenital)
Viral hepatitis

There may be other causes not listed here.

Call your health care provider if:

Call your health care provider if your stools vary from the normal brown color.

What to expect at your health care provider's office:

The doctor will perform a physical exam and ask questions about your medical history and symptoms. Questions may include:

When did the symptom first occur?
Does the discoloration affect every stool?
What medicines do you take?
What other symptoms do you have?

Tests that may be done include:

Blood tests, including tests to check liver function and for viruses that might affect the liver
Endoscopic retrograde cholangiopancreatography (ERCP)
Imaging studies such as an abdominal ultrasound or CT scan

Lower digestive anatomy

Reviewed last on: 8/14/2010
David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Berk PD, Korenblat KM. Approach to the patient with jaundice or abnormal liver test results. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 150.

Bile

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